collection
https://read.qxmd.com/read/37301647/ventral-hernia-repair-with-concurrent-intra-abdominal-surgery-results-from-an-eleven-year-population-based-cohort-in-sweden
#21
JOURNAL ARTICLE
Mikael Lindmark, Thyra Löwenmark, Karin Strigård, Ulf Gunnarsson
BACKGROUND: One remaining question in ventral hernia repair is whether to perform concurrent abdominal surgery or plan two-stage procedures. The aim was to explore the risk for reoperation and mortality due to surgical complication during index admission. METHOD: Eleven-year data were retrieved from the National Patient Register and 68,058 primary surgical admissions were included, divided into minor and major hernia surgery and concurrent abdominal surgery. Results were evaluated by logistic regression analysis...
September 2023: American Journal of Surgery
https://read.qxmd.com/read/37290370/the-use-of-abdominal-wall-tissue-expansion-prior-to-herniorrhaphy-in-massive-ventral-hernia-defects
#22
JOURNAL ARTICLE
Sivana L Barron, Monica Morgenstern, Emmeline Jia, Arthur Celestin, Shawn Diamond, Blakely Plaster, Bernard T Lee, Ryan P Cauley, Donald Morris
BACKGROUND: Massive ventral hernias pose a challenging reconstructive problem. In comparison to bridging mesh repair, the primary fascial repair is associated with significantly reduced rates of hernia recurrence. This study will review our experience with massive ventral hernia repairs using tissue expansion and anterior component separation as well as present the largest case series to date. METHODS: A retrospective review was conducted of 61 patients who underwent abdominal wall tissue expansion prior to herniorrhaphy at a single institution between 2011 and 2017...
August 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37192371/-an-abdominoplasty-modification-for-post-pregnancy-abdomen-with-rectus-diastasis-and-midline-hernia-the-technique-and-results
#23
JOURNAL ARTICLE
Reetta Tuominen, Hilkka Peltoniemi, Tiina Jahkola, Jaana Vironen
Few women recover from pregnancy abnormally and end up having severe post-pregnancy rectus diastasis (RD) with body control dysfunction, midline hernia or other quality of life impairment. The purpose of this study was to describe the authors' experience using HELP modification of abdominoplasty (Hydrodissection and Epidural anesthesia for Lateral Plication) to restore abdominal wall firmness. 46 consecutive post-pregnancy RD patients were enrolled. The mean intraoperative inter rectus distance was 4.6 cm. RD is not always the only structure that has been elongated...
May 9, 2023: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/36959525/do-surgical-drains-reduce-surgical-site-occurrence-and-infection-after-incisional-hernia-repair-with-sublay-mesh-a-non-randomised-pilot-study
#24
JOURNAL ARTICLE
V Louis, S Diab, A Villemin, C Brigand, S Manfredelli, J-B Delhorme, S Rohr, B Romain
INTRODUCTION: Surgical site occurrence (SSO) and surgical site infection (SSI) are common concerns with incisional hernia repair. Intraoperative drain placement is a common practice aiming to reduce SSO and SSI rates. However, literature on the matter is very poor. The aim of this study is to investigate the role of subcutaneous and periprosthetic drain placement on postoperative outcomes and SSO and SSI rates with incisional hernia repair. METHODS: A non-randomised pilot study was performed between January 2018 and December 2020 and included patients with elective midline or lateral incisional hernia repair with sublay mesh placement...
August 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36740503/a-comparison-of-clinical-outcomes-and-costs-between-robotic-and-open-ventral-hernia-repair
#25
JOURNAL ARTICLE
Omar Yusef Kudsi, Georges Kaoukabani, Naseem Bou-Ayash, Alexander Friedman, Kelly Vallar, Allison S Crawford, Fahri Gokcal
BACKGROUND: As robotic ventral hernia repair(VHR) adoption increases, real-world evidence is needed to ensure appropriate utilization. METHODS: Data for open and robotic VHR(OVHR, RVHR) was retrospectively analyzed. Outcomes and costs were compared via inverse probability treatment weighting using propensity scores to estimate the average treatment effect on the treated for RVHR. RESULTS: 675 open and 609 robotic ventral hernia repairs were included...
