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JOURNAL ARTICLE
Rudolf van den Berg, Floris P J den Hartog, Christina Bali, Miltiadis Matsagkas, Paul M Bevis, Jonothan J Earnshaw, Eike S Debus, Susanne Honig, Frederik Berrevoet, Olivier Detry, Cesare Stabilini, Filip Muysoms, Pieter J Tanis
INTRODUCTION: Incisional hernia (IH) is a prevalent and potentially dangerous complication of abdominal surgery, especially in high-risk groups. Mesh reinforcement of the abdominal wall has been studied as a potential intervention to prevent IHs. Randomised controlled trials (RCTs) have demonstrated that prophylactic mesh reinforcement after abdominal surgery, in general, is effective and safe. In patients with abdominal aortic aneurysm (AAA), prophylactic mesh reinforcement after open repair has not yet been recommended in official guidelines, because of relatively small sample sizes in individual trials...
April 16, 2024: BMJ Open
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JOURNAL ARTICLE
S J Baig, V Singhal, Md Y Afaque, C Kakadiy, A Varma
INTRODUCTION: Large abdominal wall hernias often require techniques for wall expansion to improve surgical outcomes. The peritoneal flap hernioplasty (PF) is one such technique that utilizes the hernia sac to reconstruct the abdominal wall, however, with limited published data. It is a modification of the Rives-Stoppa mesh repair where a part of the bisected hernia sac is utilized to reconstruct the anterior fascia and the other part for the posterior fascia. We present a collated retrospective analysis of the outcomes from three centers performing PF with or without transverse abdominis release (TAR) in patients with complex ventral hernias...
April 3, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#3
REVIEW
H Riediger, F Köckerling
INTRODUCTION: Incisional hernias with a defect width of more than10 cm are considered complex. The European Hernia Society guidelines recommend that such hernias should only be repaired by surgeons with experience of component separation. The standard component separation technique now is posterior component separation with transversus abdominis release (PCSTAR). Questions are raised about the limits of this technique. METHODS: A literature search of publications on PCSTAR was performed for any references to the limits of this technique in open incisional hernia repair...
March 28, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#4
REVIEW
Hadeel Almutairi, Reem S Alshammari, Majed J Alharbi, Dana M Althobaiti, Raghad S Alghamdi, Samar Alsamiri, Sara W Mawash, Duaa A Ahmed, Abdulrahman A Alamoudi, Fai Y Arif, Fatimah M Albrahim, Mohammed Alfehaid, Haneen W Alanzy
Various surgical approaches for inguinal hernia repair have been outlined in medical literature. In most cases, these lesions are repaired by general surgeons. A variety of surgical techniques for the treatment of inguinal hernias have been documented in the medical literature. In 2018, the European Hernia Society (EHS) recommended laparo-endoscopic repair as a preferred approach for adults. This method involves a combination of laparoscopic and endoscopic techniques for hernia repair. The goal of this systematic review is to conduct a thorough examination of the total extraperitoneal vs...
February 2024: Curēus
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JOURNAL ARTICLE
S J Baig, G V Kulkarni, P Priya, M Y Afaque, J Bueno-Lledo, S Chintapatla, A de Beaux, J A Gandhi, M A Garcia Urena, T M Hammond, D Lomanto, R Liu, A Mehta, M Miserez, A Montgomery, S Morales-Conde, C Palanivelu, E M Pauli, S A Rege, Y Renard, M Rosen, D L Sanders, V K Singhal, D A J Slade, O J Warren, S Wijerathne
INTRODUCTION: Subcostal hernias are categorized as L1 based on the European Hernia Society (EHS) classification and frequently involve M1, M2, and L2 sites. These are common after hepatopancreatic and biliary surgeries. The literature on subcostal hernias mostly comprises of retrospective reviews of small heterogenous cohorts, unsurprisingly leading to no consensus or guidelines. Given the limited literature and lack of consensus or guidelines for dealing with these hernias, we planned for a Delphi consensus to aid in decision making to repair subcostal hernias...
February 16, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#6
JOURNAL ARTICLE
Izadmehr Ahmadinejad, Ahmad Jalali, Mojtaba Ahmadinejad, Ali Soltanian, Yasmina Ahamdinejad, Alireza Shirzadi, Pouria Chaghamirzayi
BACKGROUND: Inguinal hernia repair is the most frequent operation in general surgery. The chance of a person having to undergo an inguinal hernia operation during his/her life is quite high, 27 % in men and 3 % in women. European Hernia Society guidelines state that the Lichtenstein technique (mesh-based repair) is the standard treatment of elective inguinal hernia in adults. Some authors consider the Shouldice technique (tissue-based repair) the best conventional method for open hernia repair...
January 2024: Surgery open science
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JOURNAL ARTICLE
(no author information available yet)
AIM: A significant proportion of stoma patients develop a parastomal hernia (PSH), with reported rates varying widely from 5% to 50% due to heterogeneity in the definition and mode of diagnosis. PSHs are symptomatic in 75% of these patients, causing a significant impact on quality of life due to issues with appliance fitting, leakage, skin excoriation and pain. They can also lead to emergency presentations with strangulation and obstruction. Evidence is lacking on how to select patients for surgical intervention or conservative treatment...
