A retrospective analysis of 120 ventral hernia repairs highlights the advantages of robotic-assisted techniques over laparoscopic methods. The robotic group demonstrated significantly higher mean hernia defects, shorter operating times, fewer postoperative complications, reduced pain scores at 24 hours and 14 days post-surgery, and better patient well-being scores. Notably, the robotic approach minimized the need for […]
Category: Hernia
Balloon trocar dissection enhances efficiency in inguinal hernia repair.
In laparoscopic enhanced totally extra-peritoneal inguinal hernia repairs, balloon trocar dissection outperforms optical trocar entry by significantly shortening surgery duration (62 vs. 75 min, p
Hybrid 3D and Sandwich Techniques Show Superior Outcomes in Hernia Repair
A network meta-analysis of 20 studies evaluated various mesh placement techniques for parastomal hernia repair. Results indicated that the hybrid 3D technique significantly reduced hernia recurrence and surgical site infections compared to keyhole and Sugarbaker methods. Among the assessed methods, the Sandwich technique ranked highest in terms of the lowest recurrence rates. Both hybrid 3D […]
Robotic surgery improves outcomes for hiatal and paraesophageal hernia repair
A study of 1,834 patients revealed a significant increase in the adoption of robotic surgery for hiatal and paraesophageal hernia repairs. Robotic techniques led to superior symptom resolution compared to open surgery, especially in larger hernias. Although overall rates for recurrence and reoperation remained low, robotic surgery exhibited a higher recurrence rate for large hernias […]
Minimally invasive surgery reduces recovery time for frail patients.
Minimally invasive surgery for frail patients undergoing emergency hernia repairs leads to shorter hospital stays compared to open surgery, according to data from the National Surgical Quality Improvement Program. The study analyzed 1,893 patients, revealing no increase in 30-day mortality or changes in discharge destinations. Most patients (83.62%) originally received open repairs. These findings emphasize […]
Estrogen receptor-α influences muscle fibrosis and hernia development
Estrogen receptor-α ablation has been shown to reverse muscle fibrosis and prevent inguinal hernias, conditions affecting about 50% of men by age 75. Using a humanized mouse model, findings reveal how esr1 drives fibroblast proliferation and extracellular matrix deposition linked to hernia formation. Furthermore, pharmacological inhibition of esr1 restored normal muscle architecture and reversed existing […]
ETEP reduces post-operative pain compared to IPOM+ in hernia repair
Enhanced total extraperitoneal repair (ETEP) was compared with intraperitoneal onlay mesh repair-plus (IPOM+) for midline ventral hernia repair in a randomized trial involving 48 patients. Results indicated that ETEP had significantly longer operative times but resulted in notably lower pain scores at 6 and 24 hours, with fewer patients requiring rescue analgesia. Complications and recurrence […]
Retrograde puncture method for trocar placement proves effective.
A retrospective analysis of 1,388 patients undergoing laparoscopic total extraperitoneal repair for groin hernias demonstrated that the retrograde puncture method for trocar placement is both feasible and safe. All surgeries were successful without conversion to open procedures. Notably, the average time for unilateral trocar placement was 6.36 minutes, and no patients experienced recurrence or severe […]
Quadratus lumborum blocks reduce postoperative opioid consumption.
A retrospective analysis of 102 patients undergoing open abdominal wall reconstruction revealed that those receiving quadratus lumborum blocks experienced minimal opioid consumption in the first 24 hours post-surgery, with a median of 8 morphine milliequivalents (MMEs). By day 2, opioid use peaked at a median of 47 MMEs before declining. Additionally, the median length of […]
Intraoperative surgeon metrics predict robotic herniorrhaphy outcomes
Machine learning analysis on robotic ventral hernia repair data revealed that intraoperative surgeon performance indicators significantly influence postoperative complications. Evaluating 520 patients, the study achieved high predictive accuracy (0.95) for complications using various algorithms. Notably, 6.3% experienced complications at discharge, emphasizing the interplay between surgical techniques and patient-specific factors. The findings pave the way for […]