An artificial intelligence system, Eureka, was validated for its ability to accurately identify dissection layers, nerves, vas deferens, and microvessels during transabdominal preperitoneal inguinal hernia repair. Key metrics included mean intersection over union scores of 0.33 for connective tissue, 0.24 for nerves, 0.50 for vas deferens, and 0.30 for microvessels. The results indicated improved visualization […]
Category: Hernia
Self-gripping meshes reduce surgical time in hernia repair
In a comparative study of laparoscopic inguinal hernia repairs, self-gripping meshes (SGMs) demonstrated a significant reduction in surgical time (58.9 minutes) compared to fixation means for meshes (FMMs), which averaged 68.1 minutes (p = 0.0004). Additionally, while post-operative pain showed a trend towards reduction in the SGM group (p = 0.08), no recurrences were observed […]
Laparoscopic repair reduces hernia recurrence and hospital stay
A comprehensive analysis of 20 studies involving 16,247 patients revealed laparoscopic mesh repair for ventral and incisional hernias significantly lowers hernia recurrence and postoperative complications compared to open repair techniques. Patients undergoing laparoscopic procedures also experienced shorter hospital stays. While retro-muscular repairs showed lower hernia recurrence compared to laparoscopic approaches, the difference was not statistically […]
Endoscopic repair dominates groin hernia surgeries in Japan.
In 2022, Japan reported 118,365 groin hernia repairs, with endoscopic repair being the preferred method for 53.3% of patients. Among registered institutions, 81.6% of bilateral hernias were treated endoscopically. However, day surgery rates remained low at just 5.1%. The study highlights the need for improved data collection and greater participation in the National Clinical Database […]
Female patients less likely to receive opioid-sparing regimens
A study examining pain management in ventral hernia repair found that female patients were less likely than male patients to receive an opioid-sparing regimen despite showing a higher analgesic response and lower morphine consumption postoperatively. Specifically, only 62.27% of females were offered opioid-sparing pain regimens compared to 66.34% of males. The analysis revealed an odds […]
Consensus recommendations established for enhanced recovery in hernia surgery
This research analyzed 295 elements from six specialized centers, pinpointing 24 key themes across every stage of ventral hernia repair. By assessing current enhanced recovery after surgery (ERAS) protocols, the study showcases a unified framework that may help standardize practices and improve patient outcomes. The proposed consensus recommendations were crafted by the ACHQC Quality Improvement […]
Long-term success of open ventral hernia repair is confirmed
A study tracking 101 patients who underwent open ventral hernia repair with a narrow well-fixed retrorectus polypropylene mesh over an average of 7.68 years revealed no recurrent hernias or enterocutaneous fistulas. While 15% of patients required unrelated abdominal surgeries post-repair and 5% reported chronic pain, overall, the procedure demonstrated excellent long-term outcomes without complications. These […]
Reinforced tension-line suture reduces incisional hernia rates.
The addition of a reinforced tension-line (rtl) suture during fascial closure significantly decreased the incidence of incisional hernia after elective colorectal cancer surgery. In a trial involving 134 participants, 6% of patients in the rtl group developed hernias compared to 21% in the standard suture group, marking a substantial reduction (p = 0.014). No unintended […]
Surgeons favor laparoscopic techniques despite intraoperative complications.
In a survey of 206 surgeons, a notable 89.3% preferred laparoscopic inguinal hernia repair, primarily utilizing the total extraperitoneal (TEP) method (60.9%). Open surgery was favored for specific patients, including those with a history of lower abdominal surgery. During intraoperative complications, 43.5-46% converted to transabdominal preperitoneal (TAPP) repair, yet 94.6% continued with TEP techniques. Young […]
N-Butyl-2-Cyanoacrylate Adhesive Matches Effectiveness of Absorbable Tacks
N-Butyl-2-cyanoacrylate (nb2c) adhesive proved non-inferior to absorbable tacks in improving pain levels at six months following laparoscopic groin hernia repair, according to a trial involving 284 patients. The adhesive is deemed both safe and effective for mesh fixation and peritoneal closure, with comparable patient and hernia characteristics across groups. This study addresses chronic pain issues […]