March 2024: Colorectal Disease
#8
(no author information available yet)
No abstract text is available yet for this article.
December 13, 2023: British Journal of Surgery
#9
JOURNAL ARTICLE
Yuki Mizusawa, Hiroshi Noda, Kosuke Ichida, Shota Fukai, Natsumi Matsuzawa, Sawako Tamaki, Iku Abe, Yuhei Endo, Taro Fukui, Yuji Takayama, Koetsu Inoue, Yuta Muto, Fumiaki Watanabe, Yasuyuki Miyakura, Toshiki Rikiyama
PURPOSE: Midline abdominal incisions (MAIs) are widely used in both open and minimally invasive surgery. Incisional hernia (IH) accounts for most long-term postoperative wound complications. This study explored the risk factors for IH due to MAI in patients with clean-contaminated wounds after elective gastroenterological surgery. METHODS: The present study targeted patients enrolled in 2 randomized controlled trials to evaluate the efficacy of intraoperative interventions for incisional SSI prevention after gastroenterological surgery for clean-contaminated wounds...
November 30, 2023: Langenbeck's Archives of Surgery
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JOURNAL ARTICLE
Sofia Bitsios, Gaurav Kulkarni, Raunaq Chhabra
Background Complex abdominal wall hernias have proven challenging to manage, and such patients often require abdominal wall reconstruction (AWR). However, in the context of a socialist healthcare service, which is required to provide equal and fair healthcare access to all, the heavy resource burden and non-life-threatening nature of complex abdominal wall hernias mean that this patient group may not be prioritised. In this paper, we outline the significant quality of life (QoL) burden on patients requiring AWR and the importance of quality improvement projects (QIPs) in establishing and streamlining their care as a robust, transferable model across centres...
November 2023: Curēus
#11
JOURNAL ARTICLE
Masashi Tsunematsu, Keigo Nakashima, Junji Takahashi, Takashi Aida, Teppei Kamada, Toru Ikegami, Naoki Washida, Yutaka Suzuki
BACKGROUND: Occult inguinal hernias predispose patients undergoing peritoneal dialysis (PD) to symptomatic inguinal hernia formation causing complications. We conducted a retrospective study to assess the usefulness of routine laparoscopic examination for occult inguinal hernia during PD catheter insertion and the risk profile of occult inguinal hernia according to hernia classification in patients with PD. METHODS: This study included 79 patients who underwent initial laparoscopic PD catheter insertion between 2021 and 2022...
November 13, 2023: Surgical Endoscopy
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JOURNAL ARTICLE
José Antonio Pereira Rodríguez, Manuel López Cano
Laparoscopic inguinal hernia repairs are underused in our country and do not fulfil to the recommendations of the European Hernia Society (EHS) guidelines. Thus, it is essential to establish measures that increase its use. We propose that the Spanish Association of Surgeons (AEC) promote these actions and that they should be incorporated into the specialty program. The proposed measures include Standardization of learning; reinforce anatomical knowledge; regulated practices with simulators; promote the use of the open posterior approach; rotations through centers of excellence; accreditation of specialized units and use a registry of activity as quality control...
November 9, 2023: Cirugia española
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JOURNAL ARTICLE
Sara Capoccia Giovannini, Mauro Podda, Sonia Ribas, Giulia Montori, Emanuele Botteri, Ferdinando Agresta, Alberto Sartori, Hana Chàrvàtova, Alberto Aiolfi, Stavros A Antoniou, Catherine Arvieux, Frederik Berrevoet, Marja A Boermeester, Giampiero Campanelli, Srinivas Chintapatla, Mette Willaume Christoffersen, Ursula Dahlstrand, Hanna De la Croix, Ulrich A Dietz, Antonio Ferreira, Renè H Fortenly, Christine Gaarder, Miguel Angel Garcia Urena, Hakan Gok, Pilar Hernández-Granados, Barbora Jisova, Orest Laver, Orest Lerchuk, Manuel Lopez-Cano, Manuel Mega, Kryspin Mitura, Filip Muysoms, Andrè Oliva, Monica Ortenzi, Ulf Petersson, Micaela Piccoli, Victor G Radu, Yohann Renard, Peder Rogmark, Danny Rosin, Ana Senent-Boza, Maarten Simons, Dominic Slade, Neil Smart, Stella R Smith, Cesare Stabilini, Alexis Theodorou, Jared Torkington, Jaanna Vironen, Guido Woeste, Andrew De Beaux, Barbora East
No abstract text is available yet for this article.
