Review
Medicine, General & Internal
Simona Mirel, Alexandra Pusta, Mihaela Moldovan, Septimiu Moldovan
Summary: Recent advances in biomaterials have improved surgical options, allowing for chemical control and tissue regeneration. Various biomaterials can be used for medical devices, but infection risk is an important consideration.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
B. Kushner, E. Smith, B. Han, E. Otegbeye, S. Holden, J. Blatnik
Summary: This study compared infectious outcomes following TAR with early or late drain removal, finding that removing all drains at discharge regardless of output does not increase the prevalence of infectious morbidity.
Article
Surgery
Patrick Keller, Crystal F. Totten, Margaret A. Plymale, You Wei Lin, Daniel L. Davenport, John Scott Roth
Summary: This study compared the clinical outcomes of open versus laparoscopic parastomal hernia repair and found that laparoscopic repair was associated with shorter operative duration, decreased length of stay, fewer short-term wound complications, and increased longevity of repair. Additional research is needed to further investigate methods associated with fewer complications and increased durability in parastomal hernia repair.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Yeye Zhuo, De Cai, Juntian Chen, Qian Zhang, Xinxin Li
Summary: The preoperative levels of NLR and PLR were found to be higher in patients who developed SSI following mesh repair of groin hernia, and these two indicators were positively correlated with the total days of antibiotic treatment for SSI postoperatively. NLR and PLR had larger areas under the receiver operating characteristics curves compared to neutrophil, indicating their potential as valuable predictors for SSI in this context.
Article
Chemistry, Multidisciplinary
Amin Zareei, Venkat Kasi, Allison Thornton, Ulisses Heredia Rivera, Manoj Sawale, Murali Kannan Maruthamuthu, Zihao He, Juliane Nguyen, Haiyan Wang, Dharmendra K. Mishra, Rahim Rahimi
Summary: Surgical meshes made of bioinert polymers such as polypropylene are commonly used in hernia repair to prevent organ protrusion, but post-operative mesh infection is a significant complication. Antibiotic coatings have been used to mitigate infection-related complications, but antibiotic resistance is a concern. Bioactive glass-ceramics with silver nanoparticles (AgNPs) have shown antibacterial properties, but their synthesis and coating methods are impractical for temperature-sensitive polymeric substrates. A new approach using cold atmospheric plasma (CAP) and laser surface treatment (LST) was explored to deposit functional glass-ceramic compounds onto polypropylene mesh surfaces. The developed coating demonstrated high biocompatibility and persistent antibacterial properties against both Gram-positive and Gram-negative bacteria, offering new possibilities for reducing infection risk in implants.
Review
Medicine, General & Internal
Trisha N. Peel, Eliza Watson, Sue J. Lee
Summary: The use of chlorhexidine-alcohol for surgical site skin preparation was found to be more effective in reducing the risk of surgical site infections compared to iodophor-alcohol. However, the efficacy of chlorhexidine-alcohol may vary depending on the type of surgical procedure.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
N. Christou, F. Ris, D. Naumann, J. Robert-Yap, M. Mathonnet, J. -F. Gillion
Summary: A multicenter study conducted in the French Hernia-Club found a low incidence of SSI following groin hernia repair, with no impact of mesh type and surgical technique on SSI rates.
Article
Surgery
C. L. Devin, M. A. Olson, L. Tastaldi, R. Zheng, A. C. Berger, F. Palazzo
Summary: In the presence of infection, there were no higher rates of short-term complications between complete repair and partial repair during infected mesh removal and concurrent incisional hernia repair, according to data from a multicenter hernia registry analysis.
Article
Medicine, General & Internal
Przemyslaw Karol Wolak, Agnieszka Strzelecka, Aneta Piotrowska, Katarzyna Dabrowska, Piotr Przemyslaw Wolak, Ilona Piotrowska, Grazyna Nowak-Starz
Summary: This study compared the operative time for unilateral inguinal hernia repair in children using open approach (OA) and Percutaneous Internal Ring Suturing (PIRS) methods. The results showed that the PIRS method was faster than OA, especially in female patients, suggesting it may be a preferred option for inguinal hernia repair in children.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Qiuyue Ma, Xiaoli Liu, Huiqi Yang, Le Gu, Jie Chen
Summary: This study investigated the rates and factors associated with laparoscopic and open inguinal hernia repairs in a large hernia center in China. The results showed that approximately 50% of patients underwent laparoscopic repairs, which were more commonly performed in male, young, bilateral hernias, and inpatients without comorbidities. The utilization of laparoscopic repairs among female patients with inguinal hernias needs to be improved.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
H. Park, C. de Virgilio, D. Y. Kim, A. L. Shover, A. Moazzez
Summary: This study found that after open hernia repair, the association between SSI and being overweight starts at a BMI of 24.2, and smoking is also identified as an independent risk factor for SSIs. The risk of SSI increases in a stepwise fashion as BMI increases and is augmented by smoking.
Article
Surgery
Hadley H. Wilson, Sullivan A. Ayuso, Mikayla Rose, Dau Ku, Gregory T. Scarola, Vedra A. Augenstein, Paul D. Colavita, B. Todd Heniford
Summary: With an aging population, the number of octogenarians undergoing paraesophageal hernia repair (PEHR) is increasing. Octogenarians are more likely to undergo non-elective operations and have higher postoperative mortality rates. Elective PEHR procedures have better outcomes, but octogenarians still have higher mortality rates, longer lengths of stay, and higher readmission rates within 30 days compared to non-octogenarians.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Hadley H. Wilson, Sullivan A. Ayuso, Mikayla Rose, Dau Ku, Gregory T. Scarola, Vedra A. Augenstein, Paul D. Colavita, B. Todd Heniford
Summary: This study analyzed outcomes of octogenarians compared to non-octogenarians undergoing paraesophageal hernia repair (PEHR). The study found that octogenarians were more likely to undergo non-elective operations, and had higher mortality, longer length of stay, and higher readmission rates within 30 days compared to non-octogenarian elective patients. However, being an octogenarian for elective PEHR was not an independent predictor of perioperative mortality, while non-elective operation was. The findings suggest that elective PEHR in octogenarians is reasonable but requires a thorough risk-benefit analysis.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
V. Louis, S. Diab, A. Villemin, C. Brigand, S. Manfredelli, J. -b. Delhorme, S. Rohr, B. Romain
Summary: This study investigated the role of subcutaneous and periprosthetic drain placement in reducing surgical site occurrence (SSO) and surgical site infection (SSI) rates after incisional hernia repair. The results indicated that using both subcutaneous and periprosthetic drains significantly increased the SSO rate compared to the group without drains and the group with only subcutaneous drains. However, there was no significant difference in deep and superficial SSI rates among the three groups. Additionally, the presence of a drain significantly prolonged the length of stay.
Review
Surgery
Lolwah Al Riyees, Wedad Al Madani, Nistren Firwana, Hanan H. Balkhy, Mazen Ferwana, Abdullah Alkhudhayri
Summary: This study found that prophylactic antibiotics can reduce the risk of surgical site infection after open mesh hernia repair, particularly with amoxicillin/clavulanic acid and cefazolin. However, the effect of prophylactic antibiotics in herniorrhaphy patients is not significant, and there is no significant reduction in deep infection risk. Further high-quality studies are still needed.
EUROPEAN SURGICAL RESEARCH
(2021)
