keyword
https://read.qxmd.com/read/37985490/robotic-surgery-for-inguinal-and-ventral-hernia-repair-a-systematic-review-and-meta-analysis
#21
REVIEW
Nicola de'Angelis, Carlo Alberto Schena, David Moszkowicz, Cyril Kuperas, Régis Fara, Sébastien Gaujoux, Jean-François Gillion, Caroline Gronnier, Jérôme Loriau, Muriel Mathonnet, Olivier Oberlin, Manuela Perez, Yohann Renard, Benoît Romain, Guillaume Passot, Patrick Pessaux
BACKGROUND: This systematic review and meta-analysis assessed the effectiveness of robotic surgery compared to laparoscopy or open surgery for inguinal (IHR) and ventral (VHR) hernia repair. METHODS: PubMed and EMBASE were searched up to July 2022. Meta-analyses were performed for postoperative complications, surgical site infections (SSI), seroma/hematoma, hernia recurrence, operating time (OT), intraoperative blood loss, intraoperative bowel injury, conversion to open surgery, length of stay (LOS), mortality, reoperation rate, readmission rate, use of opioids, time to return to work and time to return to normal activities...
January 2024: Surgical Endoscopy
https://read.qxmd.com/read/37974133/comparative-effectiveness-of-hybrid-and-laparoscopic-techniques-for-repairing-complex-incisional-ventral-hernias-a-systematic-review-and-meta-analysis
#22
JOURNAL ARTICLE
Quan Wu, Weijie Ma, Qianqian Wang, Yaqi Liu, Yaokai Xu
BACKGROUND: The recently developed Hybrid Hernia Repair technique (HHR), an adaptation of the laparoscopic method, has been proposed as a potential alternative for the treatment of complex Incisional Ventral Hernias (IVH). While single-arm studies have reported promising outcomes, a comprehensive meta-analysis affirming these benefits is lacking. This meta-analysis aims to compare the clinical outcomes of HHR and Laparoscopic Hernia Repair (LHR) in the management of IVH. METHODS: An exhaustive search of the literature was conducted, targeting publications in both English and Chinese that compare HHR and LHR up to March 31, 2023...
November 16, 2023: BMC Surgery
https://read.qxmd.com/read/37951466/is-laparoscopic-tapp-the-preferred-approach-for-the-treatment-of-inguinal-hernia-technique-indications-and-future-perspectives
#23
JOURNAL ARTICLE
Salvador Morales-Conde, Andrea Balla, Laura Navarro-Morales, Francisco Moreno-Suero, Eugenio Licardie
The repair of inguinal hernia is one of the most frequently performed surgeries in General Surgery units. The laparoscopic approach for these hernias will be clearly considered as the gold standard, based on its advantages over the open approach. There are no clear advantages of the transabdominal preperitoneal approach (TAPP) over the totally preperitoneal approach (TEP), although it has been shown to be more reproducible, presenting a shorter learning curve, although it presents more possibilities of developing trocar site hernias...
May 2023: Cirugia española
https://read.qxmd.com/read/37949694/forecasting-the-impact-of-the-2023-current-procedural-terminology-coding-changes-on-ventral-hernia-work-relative-value-units-a-cross-sectional-study
#24
JOURNAL ARTICLE
Mazen R Al-Mansour, Sabrina Drexel, Michael Reinhorn, William Hope
BACKGROUND: In January 2023, significant changes were implemented to ventral hernia repair Current Procedural Terminology codes, with new codes replacing previous codes. The new codes were assigned a 0-day global period. The impact of these changes on clinical productivity remains unclear. Our objective was to forecast the impact of Current Procedural Terminology changes on ventral hernia-related work relative value units using historical data. METHODS: Ventral hernia repairs performed between March 2021 and December 2022 on adults by a single surgeon with available 90-day follow-up were retrospectively retrieved from the Abdominal Core Health Quality Collaborative...
November 8, 2023: Surgery
https://read.qxmd.com/read/37938823/trends-in-use-of-laparoscopic-intraperitoneal-onlay-mesh-for-ventral-hernia-repair
#25
JOURNAL ARTICLE
Nadia A Henriksen, Kristian K Jensen
No abstract text is available yet for this article.
