Funnel-shaped parastomal mesh significantly lowers parastomal hernia incidence compared to standard stomas, exhibiting a 27% reduction (10% vs. 37%) at one year post-surgery. Additionally, only 2% of the mesh group experienced clinical parastomal hernias, showing a 41% decrease from the control group. Complications related to ileus were more common in the mesh group, but overall […]
Category: Hernia
Abdominal wall reconstruction significantly improves patient quality of life
A retrospective analysis revealed substantial quality of life improvements in patients undergoing abdominal wall reconstruction, as measured by the European Hernia Society quality of life (EHS-QoL) scores. Preoperative scores averaged 57 and significantly dropped to 10.5 at one year and 8 at two years postoperative. Most improvements occurred between the preoperative and one-year assessments, particularly […]
Experts Identify Key Research Priorities in Hernia Surgery
A modified Delphi process revealed eleven critical research questions in hernia surgery following a review of eleven clinical practice guidelines. Inguinal and epigastric/umbilical hernias emerged as major areas of interest, alongside topics such as diastasis recti management and comparisons between primary versus mesh repairs. This structured approach effectively captures stakeholder priorities, aiming to enhance clinical […]
Surgical mesh reduces parastomal hernia risk effectively and safely.
Findings from 19 systematic reviews indicate that using surgical mesh significantly lowers the risk of both clinically and radiologically detected parastomal hernias. The pooled hazards ratio for clinically detected hernias was 0.33, while it was 0.55 for radiologically detected hernias. Additionally, mesh use was associated with a reduced need for surgical repair (hazards ratio 0.46), […]
Sugarbaker technique shows lower recurrence in parastomal hernia repair
Findings from a retrospective analysis of 81 patients reveal a 25.9% recurrence rate and a 16.0% complication rate for large parastomal hernia repairs using lap-re-do techniques. Notably, the lap-re-do Sugarbaker technique demonstrated a significantly lower recurrence rate of 12.2% compared to 40% for the Keyhole technique. Complication and reoperation rates were also more favorable with […]
Novel method offers effective repair for complex abdominal hernias
A novel technique using bilateral rectus muscle turning-over was developed for addressing large midline abdominal wall hernias. In a study of 22 patients, this method achieved significant improvements in quality of life (from 23 ± 13 to 47 ± 6, p = 0.0013) with only one case of hernia recurrence. No significant increase in intra-abdominal […]
Surgeon experience influences intraoperative efficiency and complication rates.
High-experience surgeons significantly outperform their low-experience counterparts, operating more efficiently on complex cases, with shorter intraoperative times (115.8 vs 172.9 min) and fewer complications (4.5% vs 1.8%). Low-experience surgeons handle more emergent and urgent cases, often involving older patients with greater comorbidities. Despite increased complication rates, long-term outcomes such as hernia recurrence and redo-operations are […]
Modified Lichtenstein Technique Reduces Postoperative Pain and Recurrence
A retrospective study of 289 inguinal hernia surgeries revealed that the modified Lichtenstein technique significantly reduced postoperative pain and recurrence rates. The modified technique demonstrated a 1.5% recurrence rate against 3.1% for the standard method. Pain assessment using the visual analogue scale showed a mean score of 0.15 for the modified group, compared to 0.31 […]
Semi-erect position enhances inguinal hernia detection accuracy
Findings demonstrate that the semi-erect position significantly improves the detection of inguinal hernia defects via sonography. In group A, defect measurements averaged 1.28 cm in the semi-erect position compared to 1.09 cm supine (p
Implementing a critical view reduces recurrence in hernia repairs
A novel critical view approach in paraesophageal hernia repair yielded significant outcomes. Patients experiencing this technique had a recurrence rate of 9.7% versus 20% for standard repair (p < 0.01) and reoperation rates of 0.5% compared to 10% (p < 0.001). Adjusted outcomes also indicated a lower odds of postoperative complications for the critical view […]