38 results match your criteria included hernia-related


A systematic review of outcome reporting in incisional hernia surgery.

BJS Open 2021 Mar;5(2)

Department of Surgery, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.

Background: The incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies. Read More

View Article and Full-Text PDF

Elective ventral hernia repair provides significant abdominal wall quality of life improvements in older patients.

Surg Endosc 2021 Apr 8. Epub 2021 Apr 8.

Department of Surgery, Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: An increasing proportion of ventral hernia patients are over age 65. These patients are frequently offered watchful waiting rather than surgical intervention due to their frail state or perioperative risk. However, many in this age group suffer from significant quality of life impacts that are not well understood. Read More

View Article and Full-Text PDF

Can Hernia Sac to Abdominal Cavity Volume Ratio Predict Fascial Closure Rate for Large Ventral Hernia? Reliability of the Tanaka Score.

J Am Coll Surg 2021 Apr 5. Epub 2021 Apr 5.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH.

Background: The hernia sac to abdominal cavity volume ratio (VR) on abdominal CT was described previously as a way to predict which hernias would be less likely to achieve fascial closure. The aim of this study was to test the reliability of the previously described cutoff ratio in predicting fascial closure in a cohort of patients with large ventral hernias.

Methods: Patients who underwent elective, open incisional hernia repair of 18 cm or larger width at a single center were identified. Read More

View Article and Full-Text PDF

Observational Cohort Study on the Use of a Slowly Fully Resorbable Synthetic Mesh (Phasix™) in the Treatment of Complex Abdominal Wall Pathology with Different Grades of Contamination.

Surg Technol Int 2021 04 2;38. Epub 2021 Apr 2.

Department of Abdominal Surgery, General Hospital Imelda, Bonheiden, Belgium.

Purpose: Abdominal wall hernia repair in contaminated cases remains a therapeutic challenge due to the high risk of post-operative surgical site occurrences (SSO). Slowly resorbable synthetic (biosynthetic) meshes have recently been introduced and may offer unique advantages when challenged with bacterial colonization during abdominal wall reconstruction.

Methods: A multicenter single-arm retrospective observational cohort study examined all consecutive patients in whom a poly-4-hydroxybutyrate mesh (Phasix™ or Phasix™ ST; Becton Dickinson, Franklin Lakes, NJ, USA) was used for the repair of an inguinal or ventral/incisional hernia, or to replace an infected synthetic mesh. Read More

View Article and Full-Text PDF

Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors.

Hernia 2021 Feb 8. Epub 2021 Feb 8.

Department of Surgery, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité Campus Mitte, Campus Virchow Klinikum, Charitéplatz 1, 10117, Berlin, Germany.

Introduction: As in the rest of the world, in Germany, inguinal hernia operations are among the most common operations. From an economic standpoint, very little is known about the influence of demographic, clinical or hernia-related parameters on the cost of inguinal hernia repair. We, therefore, evaluated individual patient parameters associated with higher costs with a special focus on multimorbidity. Read More

View Article and Full-Text PDF
February 2021

Conservative treatment versus elective repair of umbilical hernia in patients with liver cirrhosis and ascites: results of a randomized controlled trial (CRUCIAL trial).

Langenbecks Arch Surg 2021 Feb 25;406(1):219-225. Epub 2020 Nov 25.

Department of Surgery, Cancer Center Amsterdam, Amsterdam University Medical Center - VU University Amsterdam, Amsterdam, The Netherlands.

Purpose: To establish optimal management of patients with an umbilical hernia complicated by liver cirrhosis and ascites.

Methods: Patients with an umbilical hernia and liver cirrhosis and ascites were randomly assigned to receive either elective repair or conservative treatment. The primary endpoint was overall morbidity related to the umbilical hernia or its treatment after 24 months of follow-up. Read More

View Article and Full-Text PDF
February 2021

Non reducible inguinal hernias in Malawi: an occupational hazard.

Hernia 2020 Nov 21. Epub 2020 Nov 21.

Department of Surgery, University of North Carolina, Chapel Hill, NC, 27599, USA.

Purpose: Inguinal hernias are one of the most common surgical conditions worldwide. Due to limited surgical access in low- and middle-income countries, many hernias present emergently; however, data on the resultant outcome disparities is limited. We, therefore, sought to describe the epidemiology, clinical features, and outcomes of incarcerated inguinal hernias at a tertiary center in Malawi. Read More

View Article and Full-Text PDF
November 2020

Parastomal hernia after ileal conduit urinary diversion: re-visiting the predictors radiologically and according to patient-reported outcome measures.

Scand J Urol 2020 Dec 16;54(6):501-507. Epub 2020 Oct 16.

Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Purpose: To evaluate the predictors of post-ileal conduit (IC) parastomal hernia (PSH) based on a standard grading methodology and according to the patients reported outcome measures (PROM).

Methods: A prospective evaluation for patients with IC attending their scheduled follow-up was conducted between December 2013 and October 2015. The hernia stage was determined according to the European Hernia Society (EHS) classification as types I and II included defect size 5 cm without and with a concomitant incisional hernia, respectively. Read More

View Article and Full-Text PDF
December 2020

Skin closure following abdominal wall reconstruction: three-layer skin suture versus staples.