January 1, 2024: JAMA Surgery
https://read.qxmd.com/read/37934831/body-mass-index-effect-on-minimally-invasive-ventral-hernia-repair-a-systematic-review-and-meta-analysis
#26
JOURNAL ARTICLE
Sergio Mazzola Poli de Figueiredo, Rui-Min Diana Mao, Giovanna Dela Tejera, Luciano Tastaldi, Alejandro Villasante-Tezanos, Richard Lu
PURPOSE: Obesity is one of the most important risk factors for complications after ventral hernia repair (VHR), and minimally invasive (MIS) techniques are preferred in obese patients as they minimize wound complications. It is common practice to attempt weight loss to achieve a specific body mass index (BMI) goal; however, patients are often unable to reach it and fail to become surgical candidates. Therefore, we aim to perform a meta-analysis of studies comparing outcomes of obese and nonobese patients undergoing laparoscopic or robotic VHR...
October 23, 2023: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/37933366/spigelian-hernia-a-clinical-case-report
#27
Tran Phung Dung Tien, Nguyen Ngoc Huan, Lam Viet Trung
Spigelian hernia, also known as lateral ventral hernia, is a type of hernia arising through the Spigelian aponeurosis. Unlike many other ventral hernias that occur beneath the layer of fat and abdominal skin, Spigelian hernia is situated within the abdominal wall muscles. Spigelian hernia often presents with few symptoms and may exist for a long time without being diagnosed or detected. We report a case of Spigelian hernia causing an intestinal obstruction treated with surgical emergency abdominal wall reconstruction using the sublay technique...
October 2023: Curēus
https://read.qxmd.com/read/37868564/outcomes-of-concurrent-ventral-hernia-repair-and-cholecystectomy-compared-to-ventral-hernia-repair-alone
#28
JOURNAL ARTICLE
Timothy P Becker, Ben Duggan, Varun Rao, Genaro Deleon, Kevin Pei
Introduction It has been suggested that hernia repair with concomitant cholecystectomy increases the risk of postoperative complications due to potential mesh contamination. This study compares postoperative outcomes and complications between patients who underwent ventral hernia repair (VHR) with and without concomitant cholecystectomy (CCY). Methods Using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database, from 2005 to 2019, we queried patients who underwent ventral hernia repairs using the current procedural terminology (CPT) codes 49652-49657 (laparoscopic) and 49560-49566 (open), with or without cholecystectomy...
September 2023: Curēus
https://read.qxmd.com/read/37865652/an-improved-approach-of-totally-visceral-sac-separation-tvs-for-incisional-hernia-compared-with-laparoscopic-intraperitoneal-onlay-mesh-plus-repair-ipom-plus
#29
JOURNAL ARTICLE
Bo Zhuang, Lushan Zheng, Shian Yu, Gang Li
Endoscopic techniques have been widely used in ventral hernia surgery. Totally visceral sac separation (TVS) is a new concept proposed for hernia repair in recent years. The aim of this study was to contrast the postoperative results of TVS with the widely used method of Laparoscopic intraperitoneal onlay mesh plus repair (IPOM plus) for incisional hernias. The retrospective comparison analysis of 38 IPOM plus and 34 TVS was conducted during the time period between December 2019 and June 2022. For both two groups, baseline characteristics, surgical records, postoperative information, and quality of life outcomes utilizing the Carolina's Comfort Scale were collected and analyzed...
October 21, 2023: Scientific Reports
https://read.qxmd.com/read/37856059/patient-outcomes-and-cost-in-robotic-emergency-general-surgery
#30
JOURNAL ARTICLE
Emily A Grimsley, Haroon M Janjua, Thomas Herron, Meagan D Read, Steven Lorch, John Y Cha, Sandra M Farach, Geoffrey P Douglas, Paul C Kuo
The use of robotic technology in general surgery continues to increase, though its utility for emergency general surgery remains under-studied. This study explores the current trends in patient outcomes and cost of robotic emergency general surgery (REGS). The Florida Agency for Healthcare Administration database (2018-2020) was queried for adult patients undergoing intra-abdominal emergency general surgery within 24 h of admission and linked to CMS Cost Reports/Hospital Compare, American Hospital Association, and Rand Corporation Hospital datasets...
