In a randomized trial involving 120 elderly patients, laparoscopic inguinal hernia repair showed significant benefits over traditional open surgery. Recovery times were notably shorter, with patients returning to normal activities within 7.5 days compared to 10.6 days for the open group (p
Category: Hernia
New model predicts risk of intestinal resection in hernia patients
Advanced machine-learning techniques successfully identified key predictors of intestinal resection in incarcerated inguinal hernia patients, including peritonitis, intestinal obstruction, neutrophil count, C-reactive protein, and preoperative total protein. The constructed model, validated externally, demonstrated strong predictive performance with an area under the curve exceeding 0.8 for all ten algorithms tested. Notably, the k-nearest neighbor algorithm showed […]
Small bites technique improves postoperative outcomes in laparotomies
A systematic review and meta-analysis of seven randomized controlled trials involving 2,299 patients highlighted that the small bites technique for midline abdominal incision closure significantly reduced the incidence of ventral incisional hernia (RR: 0.46, p < 0.01) and surgical site infection (RR: 0.73, p < 0.01) compared to large bites. Additionally, patients experienced a shorter […]
CALLY Index effectively predicts intestinal ischemia in hernias
The study demonstrates that the CALLY Index and modified Glasgow Prognostic Score (MGPS) serve as significant predictors for intestinal ischemia in patients with strangulated abdominal wall hernias. Among 125 patients analyzed, a CALLY score below 2.5 was independently associated with higher ischemia risk. Receiver operating characteristic (ROC) analysis revealed strong predictive power for this cutoff, […]
High postoperative complications and mortality remain in gastric volvulus surgeries.
A systematic review analyzed surgical outcomes for acute gastric volvulus due to large paraesophageal hernias, involving 15,178 patients across 171 studies. Despite advancements, 32% faced postoperative complications, 7.6% required reinterventions, and 30-day mortality reached 5.7%. The average hospital stay was 7.9 days. These concerning results underscore the need for early diagnosis and timely surgical intervention […]
Key risk factors for bowel resection identified in hernia patients
A study of 652 patients undergoing emergency surgery for acute irreducible inguinal hernias revealed that 15% required bowel resection. Key preoperative risk factors for resection included femoral hernia and intestinal obstruction, with additional factors like female gender, older age, and comorbidities increasing likelihood of surgery. Patients needing resection had heightened post-operative complications and longer hospitalizations. […]
Laparoscopic hiatal hernia repair enhances quality of life significantly
Health-related quality of life improves markedly for patients post-laparoscopic hiatal hernia repair with anterior 180° fundoplication. Over 12 months, physical functioning surged from 66.3 to 95.6, and bodily pain scores rose from 38.1 to 79.2 (p < 0.001). Notable enhancements in social functioning and mental health were also reported, with 72.5% of patients medication-free after […]
Free flap reconstruction effectively addresses large abdominal wall defects
A systematic review analyzed 32 studies on free flap reconstruction for abdominal wall defects, involving 104 procedures with an average defect size of 330 cm². Notably, there were no reports of flap loss, indicating the technique’s safety and effectiveness. Infection was identified as the primary predictor of postoperative complications. These findings suggest consistent outcomes across […]
Minimally invasive surgery shows better outcomes for groin hernias
A systematic review and meta-analysis revealed that minimally invasive surgery (MIS) for acute groin hernias significantly reduces the rates of bowel resection, superficial surgical site infections, and hospital length of stay compared to traditional open surgery. Although both approaches showed similar results regarding operation duration, prosthesis use, and overall postoperative complications, the advantages of MIS […]
Gastropexy reduces recurrence rates of giant hiatal hernias.
In a study involving 77 patients with giant hiatal hernias, those undergoing anterior gastropexy experienced significantly lower recurrence rates of hiatal hernias and esophagitis compared to those without the procedure. Despite longer operating times for the gastropexy group, both groups showed no differences in post-operative complications. Symptom relief, including reductions in heartburn and reflux, was […]