A systematic review and meta-analysis of 12 studies involving 480 patients indicated that minimally invasive endoscopic onlay repair (endor) for diastasis recti and ventral hernia is a safe technique. The intraoperative complication and conversion rates were low at 1%, with a seroma rate of 25%. Postoperative complications included a 1% rate of surgical site infections […]
Category: Hernia
Estrogen receptor alpha ablation prevents muscle fibrosis and hernias.
Ablation of estrogen receptor alpha in fibroblasts significantly inhibits lower abdominal muscle fibrosis and inguinal hernia formation, which affects half of men by age 75. Researchers utilized a humanized mouse model to demonstrate that estrogen receptor alpha drives fibroblast proliferation and extracellular matrix deposition. Pharmacological inhibition effectively reversed existing hernias while restoring normal muscle structure. […]
Emphasizing patient-reported outcomes in hernia surgery
The AFTERHERNIA Project aims to prioritize patient-reported outcomes in groin and ventral hernia repairs, moving beyond traditional focus on clinical metrics. By surveying Danish patients over a decade, the initiative collects data through specialized questionnaires, linking patient experiences with clinical outcomes and long-term complications. This approach seeks to transform current clinical guidelines and enhance patient […]
Significant research waste identified in gastroesophageal trials
Over the past 20 years, an analysis of 182 randomized controlled trials (RCTs) on gastroesophageal reflux disease and hiatal hernia highlighted that over 86.7% exhibited significant research waste. The majority of trials were drug-related, primarily conducted in North America and Asia, with deficiencies found in various aspects such as reporting adequacy and design flaws. This […]
Reduction in hernia surgery reoperations reported over 30 years
Analysis of 368,502 groin hernia surgeries in Sweden from 1992 to 2021 reveals a significant decrease in reoperation rates for recurrence, particularly among females. Advances in surgical techniques from traditional suture repairs to modern laparo-endoscopic methods have contributed to these improved outcomes. The findings demonstrate a shift in operative practices and highlight the effectiveness of […]
AI enhances anatomical recognition in hernia surgery
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 […]
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 […]