This research analyzed 295 elements from six specialized centers, pinpointing 24 key themes across every stage of ventral hernia repair. By assessing current enhanced recovery after surgery (ERAS) protocols, the study showcases a unified framework that may help standardize practices and improve patient outcomes. The proposed consensus recommendations were crafted by the ACHQC Quality Improvement […]
Category: Hernia
Long-term success of open ventral hernia repair is confirmed
A study tracking 101 patients who underwent open ventral hernia repair with a narrow well-fixed retrorectus polypropylene mesh over an average of 7.68 years revealed no recurrent hernias or enterocutaneous fistulas. While 15% of patients required unrelated abdominal surgeries post-repair and 5% reported chronic pain, overall, the procedure demonstrated excellent long-term outcomes without complications. These […]
Reinforced tension-line suture reduces incisional hernia rates.
The addition of a reinforced tension-line (rtl) suture during fascial closure significantly decreased the incidence of incisional hernia after elective colorectal cancer surgery. In a trial involving 134 participants, 6% of patients in the rtl group developed hernias compared to 21% in the standard suture group, marking a substantial reduction (p = 0.014). No unintended […]
Surgeons favor laparoscopic techniques despite intraoperative complications.
In a survey of 206 surgeons, a notable 89.3% preferred laparoscopic inguinal hernia repair, primarily utilizing the total extraperitoneal (TEP) method (60.9%). Open surgery was favored for specific patients, including those with a history of lower abdominal surgery. During intraoperative complications, 43.5-46% converted to transabdominal preperitoneal (TAPP) repair, yet 94.6% continued with TEP techniques. Young […]
N-Butyl-2-Cyanoacrylate Adhesive Matches Effectiveness of Absorbable Tacks
N-Butyl-2-cyanoacrylate (nb2c) adhesive proved non-inferior to absorbable tacks in improving pain levels at six months following laparoscopic groin hernia repair, according to a trial involving 284 patients. The adhesive is deemed both safe and effective for mesh fixation and peritoneal closure, with comparable patient and hernia characteristics across groups. This study addresses chronic pain issues […]
Concomitant hernia and colorectal surgery increases complication risks
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 […]
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 […]