December 2023: Journal of Robotic Surgery
https://read.qxmd.com/read/37837815/a-prescribing-guideline-decreases-postoperative-opioid-prescribing-in-emergency-general-surgery
#31
JOURNAL ARTICLE
Elise A Biesboer, Abdul Hafiz Al Tannir, Basil S Karam, Katherine Tyson, William J Peppard, Rachel Morris, Patrick Murphy, Anuoluwapo Elegbede, Marc A de Moya, Colleen Trevino
INTRODUCTION: Patients prescribed higher opioid dosages have a higher risk of persistent opioid use, overdose, and death. There is a lack of standardization for opioid prescribing for acute surgical pain in emergency general surgery (EGS) patients. We hypothesized that implementing a guideline to standardize opioid prescribing would be associated with a decrease in prescribing at hospital discharge for EGS patients without increasing additional postdischarge refills. METHODS: This was a quasi-experimental study evaluating opioid prescribing by EGS providers before and after the implementation of a prescribing guideline...
October 12, 2023: Journal of Surgical Research
https://read.qxmd.com/read/37814164/analysis-of-recurrence-and-risk-factors-in-laparoscopic-sandwich-technique-for-parastomal-hernia-repair
#32
JOURNAL ARTICLE
Alberto G Barranquero, Juan José Espert, María Magdalena Llompart Coll, Yolanda Maestre González, Cristina Gas Ruiz, Jorge Juan Olsina Kissler, Rafael Villalobos Mori
INTRODUCTION: Parastomal hernias are frequent and highly recurrent. The sandwich technique is a combination of the keyhole and Sugarbaker techniques, using a double intraperitoneal mesh. The objective of this study was to assess the outcomes of the sandwich technique, specifically focusing on recurrence rates. MATERIALS AND METHODS: Observational retrospective study conducted in two tertiary referral centers in Catalonia, Spain. All consecutive patients who underwent parastomal hernia repair using the sandwich technique between 1st January 2016 and 31st December 2021 were included...
October 9, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37771880/incidental-intraoperative-finding-of-jejunal-neuroendocrine-tumors-during-elective-ventral-hernia-repair
#33
Gasinee Reed, David Kim, Kelsey Hayes, Richard Wirz
Neuroendocrine tumors (NETs) constitute ~0.5% of all diagnosed malignancies. In our case, a 72-year-old male, who was asymptomatic aside from mild left lower abdominal pain, was scheduled for elective ventral hernia repair, evident on computed tomography. The laparoscopic ventral hernia repair necessitated the conversion to laparotomy due to extensive adhesions and the incorporation of surgical mesh into the small bowel wall. The patient suffered from delayed small bowel injury resulting in the second emergent laparotomy when numerous calcified lesions were incidentally noted in the small bowel wall...
September 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37714741/evaluating-mesh-fixation-techniques-for-ventral-hernia-repair-a-systematic-review-and-network-meta-analysis-of-randomised-control-trials
#34
REVIEW
Gavin G Calpin, Matthew G Davey, Jack Whooley, Eanna J Ryan, Odhran K Ryan, Jeroen E H Ponten, Andreas Weiss, John B Conneely, William B Robb, Noel E Donlon
INTRODUCTION: There is uncertainty regarding the optimal mesh fixation techniques for laparoscopic ventral and incisional hernia repair. AIM: To perform a systematic review and network meta-analysis of randomised control trials (RCTs) to investigate the advantages and disadvantages associated with absorbable tacks, non-absorbable tacks, non-absorbable sutures, non-absorbable staples, absorbable synthetic glue, absorbable sutures and non-absorbable tacks, and non-absorbable sutures and non-absorbable tacks...
