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 […]
Category: Hernia
European Hernia Society Classification Aids Surgical Planning for Parastomal Hernias
The study validates the European Hernia Society classification for parastomal hernias (PH) by analyzing 160 cases at a single center. It demonstrates that this classification effectively categorizes PH, essential for surgical planning and anticipating complications. Findings reveal a high incidence of complex type III and IV hernias, emphasizing increased complication rates in these cases. This […]
Interval conservative management is safe for incarcerated paraesophageal hernias.
Adopting an initial conservative management strategy for clinically stable patients with incarcerated paraesophageal hernias allows 66% to resolve their conditions without urgent surgery. Among the 35 patients studied, one experienced unplanned readmission before planned interval repair. Complication rates remained similar between those who underwent conservative management and those requiring surgery. Overall, managing these patients conservatively […]
Anticoagulants significantly increase postoperative bleeding risks
An analysis of 37,973 patients undergoing ventral hernia repair revealed that while 11.5% were on antiplatelet therapy and 5.8% on anticoagulants, the latter category exhibited a considerably heightened risk for postoperative bleeding complications. Anticoagulant use was linked to a 2.4 times higher risk for transfusion, a 6.3 times greater likelihood of reoperation for bleeding, and […]
Small-bite fascial closure reduces hernia rates after surgery
A randomized clinical trial found that small-bite fascial closure significantly decreased the incidence of incisional hernia in open colorectal cancer surgery patients. At one year, hernia rates were 7% for the small-bite group versus 27% for the conventional group (p < 0.001). This disparity persisted into the second year (9% vs 31%, p < 0.001). […]
Vacuum-assisted wound closure with mesh shows better outcomes
Findings indicate that vacuum-assisted wound closure with mesh-mediated fascial traction (vawcm) significantly improves primary fascial closure success rates (70% vs. 36%) and reduces in-hospital mortality (26% vs. 72%) compared to traditional vacuum-assisted wound closure (vawc) only. Multivariate analysis confirms vawcm’s role as an independent factor linked to lower mortality (odds ratio, 0.14; pā=ā0.004). These results […]
Laparoscopic techniques reduce chronic postoperative pain in hernia repair
Laparoscopic approaches to inguinal hernia repair significantly reduce chronic postoperative pain compared to the Lichtenstein technique. A meta-analysis of 13 studies revealed a relative risk of 0.49 (95% CI: 0.32, 0.75) for lower inguinodynia incidence in patients undergoing laparoscopic transabdominal preperitoneal or total extraperitoneal repairs. This finding underscores the advantages of laparoscopic methods, suggesting they […]
Long-term outcomes of ventral hernia repair with sandwich mesh
Long-term follow-up of patients who underwent primary ventral hernia repair or midline incisional hernia repair with sandwich mesh showed minimal pain, normal activities, and favorable patient-reported outcomes. Most patients had an extra-peritoneal sandwich mesh repair, with a low recurrence rate (9.3%). The study suggests that the open sandwich mesh technique is safe and effective in […]
Subcutaneous Drain Reduces Surgical Site Infections in Abdominal Wound Closure
Patients with secondary peritonitis who received a subcutaneous drain post-laparotomy had a significantly lower incidence of incisional surgical site infections (20% vs. 68%) and shorter hospital stays (8.96 days vs. 14.04 days) compared to those without the drain. Although not statistically significant, the drain also reduced the risk of wound dehiscence. Subcutaneous suction drainage is […]
Robot-assisted Ventral Hernia Repair: Cost-effective with Shorter Stay and Lower Complications
Robot-assisted ventral hernia repair is associated with decreased length of stay and lower complication rates compared with open repair, resulting in a more cost-effective procedure. In a retrospective cohort study, patients undergoing robot-assisted repair had a significantly shorter mean stay of 0.3 days, lower readmission rate of 4%, and lower total procedure cost of 1,094 […]