January 3, 2024: British Journal of Surgery
#14
JOURNAL ARTICLE
Jisha Joshua, Chetna Pathak, Ali Zifan, Ruohui Chen, Atul Malhotra, Ravinder K Mittal
BACKGROUND: Gastroesophageal reflux (GER) is known to be associated with chronic lung diseases. The driving force of GER is the transdiaphragmatic pressure (Pdi) generated mainly by costal and crural diaphragm contraction. The latter also enhances the esophagogastric junction (EGJ) pressure to guard against GER. METHODS: The relationship between Pdi and EGJ pressure was determined using high resolution esophageal manometry in patients with interstitial lung disease (ILD, n = 26), obstructive lung disease (OLD, n- = 24), and healthy subjects (n = 20)...
January 2024: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
#15
(no author information available yet)
No abstract text is available yet for this article.
October 26, 2023: British Journal of Surgery
#16
JOURNAL ARTICLE
Cesare Stabilini, Nadine van Veenendaal, Eske Aasvang, Ferdinando Agresta, Theo Aufenacker, Frederik Berrevoet, Ine Burgmans, David Chen, Andrew de Beaux, Barbora East, Jose Garcia-Alamino, Nadia Henriksen, Ferdinand Köckerling, Jan Kukleta, Maarten Loos, Manuel Lopez-Cano, Ralph Lorenz, Marc Miserez, Agneta Montgomery, Salvador Morales-Conde, Chris Oppong, Maciej Pawlak, Mauro Podda, Wolfgang Reinpold, David Sanders, Alberto Sartori, Hanh Minh Tran, Mireia Verdaguer, Reiko Wiessner, Michael Yeboah, Willem Zwaans, Maarten Simons
BACKGROUND: Groin hernia repair is one of the most common operations performed globally, with more than 20 million procedures per year. The last guidelines on groin hernia management were published in 2018 by the HerniaSurge Group. The aim of this project was to assess new evidence and update the guidelines. The guideline is intended for general and abdominal wall surgeons treating adult patients with groin hernias. METHOD: A working group of 30 international groin hernia experts and all involved stakeholders was formed and examined all new literature on groin hernia management, available until April 2022...
September 5, 2023: BJS Open
#17
JOURNAL ARTICLE
Brent Hiramoto, Walker D Redd, Mayssan Muftah, Saikiran Jonnadula, Noreen C Okwara, Andrew Jenkins, Eliza Cricco-Lizza, Darren J H Lee, Jennifer X Cai, Walter W Chan
BACKGROUND: Patients with obesity often report esophageal symptoms, with abnormal reflux and esophageal motility suggested as potential mechanisms. However, prior studies showed varying results, often limited by study design/size and esophageal function/symptom measures utilized. We aimed to examine the relationship between obesity and objective esophageal function testing and patient-reported outcomes, utilizing prospective symptom, manometric and reflux monitoring data with impedance...
October 17, 2023: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
#18
JOURNAL ARTICLE
C Paasch, E Kobelt, S Lünse, S Heisler, R Lorenz, R Hunger, R Mantke
PURPOSE: The European Hernia Society guidelines of parastomal hernias, published in 2017, strongly recommend prophylactic synthetic non-absorbable mesh upon the construction of a permanent end colostomy to reduce the incidence of parastomal hernias. This study aims to evaluate the implementation of the guidelines in Germany. METHODS: This is a retrospective multicentric analysis conducted in December 2022 at the University Hospital Brandenburg an der Havel. Anonymous data on rectal resection without sphincter preservation in the period 2010-2020 were extracted from the German nationwide hospital discharge data set...
October 16, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#19
JOURNAL ARTICLE
Benjamin T Miller, Ryan C Ellis, Clayton C Petro, David M Krpata, Ajita S Prabhu, Lucas R A Beffa, Li-Ching Huang, Chao Tu, Michael J Rosen
IMPORTANCE: Posterior components separation (PCS) is a commonly used myofascial release technique in ventral hernia repairs. The contribution of each release with anterior and posterior fascial advancement has not yet been characterized in patients with ventral hernias. OBJECTIVE: To quantitatively assess the changes in tension on the anterior and posterior fascial elements of the abdominal wall during PCS to inform surgeons regarding the technical contribution of each step with those changes, which may help to guide intraoperative decision-making...
October 4, 2023: JAMA Surgery
#20
JOURNAL ARTICLE
Lee Schmidt, Lillian Kang, Taylor Hudson, Patricia Martinez Quinones, Kathleen Hirsch, Kristen DiFiore, Krista Haines, Lewis J Kaplan, Joseph S Fernandez-Moure
PURPOSE: The inability to achieve primary fascial closure (PFC) after emergency laparotomy increases the rates of adverse outcomes including fistula formation, incisional hernia, and intraabdominal infection. Hypertonic saline (HTS) infusion improves early PFC rates and decreases time to PFC in patients undergoing damage control laparotomy (DCL) after injury. We hypothesized that in patients undergoing DCL after penetrating abdominal injury, HTS infusion would decrease the time to fascial closure as well as the volume of crystalloid required for resuscitation without inducing clinically relevant acute kidney injury (AKI) or electrolyte derangements...
September 29, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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