July 2023: American Journal of Surgery
https://read.qxmd.com/read/36943519/predictive-factors-of-bowel-necrosis-in-patients-with-incarcerated-femoral-hernia
#26
JOURNAL ARTICLE
H Beji, M Bouassida, M F Chtourou, S Zribi, G Laamiri, Y Kallel, B Mroua, M M Mighri, H Touinsi
PURPOSE: Intestinal necrosis is a frequent complication in patients with incarcerated femoral hernias (IFH). Knowing the low incidence of IFH, few series with large samples studied predictive factors of intestinal necrosis. The main objectives of our study were to determine the predictive preoperative factors of intestinal necrosis in patients with IFH and to compare its morbidity with that related to incarcerate inguinal hernias (IIH). METHODS: We conducted a retrospective observational cohort study in which we included patients with incarcerated groin hernias (IGH)...
March 21, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36943520/biosynthetic-meshes-in-contaminated-fields-where-are-we-now-a-systematic-review-and-meta-analysis-in-humans
#27
REVIEW
G Perrone, M Giuffrida, E Bonati, G L Petracca, F Catena
PURPOSE: Selection of an appropriate mesh reinforcement for hernia repair in contaminated fields is a significant problem for surgeons. To date the proper mesh for contaminated fields has not been found. Biosynthetic meshes have emerged as new treatment option in contaminated fields. This study aims to evaluate the postoperative outcomes of biosynthetic meshes in contaminated fields. METHODS: Systematic electronic search (PubMed, Medline, Embase, Scopus), according to PRISMA criteria, was performed...
August 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36827614/outcomes-of-a-large-series-of-laparoscopic-ventral-hernia-repairs-after-liver-transplantation
#28
JOURNAL ARTICLE
Ga-Ram Han, Eleanor R Johnson, Kristen M Jogerst, Esteban Calderon, Winston R Hewitt, David G Pearson, Kristi L Harold
BACKGROUND: The hernia defects that develop in liver transplant recipients tend to be complex. Unfortunately, there is a paucity of data to guide post-transplant hernia management. Our goal was to evaluate the outcomes following laparoscopic ventral hernia repair (LVHR) in liver transplant recipients. METHODS: A retrospective review of a prospectively kept database of liver transplant patients at a single tertiary healthcare facility was completed. All patients between 2007 and 2020 who underwent LVHR for a hernia at their transplant incision site were included...
February 24, 2023: American Surgeon
https://read.qxmd.com/read/36635466/no-difference-in-outcomes-between-large-and-small-pore-meshes-in-a-prospective-randomized-multicenter-trial-investigating-open-retromuscular-meshplasty-for-incisional-hernia-repair
#29
RANDOMIZED CONTROLLED TRIAL
Andreas Kroh, Markus Zufacher, Roman Eickhoff, Daniel Heise, Marius Helmedag, Florian Ulmer, Ulf P Neumann, Joachim Conze, Ralf-Dieter Hilgers, Marcel Binnebösel
STUDY DESIGN: A randomized, controlled, prospective multicenter clinical trial with a parallel group design was initiated in eight surgical centers to compare a large-pore polypropylene mesh (Ultrapro® ) to a small-pore polypropylene mesh (Premilene® ) within a standardized retromuscular meshplasty for incisional hernia repair. METHODS: Between 2004 and 2006, patients with a fascial defect with a minimum diameter of 4 cm after vertical midline laparotomy were recruited for the trial...
January 13, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36633705/the-use-of-botulinum-toxin-in-the-acute-management-of-symptomatic-complex-incisional-hernia-a-case-series
#30
JOURNAL ARTICLE
J Stevens, C Baillie, B Choi, A Chapman, M Kostalas, K Ratnasingham
PURPOSE: Complications of incisional hernia are amongst the commonest presentations to the emergency surgical take. Outcomes from emergency hernia repair are poor, particularly for those with complex defects and for the growing population of comorbid, high-risk patients. Attempts to avoid emergency surgery by improving success rates of non-operative management could prove hugely beneficial. Botulinum toxin A (Botox) is already used in the elective management of incisional hernia and this study evaluates if the relaxation produced could be used to augment the outcomes of conservative management of acutely presenting incisional hernia...
