Review
Surgery
Matthew Madion, Matthew Goldblatt, Jon C. Gould, Rana M. Higgins
Summary: Over the past decade, the utilization of minimally invasive inguinal and ventral hernia repair has increased nearly two-fold. A larger proportion of this increase has been due to minimally invasive inguinal compared to ventral hernia repairs. Wound complications across all techniques remained stable or improved, and were significantly less in the minimally invasive compared to open approaches.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Melanie Vargas, Molly A. Olson, Thomas E. Read, Mazen R. Al-Mansour
Summary: This study evaluated the trends and short-term outcomes of different approaches and mesh positions for minimally invasive ventral hernia repair. The results showed that preperitoneal repair was associated with lower rates of incisional and recurrent hernias. There has been an increase in the proportion of preperitoneal and retromuscular repairs over time. Retromuscular repairs were associated with higher risk of reoperation and readmission.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Rachel Whittaker, Zachary Lewis, Margaret A. Plymale, Michael Nisiewicz, Ajadi Ebunoluwa, Daniel L. Davenport, Jessica K. Reynolds, John Scott Roth
Summary: This study evaluated the outcomes of emergent ventral hernia repair with and without mesh. It found that repairs without mesh were associated with a higher hernia recurrence rate, but no difference in the risk of infectious complications was observed. Efforts to understand the rationale for suture-based repair compared to mesh repair are needed to reduce hernia recurrences in the emergent population.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Ryan Howard, Jyothi Thumma, Anne Ehlers, Michael Englesbe, Justin Dimick, Dana Telem
Summary: This study describes the national trends in surgical technique and rates of reoperation for recurrence for patients undergoing ventral hernia repair (VHR) in the United States. The results show that the surgical treatment of ventral and incisional hernias has evolved over the past two decades, with more patients undergoing minimally invasive repair, receiving mesh, and undergoing myofascial release. The rates of reoperation for hernia recurrence have slightly improved during this period.
Article
Surgery
Anne P. Ehlers, Ryan Howard, Lia D. Delaney, Quintin Solano, Dana A. Telem
Summary: The use of mesh for small hernias is controversial. This study found that patients who had mesh placed during surgery may have a higher risk for complications, suggesting that the decision to use mesh may be driven by patient-related factors rather than evidence indicating its superiority in this population.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Mariana Toffolo Pasquini, Pablo Medina, Ramiro Arrechea Antelo, Roberto Cerutti, Eduardo Agustin Porto, Daniel Enrique Pirchi
Summary: This study analyzed the long-term recurrence rate and compared the IPOM and IPOM plus techniques for laparoscopic ventral hernia repair (LVHR). The results showed that the IPOM plus technique had a higher cut-off point for ring size and a lower recurrence risk. These findings have implications for expanding the indication for LVHR and selecting the appropriate surgical technique.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Marine Goullieux, Fawaz Abo-Alhassan, Remi Vieira-Da-Silva, Papet Lauranne, Adeline Guiraud, Pablo Ortega-Deballon
Summary: This study aimed to compare the likelihood of bowel obstruction based on the placement of the mesh in ventral hernia repairs. The results showed no significant difference in terms of bowel obstruction between intraperitoneal and extraperitoneal mesh placement, but all cases of obstruction occurred in the intraperitoneal group.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Philippe Ngo, Jean-Pierre Cossa, Sylvie Gueroult, Edouard Pelissier
Summary: According to EHS guidelines, mesh repair is recommended for concomitant diastasis recti (DR) and ventral hernia more than 1 cm. A bilayer suture technique is effective for hernias up to 3 cm, but may result in flawed skin appearance. Patients generally rated the operation results as excellent or good.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Marianna Maspero, Camillo Leonardo Bertoglio, Lorenzo Morini, Bruno Alampi, Michele Mazzola, Valerio Girardi, Andrea Zironda, Gisella Barone, Carmelo Magistro, Giovanni Ferrari
Summary: A study of 322 obese patients undergoing laparoscopic ventral hernia repair found that class III obesity was associated with a longer hospital stay, but showed no significant differences in postoperative complications and long-term outcomes compared to class I and II obesity.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Nam H. Bui, Lars N. Jorgensen, Kristian K. Jensen
Summary: Comparing laparoscopic enhanced-view totally extraperitoneal retromuscular repair (eTEP-RM) with laparoscopic IPOM for primary ventral and incisional hernia patients, it was found that eTEP-RM is safer and more effective. Patients undergoing eTEP-RM required less additional analgesic treatment and had shorter hospital stays.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Barbara Perez-Kohler, Selma Benito-Martinez, Francisca Garcia-Moreno, Marta Rodriguez, Gemma Pascual, Juan Manuel Bellon
Summary: The study investigated the use of cyanoacrylate tissue adhesive to improve mesh behavior at fixation zones. Results showed that cyanoacrylate prevented bacterial adhesion, reducing infections and optimizing the efficacy of antibacterial meshes compared to those fixed with sutures.
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.
Article
Surgery
Mayank Jain, Asuri Krishna, Om Prakash, Subodh Kumar, Rajesh Sagar, Rashmi Ramachandran, Virinder Kumar Bansal
Summary: This study compared eTEP repair with IPOM repair in terms of pain, cost effectiveness, and quality of life. The results showed that eTEP group had lower pain scores, lower seroma rates, and earlier return to activity. Additionally, the eTEP group was 2.4 times more cost effective than IPOM.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Renato Patrone, Maddalena Leongito, Raimondo di Giacomo, Andrea Belli, Raffaele Palaia, Alfonso Amore, Vittorio Albino, Mauro Piccirillo, Carmen Cutolo, Sergio Coluccia, Aurelio Nasto, Giovanni Conzo, Anna Crispo, Vincenza Granata, Francesco Izzo
Summary: This study investigates the recurrence risk of ventral hernia in oncological patients and finds that it is strongly related to BMI and type of surgery, but not related to the type of mesh used.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Tayler J. James, Jessica Wu, Paul Won, Lauren Hawley, Luke R. Putnam, James D. Nguyen, Adrian Dobrowolsky, Kamran Samakar
Summary: This study demonstrated an association between higher hernia-to-neck ratio (HNR) and increased risk of emergent ventral hernia repair.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)