September 13, 2023: American Journal of Surgery
https://read.qxmd.com/read/37709398/laparoscopic-ventral-hernia-repair
#35
REVIEW
Alexandra Hernandez, Rebecca Petersen
The laparoscopic approach to ventral hernia repair is a safe and effective approach for both elective and emergent repair. The preoperative technical considerations include assessment of incarceration and potential for extensive adhesiolysis, size of defect, and atypical hernia locations. Preoperative considerations include weight loss and lifestyle modification. There are multiple methods of fascial defect closure and mesh fixation that the surgeon may consider via a laparoscopic approach, making it adaptable to varying clinical scenarios and anatomic challenges...
October 2023: Surgical Clinics of North America
https://read.qxmd.com/read/37709395/primary-uncomplicated-ventral-hernia-repair-guidelines-and-practice-patterns-for-routine-hernia-repairs
#36
REVIEW
Matthew Hager, Colston Edgerton, William W Hope
Surgical repair of primary umbilical and epigastric hernias are among the most common abdominal operations in the world. The hernia defects range from small (<1 cm) to large and complex even in the absence of prior incision or repair. Mesh has generally been shown to decrease recurrence rates, and its use and location of placement should be individualized for each patient. Open, laparoscopic, and robotic approaches provide unique considerations for the technical aspects of primary repair with or without mesh augmentation...
October 2023: Surgical Clinics of North America
https://read.qxmd.com/read/37707338/-treatment-of-ventral-hernias-in-patients-with-morbid-obesity
#37
JOURNAL ARTICLE
A A Keshvedinova, A V Smirnov, V R Stankevich, V I Sharobaro, Yu V Ivanov
The review is devoted to the treatment of ventral hernias in patients with morbid obesity. This issue is important due to significant number of such patients and no unambiguous clinical recommendations. The advantages of simultaneous surgery (with bariatric intervention) are obvious, i.e. lower risk of postoperative hernia incarceration and no need for re-hospitalization with another intervention. High risk of bariatric population makes it necessary to minimize surgery time and surgical trauma. A staged approach with reducing body weight surgically or conservatively before hernia repair is often chosen...
2023: Khirurgiia
https://read.qxmd.com/read/37702874/obesity-increases-the-surgical-complexity-and-risk-of-recurrence-after-midline-primary-ventral-hernia-repair-results-on-2307-patients-from-the-french-society-of-hernia-surgery-sfcp-ch-registry-database
#38
JOURNAL ARTICLE
J Turmine, A-M Florence, C Tardivon, G Passot, J-F Gillion, D Moszkowicz
PURPOSE: Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m2 ) on the results of midline primary ventral hernia repair (mPVHR), in comparison with non-severely obese patients. METHODS: Data were extracted from a multicentric registry, in which patients' data are consecutively and anonymously collected...
September 13, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/37697114/mesh-overlap-for-ventral-hernia-repair-in-current-practice
#39
JOURNAL ARTICLE
Ryan Howard, Anne Ehlers, Sean O'Neill, Jenny Shao, Michael Englesbe, Justin B Dimick, Dana Telem, Desmond Huynh
INTRODUCTION: Sufficient overlap of mesh beyond the borders of a ventral hernia helps prevent hernia recurrence. Guidelines from the European Hernia Society and American Hernia Society recommend ≥ 2 cm overlap for open repair of < 1-cm hernias, ≥ 3-cm overlap for open repair of 1-4-cm hernias, ≥ 5-cm overlap for open repair of > 4-cm hernias, and ≥ 5-cm overlap for all laparoscopic ventral hernia repairs...
December 2023: Surgical Endoscopy
https://read.qxmd.com/read/37639071/laparoscopic-transversus-abdominis-release-for-complex-ventral-hernia-repair-technique-and-initial-findings
#40
JOURNAL ARTICLE
H Riediger, P Holzner, L Kundel, C Gröger, U Adam, D Adolf, F Köckerling
PURPOSE: The open Rives-Stoppa retrorectus and transversus abdominis release (TAR) techniques are well established in open ventral and incisional hernia repair. The principles are currently being translated into minimally invasive surgery with different concepts. In this study, we investigate our initial results of transperitoneal laparoscopic TAR for ventral incisional hernia repair (laparoscopic TAR). METHODS: Over a 20-month period, 23 consecutive patients with incisional hernias underwent surgery...
August 28, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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