June 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36623959/biologic-versus-synthetic-mesh-in-open-ventral-hernia-repair-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#31
JOURNAL ARTICLE
Sergio Mazzola Poli de Figueiredo, Luciano Tastaldi, Rui-Min Diana Mao, Diego Laurentino Lima, Li-Ching Huang, Richard Lu
BACKGROUND: Ventral hernia repair is one of the most common operations performed worldwide, and using mesh is standard of care to decrease recurrence. Biologic meshes are increasingly used to minimize complications associated with synthetic mesh, but with significantly higher cost and unclear efficacy. Until recently, most of the evidence supporting the use of biologic meshes was from retrospective cohorts with high heterogeneity and risk of bias. We aimed to report a meta-analysis of randomized controlled trials comparing the outcomes of synthetic and biologic mesh in elective open ventral hernia repair...
April 2023: Surgery
https://read.qxmd.com/read/36600359/protocol-to-develop-a-core-outcome-set-in-incisional-hernia-surgery-the-harmony-project
#32
JOURNAL ARTICLE
Deena Harji, Christophe Thomas, Stavros Antoniou, Harsha Chandraratan, Ben Griffiths, B Todd Heniford, Liam Horgan, Ferdinand Koeckerling, Manuel Lopez-Cano, Lisa Massey, Marc Miserez, Agneta Montgomery, Filip Muysoms, Benjamin Poulose, Wolfgang Reinpold, Neil Smart
INTRODUCTION: Incisional hernia has an incidence of up to 20% following laparotomy and is associated with significant morbidity and impairment of quality of life. A variety of surgical strategies including techniques and mesh types are available to manage patients with incisional hernia. Previous works have reported significant heterogeneity in outcome reporting for abdominal wall herniae, including ventral and inguinal hernia. This is coupled with under-reporting of important clinical and patient-reported outcomes...
December 6, 2022: BMJ Open
https://read.qxmd.com/read/36504582/don-t-fear-the-small-bite-a-narrative-review-of-the-rationale-and-misconceptions-surrounding-closure-of-abdominal-wall-incisions
#33
REVIEW
Alexis Theodorou, Mark Banysch, Hakan Gök, Eva B Deerenberg, Joerg C Kalff, Martin W von Websky
BACKGROUND: The most common complications related to the closure of abdominal wall incisions are surgical site infections, wound dehiscence and the development of an incisional hernia. Several factors relating to the surgical technique and the materials used have been identified and analysed over the years, as mirrored in the current recommendations of the European Hernia Society, but some misconceptions still remain that hinder wide implementation. METHOD: A literature search was performed in the PubMed and GoogleScholar databases on 15 July 2021 and additionally on 30 March 2022 to include recent updates...
2022: Frontiers in Surgery
https://read.qxmd.com/read/36397364/cirrhosis-and-hernia-repair-in-a-cohort-of-6352-patients-in-a-tertiary-hospital-risk-assessment-and-survival-analysis
#34
JOURNAL ARTICLE
Leonardo Zumerkorn Pipek, Vitor Santos Cortez, João Victor Taba, Milena Oliveira Suzuki, Fernanda Sayuri do Nascimento, Vitoria Carneiro de Mattos, Walter Augusto Moraes, Leandro Ryuchi Iuamoto, Wu Tu Hsing, Luiz Augusto Carneiro-D'Albuquerque, Alberto Meyer, Wellington Andraus
The prevalence of hernias in patient with cirrhosis can reach up to 40%. The pathophysiology of cirrhosis is closely linked to that of the umbilical hernia, but other types are also common in this population. The aim of this study is to evaluate factors that influence in the prognosis after hernia repair in patients with cirrhosis. A historical cohort of 6419 patients submitted to hernia repair was gathered. Clinical, epidemiological data and hernia characteristics were obtained. For patient with cirrhosis, data from exams, surgery and follow-up outcomes were also analyzed...
November 11, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/36243858/morphological-alterations-of-the-abdominal-wall-after-open-incisional-hernia-repair-with-endoscopic-anterior-and-open-posterior-component-separation
#35
JOURNAL ARTICLE
E Oma, J K Christensen, J Daes, L N Jorgensen
PURPOSE: Effects of component separation (CS) on abdominal wall morphology have only been investigated in smaller case series or cadavers. This study aimed to compare abdominal wall alterations following endoscopic anterior CS (EACS) or open transverse abdominis release (TAR). METHODS: Computed tomography scans were evaluated in patients who had undergone open incisional hernia repair with EACS or TAR. Abdominal wall circumference, lateral abdominal wall muscle thickness, and displacement were compared with (1) preoperative images after bilateral CS and (2) the undivided side postoperatively after unilateral CS...
