Review
Gastroenterology & Hepatology
Thomas Whitehead-Clarke, Victoria Beynon, Jessica Banks, Rustam Karanjia, Vivek Mudera, Alastair Windsor, Alvena Kureshi
Summary: The review examined the use of in vivo mesh testing for hiatus hernias and diaphragmatic hernias repair, identifying 18 studies that mainly assessed mechanical properties and cellular factors of tissue samples. In vivo studies for mesh evaluation in this field are limited, calling for further standardization and broader application.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Surgery
Stephan Gerdes, Sebastian F. Schoppmann, Luigi Bonavina, Nicholas Boyle, Beat P. Mueller-Stich, Christian A. Gutschow, Suzanne Sarah Gisbertz, Ferdinand Kockerling, Thorsten G. Lehmann, Dietmar Lorenz, Frank Alexander Granderath, Riccardo Rosati, Christoph Wullstein, Lars Lundell, Edward Cheong, Philippe Nafteux, Stefano Olmi, Stefan Monig, Matthias Biebl, Jessica Leers, Joerg Zehetner, Ivan Kristo, Richard George Berrisford, Ognjan M. Skrobic, Aleksandar P. Simic, Manuel Pera, Peter Philipp Grimminger, Ines Gockel, Konstantinos Zarras, Vincent Bernard Nieuwenhuijs, James A. Gossage, Mark I. van Berge Henegouwen, Hubert J. Stein, Sheraz R. Markar, Willem Eduard Hueting, Eduardo M. Targarona, Jan Johansson, Graeme D. Macaulay, Bas P. L. Wijnhoven, Frank Benedix, Stephen E. Attwood, Arnulf Heinrich Hoelscher, Pablo Priego, Karl-Hermann Fuchs, Misha D. P. Luyer, Ewen A. Griffiths, Torgeir Thorson Sovik, Dimitrios Theodorou, Bruno Sgromo, Jarmo A. Salo, Rishi Singhal, Anders Thorell, Giovanni Zaninotto, Marko Itenc, Xavier Benoit D'journo, Grant M. Fullarton, Thomas Horbach
Summary: This survey aims to identify optimal management strategies for patients with paraesophageal hiatus hernia through a Delphi methodology. European surgeons with expertise in upper-GI participated in a two-round survey, providing recommendations on preoperative work-up, surgical procedure, and postoperative follow-up. The survey results delineate recommended and discouraged strategies for various aspects of the management of paraesophageal hiatus hernia.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Benjamin Clapp, Ali M. Kara, Paul J. Nguyen-Lee, Hani M. Annabi, Luis Alvarado, John D. Marr, Omar M. Ghanem, Brian Davis
Summary: The use of bioabsorbable mesh in hiatal hernia repair is more effective in reducing hernia recurrence rate compared to simple suture cruroplasty, according to a meta-analysis of available literature.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
K. Rajkomar, C. S. Wong, L. Gall, C. MacKay, A. Macdonald, M. Forshaw, C. Craig
Summary: This study compares the outcomes of laparoscopic large hiatus hernia (LHH) repair using suture-based and mesh-based repair techniques. A systematic search of articles was conducted, and pooled data from randomized controlled trials and observational studies showed a significant reduction in total recurrence rate with mesh use. However, there was no significant reduction in large recurrences or reoperation rates. Cases of mesh erosion with eventual foregut resection were noted, particularly with synthetic meshes.
Article
Medicine, General & Internal
Kil-yong Lee, Jaeim Lee, Youn Young Park, Hyung-Jin Kim, Seong Taek Oh
Summary: This study aimed to compare the recurrence rate between large-mesh and medium-mesh laparoscopic totally extraperitoneal repair (TEP) of inguinal hernias, and the results showed no statistically significant difference between the two.
Article
Surgery
Sergio Henrique Bastos Damous, Luciana Lamarao Damous, Victor Andre Borges, Amanda Karsburg Fontella, Jocielle dos Santos Miranda, Marcia Kiyomi Koike, Osmar Cassio Saito, Claudio Augusto Vianna Birolini, Edivaldo Massazo Utiyama
Summary: This study compares the effects of Lichtenstein and TAPP techniques on male fertility in bilateral inguinal hernia repair and finds similar long-term outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Yusheng Nie, Yao Xiong, Lei Guan, Xin Yuan, Fuqiang Chen, Jie Chen, Huiqi Yang
Summary: Using biological mesh fixed with suture and medical glue for repairing large hiatal hernias is safe and effective, with few surgical complications and no symptomatic recurrence during an average follow-up of 18.4 months.
