Analysis of 7,783 patients revealed that simultaneous incisional hernia repair and colorectal surgery significantly increases surgical site infections (55.4%) compared to isolated hernia repairs (30.7%). Multivariate assessments identified key risk factors, including BMI, smoking, and surgery type. Higher overall complication rates, including increased mortality and Clavien-Dindo grades, were observed in patients undergoing combined procedures, particularly […]
Category: Hernia
Females experience worse outcomes in groin hernia repair
A systematic review and meta-analysis, analyzing 1,236,694 patients, revealed that females undergoing groin hernia repair suffer higher rates of recurrence (1.28), chronic pain (1.52), and surgical site infections (1.46) compared to males. Additionally, women are less likely to opt for minimally invasive surgery, exhibiting a relative risk of 0.82. These findings highlight the disparities in […]
Novel simulator enhances training for laparoscopic inguinal hernia repair
A new simulator for transabdominal preperitoneal laparoscopic inguinal hernia repair has been validated. This model, featuring an innovative exchangeable peritoneum, was highly rated by 24 surgeons for its realistic tactile feedback and anatomical fidelity. Performance evaluations revealed that surgical experts outperformed residents, achieving higher scores and faster procedure times. The simulator’s effectiveness suggests it could […]
Telemedicine preoperative consultations prove effective for hernia repair
The study highlights that telemedicine-based preoperative consultations for inguinal hernia repairs yielded comparable postoperative outcomes to traditional in-person visits. Among the 265 patients analyzed, those receiving telemedicine consultation faced no increased risk of complications and required fewer preoperative encounters (pā
Robotic approach yields better early outcomes for large hernia repairs
A multicenter analysis of over 5,500 patients showed that robotic-assisted ventral hernia repairs (VHR) lead to improved outcomes within 30 days compared to traditional open techniques. While both methods were analyzed, robotic surgery resulted in no significant difference in serious surgical outcomes (SSO) at the 30-day mark. Notably, the robotic group had a higher median […]
Concomitant hiatal hernia repair with TIF shows promise for GERD
A systematic review of seven observational studies involving 306 patients found that concomitant hiatal hernia repair with transoral incisionless fundoplication (CTIF) is a viable alternative for refractory gastroesophageal reflux disease (GERD). The study highlighted a median proton pump inhibitor discontinuation rate of 73.8% and notable improvements in validated GERD questionnaires. Complications were low, with a […]
Biosynthetic mesh significantly lowers hernia recurrence rates.
In a study involving 503 patients undergoing robotic hiatal and paraesophageal hernia repair, the use of biosynthetic mesh significantly reduced long-term anatomic hernia recurrence rates from 44.9% to 24.7% compared to suture-only repairs. Symptomatic recurrence also decreased from 42.2% to 17.2%. Despite comparable short-term outcomes, the findings advocate for biosynthetic mesh reinforcement in managing medium […]
Morbidity and mortality rates are low after antireflux surgery
A study of 2,342 patients undergoing antireflux and hiatal hernia surgery revealed a 30-day morbidity rate of 18.2% and a mortality rate of 0.2%. Most complications were minor, with 13.1% classified as Clavien-Dindo grade less than 3a. In the following 31 to 90 days, morbidity decreased to 3.1% and mortality to 0.09%. Findings indicate that […]
Significant improvement in quality of life after abdominal wall reconstruction
A follow-up study involving 91 patients undergoing mesh-augmented abdominal wall reconstruction revealed substantial enhancements in quality of life (QoL) and abdominal wall functionality. Preoperative QoL scores averaged 0.652, with 48% of patients rated poor, while post-surgery scores improved to 0.979 at 12 months. The abdominal wall functionality score rose significantly from 4.41 to 8.13. Factors […]
Higher BMI does not worsen outcomes in hernia repair
The study finds no significant correlation between body mass index (BMI) and perioperative outcomes or short-term recurrence after paraesophageal hernia repair in a cohort of 884 patients. Key metrics such as blood loss, length of hospital stay, major complications, and mortality were unaffected by increasing BMI levels. Notably, overweight and obese patients showed no increased […]