April 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36318389/incisional-hernia-rates-following-midline-laparotomy-in-the-obese-patient-a-retrospective-review
#36
JOURNAL ARTICLE
C J Wehrle, P Shukla, B T Miller, K E Blake, A S Prabhu, C C Petro, D M Krpata, L R Beffa, C Tu, M J Rosen
PURPOSE: Incisional hernia is the most common complication of midline laparotomy. Although obesity is a known risk factor, the incidence of hernia formation in obese patients is not well defined. We sought to define the rate of incisional hernia formation in obese patients undergoing primary midline laparotomy in a large academic medical center. METHODS: Obese patients (BMI ≥ 30 kg/m2 ) who underwent an elective or urgent primary midline laparotomy from 2017 to 2021 at our institution were retrospectively identified...
June 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/36229258/preoperative-botulinum-toxin-a-bta-injection-versus-component-separation-techniques-cst-in-complex-abdominal-wall-reconstruction-awr-a-propensity-scored-matched-study
#37
JOURNAL ARTICLE
Matthew N Marturano, Sullivan A Ayuso, David Ku, Robert Raible, Robert Lopez, Gregory T Scarola, Keith Gersin, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Complete fascial closure significantly reduces recurrence rates and wound complications in abdominal wall reconstruction. While component separation techniques have clear effectiveness in closing large abdominal wall defects, preoperative botulinum toxin A has emerged as an adjunct to aid in fascial closure. Few data exist comparing preoperative botulinum toxin A to component separation techniques, and the aim was to do so in a matched study. METHODS: A prospective, single-center, hernia-specific database was queried, and a 3:1 propensity-matched study of patients undergoing open abdominal wall reconstruction from 2016 to 2021 with botulinum toxin A versus component separation techniques was performed based on body mass index, defect width, hernia volume, and Centers for Disease Control and Prevention wound classification...
March 2023: Surgery
https://read.qxmd.com/read/36239824/a-computed-tomography-study-investigating-the-effects-of-botulinum-toxin-injections-prior-to-complex-abdominal-wall-reconstruction
#38
JOURNAL ARTICLE
J J M Claessen, A S Timmer, R Hemke, J J Atema, R Hompes, M A Boermeester, M V H Rutten
OBJECTIVE: To explore how intramuscular injection of botulinum toxin A (BTA) affects the lateral abdominal wall (LAW) musculature, abdominal- and hernia dimensions, and muscle structure on computed tomography (CT) in patients scheduled for complex abdominal wall reconstruction (CAWR). METHODS: Retrospective analysis of prospectively registered patients who received bilateral intramuscular BTA injections into all three muscles of the LAW. Only patients for which a CT was available before and 3-6 weeks after BTA treatment prior to surgery were analyzed...
October 14, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/35802262/long-term-reoperation-rate-following-primary-ventral-hernia-repair-a-register-based-study
#39
JOURNAL ARTICLE
A Katawazai, G Wallin, G Sandblom
BACKGROUND: The aim of this study was to analyse the risk for reoperation following primary ventral hernia repair. METHODS: The study was based on umbilical hernia and epigastric hernia repairs registered in the population-based Swedish National Patient Register (NPR) 2010-2019. Reoperation was defined as repeat repair after primary repair. RESULTS: Altogether 29,360 umbilical hernia repairs and 6514 epigastric hernia repairs were identified...
December 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/34972540/one-and-done-repair-of-recurrent-hernias-after-prior-myofascial-release
#40
JOURNAL ARTICLE
Jeremy A Warren, Kayla Schilling, Regan Van Metre, Caroline Nageotte, William S Cobb, Alfredo M Carbonell
BACKGROUND: Myofascial release (MFR) techniques, including retromuscular hernia repair, are often considered one-time repairs. We report recurrent ventral hernia repair (RVHR) in patients with prior MFR, focusing on redo-RM repair. METHODS: Retrospective analysis of all patients undergoing RVHR after prior MFR. Primary outcomes were operative time, surgical site infection (SSI), surgical site occurrence (SSO), and 20-month recurrence. RESULTS: 111 RVHR were performed after MFR...
July 2022: American Journal of Surgery
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