Article
Surgery
M. Melland-Smith, U. Khan, L. Smith, J. Tan
Summary: There is currently no consensus on the optimal surgical approach for incisional hernias measuring less than 10 cm. This retrospective cohort study compared laparoscopic suture closure to a hybrid approach for incisional hernia repair, finding no significant differences in postoperative outcomes between the two groups. The study concludes that the hybrid approach may be comparable to laparoscopic closure for patients with higher BMI and hernia defects up to 6 cm.
Article
Surgery
Thomas K. Jensen, Ismail Gogenur, Mai-Britt Tolstrup
Summary: Burst abdomen is a common complication after abdominal surgery. The study found that standardized surgical primary repair can reduce the rate of fascial redehiscence, with no significant impact on 30- and 90-day mortality rates.
Article
Surgery
Oscar A. Olavarria, Naila H. Dhanani, Karla Bernardi, Julie L. Holihan, Cynthia S. Bell, Tien C. Ko, Mike K. Liang
Summary: Prophylactic mesh reinforcement of midline laparotomy closures appears to be effective in preventing incisional hernias, but it also increases the risk of surgical site occurrences.
Review
Surgery
Amarit Tansawet, Pawin Numthavaj, Thawin Techapongsatorn, Suphakarn Techapongsatorn, John Attia, Gareth McKay, Ammarin Thakkinstian
Summary: This study systematically reviewed existing prediction models for fascial dehiscence (FD) and incisional hernia (IH). The results showed that several models have been developed, but most have modest performance and lack independent validation. Some predictive factors are associated with the occurrence of FD or IH.
WORLD JOURNAL OF SURGERY
(2022)
Article
Surgery
Jefferson A. Proano-Zamudio, Anthony Gebran, Dias Argandykov, Ander Dorken-Gallastegi, Noelle N. Saillant, Jason A. Fawley, Louisa Onyewadume, Haytham M. A. Kaafarani, Peter J. Fagenholz, David R. King, George C. Velmahos, John O. Hwabejire
Summary: This study aimed to investigate the association between delayed abdominal closure and mortality, morbidity, and length of stay in emergency general surgery patients. The results of the matching analysis showed that delayed abdominal closure was associated with higher mortality and a higher proportion of acute kidney injury, but a lower proportion of postoperative sepsis and surgical site infection.
Article
Urology & Nephrology
Paz Lotan, Shayel Bercovich, Daniel Keidar, Kamil Malshy, Ziv Savin, Rennen Haramaty, Jonathan Gal, Jonathan Modai, Dan Leibovici, Roy Mano, Barak Rosenzweig, Azik Hoffman, Miki Haifler, Jack Baniel, Shay Golan
Summary: Unrecognized accompanying intraabdominal complications may occur during fascial dehiscence repair after cystectomy, with cardiovascular disease being a risk factor. Meticulous abdominal inspection is necessary for all patients during dehiscence repair.
Article
Surgery
T. K. Jensen, I. Gogenur, M. -B. Tolstrup
Summary: The study investigated the long-term development of incisional hernia after a standardized surgical treatment strategy for burst abdomen. Using a slow absorbable running suture in a mass-closure technique resulted in high rates of long-term incisional hernias, comparable to those reported in the literature for this patient group.
Article
Cell Biology
Finosh G. Thankam, Nicholas K. Larsen, Ann Varghese, Thao-Nguyen Bui, Matthew Reilly, Robert J. Fitzgibbons, Devendra K. Agrawal
Summary: The development of incisional hernia (IH) is multifactorial, with inflammation and abdominal wall ECM disorganization identified as key pathological events. Investigating the expression of fibroblast biomarkers in IH tissues revealed a differential expression pattern, with elevated CD34, CTGF, and FSP1 levels and decreased alpha-SMA levels, suggesting a heterogeneous fibroblast population may contribute to IH development. Understanding the mechanisms causing fibroblast phenotype switch could lead to novel strategies to prevent IH following laparotomy.
MOLECULAR AND CELLULAR BIOCHEMISTRY
(2021)
Article
Surgery
Marcos Gonzalez, Tatiana Ruffa, Rodolfo Scaravonati, Victoria Ardiles, Claudio Brandi, Santiago Bertone
Summary: The study aimed to identify preoperative and intraoperative risk factors for fascial dehiscence and develop a risk prediction score for preventive measures. The results identified several important factors related to fascial dehiscence, including chronic obstructive pulmonary disease, immunosuppression, smoking, prostatic hyperplasia, anticoagulation use, sepsis, and overweight. The developed score can predict an 18% risk of dehiscence with a sensitivity of 70% and specificity of 80%.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Multidisciplinary Sciences
Sunhyung Lee, Taehong Kee, Mi Yeon Jung, Pil Whan Yoon
Summary: The use of barbed sutures for fascial closure in total hip arthroplasty effectively reduces surgical time without increasing the risk of wound complications.
SCIENTIFIC REPORTS
(2022)
Article
Dermatology
Xiongfei Tang, Wenfeng Shi, Yuening Qian, Zhen Ge
Summary: The purpose of this study is to determine whether stitching remains significantly superior to staples in the closure of the knee arthroplasty. The results showed no significant differences in infection, dehiscence, cut length, and wound satisfaction, but there were significant differences in wound closure time and operating time.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Gastroenterology & Hepatology
Benoit Gignoux, Yves Bayon, Damien Martin, Raksmey Phan, Vincent Augusto, Benjamin Darnis, Marianne Sarazin
Summary: This study aimed to determine the rate of incisional hernia (IH) repair and risk factors after laparotomy. Results showed that the IH repair rate was 5% overall, increasing to 17% after digestive surgery. Obesity was identified as the main risk factor, with an IH repair rate of 31% after digestive surgery.
COLORECTAL DISEASE
(2021)
Article
Materials Science, Multidisciplinary
Jose Ignacio Ortiz de Elguea-Lizarraga, Victor Segura-Ibarra, Javier Vazquez-Armendariz, Ana Lucia Garcia-Garcia, Jose Antonio Diaz-Elizondo, Ciro Rodriguez, Eduardo Flores-Villalba
Summary: Different types of sutures behave differently under the influence of time and tension, but they do not have a negative impact on their biomechanical resilience. Sutures can withstand tensile strengths well above any physiological or pathological condition.
MATERIALS RESEARCH EXPRESS
(2021)
Article
Surgery
Michal Grat, Marcin Morawski, Maciej Krasnodebski, Jan Borkowski, Piotr Krawczyk, Karolina Grat, Jan Stypulkowski, Bartosz Maczkowski, Wojciech Figiel, Zbigniew Lewandowski, Konrad Kobry, Waldemar Patkowski, Marek Krawczyk, Tadeusz Wroblewski, Wlodzimierz Otto, Rafal Paluszkiewicz, Krzysztof Zieniewicz
Summary: Layered closure of upper abdominal transverse incisions should be preferred due to lower risk of incisional surgical site infections and higher suture-to-wound length ratio, despite a slightly longer closure duration.
Article
Surgery
E. Oma, N. N. Baastrup, K. K. Jensen
Summary: This study compared the outcomes of combined stoma closure and incisional hernia repair with incisional hernia repair only, finding that the risk of hernia recurrence reoperation was increased after concurrent stoma closure. Patients who underwent concurrent stoma closure also had longer hospital stays and higher 30-day reoperation rates compared to those who underwent incisional hernia repair only.
