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Among 2170 patients undergoing laparoscopic hiatal hernia repair with follow-up, objective recurrence rates were 20.8% with suture repair, 20.6% with absorbable mesh, 13.7% with non-absorbable mesh, and 0% with partially absorbable mesh. Despite initial favor for non-absorbable mesh in the mid-term, all mesh types showed…
Researchers developed and tested an 8-item procedure-specific assessment tool for minimally invasive inguinal hernia repair, showing good to excellent inter-rater reliability. Robotic procedures had higher reliability, and easier cases had higher agreement levels. The tool was designed and evaluated with expert input and real-world operative…
Patients who underwent paraesophageal hernia repair without fundoplication did not report different rates of postoperative symptoms compared to those who did. The study found that fundoplication at the time of hernia repair may not reduce postoperative reflux, despite being a standard practice for sliding-type hiatal…
A comprehensive cohort study of 4,301 patients undergoing antireflux and hiatus hernia surgeries in Australia revealed a 12.6% incidence of intraoperative complications and a 13.3% incidence of postoperative complications. Independent predictors of complications included the Charlson comorbidity index, hernia size, revisional surgery, and baseline anticoagulant…
Internal orifice narrowing achieved by suturing the distal hernia sac in laparoscopic repair of inguinoscrotal hernias significantly reduces the incidence and volume of seroma formation. A double-blind randomized controlled trial with 58 patients showed a lower seroma incidence at 7 days and reduced seroma volume…
In open inguinal hernia repair, three sutureless techniques were compared: mesh fixation with glue, self-gripping mesh, and trabucco's technique. Among 1034 patients, trabucco's technique, utilizing standard/heavy mesh, significantly increased the odds of hematomas. The study assessed postoperative complications, acute/chronic pain, and discharge time, considering patient-related…
Researchers conducted a multicenter analysis using the Abdominal Core Health Quality Collaborative database to compare the outcomes of unilateral groin hernia repair approaches in the United States. The study included patients who underwent open inguinal hernia repair, laparoscopic transabdominal preperitoneal, laparoscopic total extraperitoneal, and robotic…
A retrospective chart review of 43 cases of Spigelian hernias over a 10-year period found that a laparoscopic approach was the preferred method of repair in 74% of cases. The predominant hernial content was fat only, and 65% of cases had a history of prior…
Prophylactic mesh augmentation in emergency laparotomy closure was evaluated through a meta-analysis of randomized controlled trials. After reviewing 33 studies, four were included in the analysis, involving 464 patients. The results showed a significant decrease in incisional hernia incidence when mesh reinforcement was used (OR…
The study examined the relationship between different adipose tissue parameters and the incidence of incisional hernias (IH) after abdominal surgeries, as well as the outcomes of hernia repair. Thirteen studies were analyzed, showing that increased visceral and subcutaneous fat volume were associated with a higher…
