Patients achieving preoperative weight loss goals before laparoscopic hiatal hernia repair experienced lower symptom burden and higher resolution of common symptoms postoperatively. High achievers demonstrated significantly better outcomes one month after surgery compared to low achievers, indicating active patient engagement can positively impact surgical results and health status. Journal Article by Turcotte JJ, Chang YW […]
Category: Hernia
Reduced Incidence of Internal Hernia with Meticulous Mesenteric Defect Closure in Gastric Bypass
Meticulous closure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass significantly reduces the risk of internal hernia, particularly at the jejunojejunostomy and Petersen defects. Improvements in closure techniques led to a notable decrease in internal hernia incidence over time, with the most effective method involving non-absorbable sutures and an additional purse-string suture. Clinicians should maintain […]
Skin-Only Closure Outperforms Bogota Bag in Achieving Fascial Closure
Skin-only closure (SC) showed significantly higher rates of primary fascial closure (PFC) compared to Bogota bag closure (BBC) in patients with peritonitis or abdominal trauma undergoing temporary abdominal closure (TAC). SC patients had lower rates of fascial dehiscence and wound infections. Multivariate analysis confirmed SC’s superiority in achieving PFC. Further studies are needed to confirm […]
Similar Parastomal Hernia Recurrence Rates in Open Sugarbaker vs Keyhole Mesh Repair
A randomized clinical trial compared open retromuscular Sugarbaker and keyhole mesh placements for parastomal hernia repair over 2 years in 150 patients. At the 2-year mark, parastomal hernia recurrence rates were similar between the two groups. There were no significant differences in reoperations, complications, or patient-reported outcomes between the techniques. Further advancements are needed to […]
Subcutaneous Fat Thickness Predicts Postoperative Seroma Risk
Subcutaneous fat thickness (TSF) is linked to higher postoperative seroma risk following laparoscopic hernioplasty. In a study of 229 male patients, factors like longer hernia duration, larger defects, and TSF ≥26.0 mm were associated with increased seroma risk. TSF ≥26.0 mm had an odds ratio of 7.033 for seroma development. TSF could serve as a […]
Laparo-endoscopic surgery reduces chronic inguinal pain post-hernioplasty
Laparo-endoscopic hernia surgery shows a lower likelihood of chronic inguinal pain compared to lichtenstein repair, with similar recurrence rates. This systematic review and meta-analysis of eight randomized controlled trials involving 1,469 patients provides robust evidence supporting the effectiveness of laparo-endoscopic mesh repair (TAPP and TEP) in reducing chronic pain following inguinal hernia repair procedures. Journal […]
Improved Risk Assessment Model for VTE Prophylaxis
The simplified three-factor risk assessment model for venous thromboembolism (VTE) in inguinal hernia patients resulted in higher prophylaxis rates, reduced assessment time, and lower d-dimer levels compared to the Caprini score. Patients identified as high-risk saw significant improvements in prophylaxis. The model did not increase VTE or bleeding risks, demonstrating potential for quick and effective […]
Predictive Markers in Incarcerated Abdominal Wall Hernia
Emergency abdominal wall hernia repairs are critical surgical emergencies where early detection is crucial to prevent necrosis and organ resection. This study retrospectively analyzed 122 patients undergoing emergency surgery for incarcerated abdominal wall hernias. Results show that elevated levels of lactate, white blood cells, neutrophils, and neutrophil-to-lymphocyte ratio are associated with bowel resection. Monocyte levels […]
Novel risk factors for incisional hernia recurrence
Identification of pulmonary ventilation function abnormalities, age over 70, BMI over 27 kg/m2, and porcine small intestine submucosal mesh as independent risk factors for incisional hernia recurrence after open preperitoneal repair. Significant differences in recurrence and non-recurrence patients noted in factors such as mesh materials, surgical site infections, and hernia defect width. These findings provide […]
Learning Curve Effects of TransREctus Sheath PrePeritoneal Procedure on Inguinal Hernia Repair
The Transrectus Sheath PrePeritoneal procedure for inguinal hernia repair showed safety and efficacy, with a low rate of complications and hernia recurrences. Analysis of 422 procedures revealed no significant differences in outcomes based on surgeon experience level, suggesting a short learning curve. Implementation of the procedure did not result in a notable increase in adverse […]