Article
Surgery
Walaa Abdelmoaty, Christy Dunst, Reid Fletcher, Huy Doan, Carmen Tugulan, Jarvis Walters, Daniel Davila-Bradley, Kevin Reavis, Lee Swanstrom, Steven DeMeester
Summary: This study used barium upper gastrointestinal series to evaluate the development and natural history of hiatal hernia. The results showed that both sliding and paraesophageal type hernias can develop over time and the majority of them increased in size. Additionally, 25% of sliding hernias became paraesophageal hernias. Recognizing changes in hiatal hernia size or type may be clinically relevant.
Article
Surgery
Kheman Rajkomar, Christophe R. Berney
Summary: This article systematically evaluates the repair of laparoscopic large hiatal hernia and proposes methods to improve surgical outcomes. Starting from defining and categorizing, it discusses preoperative evaluation, surgical techniques, issues in the repair phase, and postoperative investigations. The article is of great significance in improving the repair of large hiatal hernia.
Review
Chemistry, Physical
Barbara Perez-Koehler, Selma Benito-Martinez, Veronica Gomez-Gil, Marta Rodriguez, Gemma Pascual, Juan Manuel Bellon
Summary: Abdominal hernia repair using prosthetic meshes is a common surgical intervention globally. 3D-printing technology has been applied to manufacture bioactive materials for improved hernia repair solutions. However, challenges and limitations still exist, with promising future prospects for development.
Article
Surgery
Lorenzo Crepaz, Alberto Sartori, Mauro Podda, Monica Ortenzi, Alberto Di Leo, Cesare Stabilini, Michele Carlucci, Stefano Olmi, SICE ISHAWS Collaborative Grp
Summary: Minimally invasive abdominal wall surgery is increasingly used worldwide, with Italian surgeons preferring this approach in elective cases. However, open surgery is still preferred in emergency settings. There is a need for consensus on the best surgical approach for incisional hernias, especially in emergency situations.
UPDATES IN SURGERY
(2023)
Review
Medicine, General & Internal
Dan Bratu, Alin Mihetiu, Alexandra Sandu, Adrian Boicean, Mihai Roman, Cristian Ichim, Horatiu Dura, Adrian Hasegan
Summary: Inguinal hernia containing the vermiform appendix is rare, usually found incidentally during surgery or when the appendix shows inflammatory changes. Due to its infrequency, there is a lack of standardized surgical ethics, resulting in controversial diagnosis and treatment approaches.
Article
Medicine, General & Internal
Antoni Stadnicki, Jozef Kurek, Ewa Klimacka-Nawrot, Anna Stadnicka, Katarzyna Rerych
Summary: The study compared the effectiveness of high-resolution manometry (HRM) and upper gastrointestinal (GI) endoscopy in detecting sliding hiatus hernia in patients with gastro-oesophageal reflux disease (GORD) symptoms. The results showed that both modalities were not reliable tools for diagnosing sliding hiatus hernia due to their poor sensitivity.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Surgery
Cristian A. Angeramo, Francisco Schlottmann
Summary: This study compared the outcomes of laparoscopic paraesophageal hernia repair with mesh reinforcement or primary suture repair. The results showed that patients undergoing LPEHR had similar early and late recurrence rates regardless of the type of mesh used. However, overall morbidity seemed to be higher in patients repaired with nonabsorbable mesh.
Article
Medicine, General & Internal
Mohammed Yunus Shah, Pratik Raut, T. R. V. Wilkinson, Vijay Agrawal
Summary: This study compared laparoscopic total extraperitoneal (TEP) inguinal hernia repair with open Lichtenstein repair and found that laparoscopic TEP had fewer postoperative pain, faster recovery of normal activities, less chronic groin pain, and comparable recurrence rate, despite longer operative time and learning curve.