J Plast Surg Hand Surg 2020 Sep 17:1-6. Epub 2020 Sep 17.

Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.

Skin closure following abdominal wall reconstruction (AWR) has received little attention, even though these patients have demonstrated insufficient wound healing. This study assessed the postoperative wound-related complications and patient-reported outcomes after skin closure using single- or triple layer closure following AWR. This was a retrospective study at a University Hospital from 2016 to 2018. Read More

View Article and Full-Text PDF
September 2020

Watchful waiting vs repair for asymptomatic or minimally symptomatic inguinal hernia in men: a systematic review.

Hernia 2020 Sep 10. Epub 2020 Sep 10.

Department of Surgery, Herlev Hospital, Center for Perioperative Optimization, University of Copenhagen, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark.

Purpose: One-third of patients presenting with inguinal hernia are asymptomatic and the best treatment for these patients is unclear. The aim of this study was to assess the feasibility of applying a watchful waiting strategy for asymptomatic or minimally symptomatic inguinal hernia in men.

Methods: PubMed, EMBASE, and Cochrane Library were searched from database inception to May 14, 2020. Read More

View Article and Full-Text PDF
September 2020

The natural course of giant paraesophageal hernia and long-term outcomes following conservative management.

United European Gastroenterol J 2020 12 24;8(10):1163-1173. Epub 2020 Aug 24.

Amsterdam UMC, University of Amsterdam, Gastroenterology Endocrinology Metabolism, Meibergdreef 9, Amsterdam, the Netherlands.

Background: Accurate information on the natural course of giant paraesophageal hernia is scarce, challenging therapeutic decisions whether or not to operate.

Objective: We aimed to investigate the long-term outcomes, including hernia-related deaths and complications (e.g. Read More

View Article and Full-Text PDF
December 2020

Functional outcomes in symptomatic versus asymptomatic patients undergoing incisional hernia repair: Replacing one problem with another? A prospective cohort study in 1312 patients.

Int J Surg 2020 Oct 18;82:76-84. Epub 2020 Aug 18.

Unité de Chirurgie Viscérale et Digestive, Hôpital Prive D'Antony, France.

Background: Incisional hernias can be associated with pain or discomfort. Surgical repair especially mesh reinforcement, may likewise induce pain. The primary objective was to assess the incidence of pain after hernia repair in patients with and without pre-operative pain or discomfort. Read More

View Article and Full-Text PDF
October 2020

The Risk of Incarceration During Nonoperative Management of Incisional Hernias: A Population-based Analysis of 30,998 Patients.

Ann Surg 2020 Jul 8. Epub 2020 Jul 8.

Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Objective: The aim of the study was to quantify the risk of incarceration of incisional hernias.

Background: Operative repair is the definitive treatment for incisional ventral hernias but is often deferred if the perceived risk of elective operation is elevated secondary to comorbid conditions. The risk of incarceration during nonoperative management (NOM) factors into shared decision making by patient and surgeon; however, the incidence of acute incarceration remains largely unknown. Read More

View Article and Full-Text PDF

Laparoscopic sleeve gastrectomy in patients with complex abdominal wall hernias.

Surg Endosc 2020 Jul 28. Epub 2020 Jul 28.

Department of Surgery, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA.

Background: Patients with severe obesity and complex abdominal wall hernias (CAWH) present a challenging clinical dilemma. Their body mass index (BMI) is often prohibitive of successful ventral hernia repair (VHR) and the CAWH presents technical challenges when pursuing bariatric surgery. Our hernia center policy is to refer patients with severe obesity for evaluation with the surgical weight loss program. Read More

View Article and Full-Text PDF

Is there an advantage to laparoscopy over open repair of primary umbilical hernias in obese patients? An analysis of the Americas Hernia Society Quality Collaborative (AHSQC).

Hernia 2020 May 23. Epub 2020 May 23.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.

Purpose: The most common techniques used to repair umbilical hernias are open and laparoscopic. As the obesity epidemic in the United States is growing, it is essential to understand how this morbidity affects umbilical hernia repairs. This study compares laparoscopic versus open umbilical hernia repairs in obese patients. Read More

View Article and Full-Text PDF

Intraperitoneal versus retromuscular mesh placement for open incisional hernias: an analysis of the Americas Hernia Society Quality Collaborative.

Br J Surg 2020 08 31;107(9):1123-1129. Epub 2020 Mar 31.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Background: Incisional hernia repair with mesh improves long-term outcomes, but the ideal mesh position remains unclear. This study compared intraperitoneal versus retromuscular or preperitoneal sublay (RPS) mesh positions for open incisional hernia repairs.

Methods: All patients who had elective open incisional hernia repairs were identified retrospectively in the Americas Hernia Society Quality Collaborative database. Read More

View Article and Full-Text PDF

Abdominal core quality of life after ventral hernia repair: a comparison of open versus robotic-assisted retromuscular techniques.

Surg Endosc 2021 Jan 28;35(1):241-248. Epub 2020 Jan 28.

Wexner Medical Center Department of General and Gastrointestinal Surgery, The Ohio State University, Columbus, USA.

Background: Robotic-assisted retromuscular repairs reduce length of stay compared to open surgery. However, no study has evaluated the long-term impact on abdominal core quality of life.

Methods: Retrospective cohort study performed using prospectively collected data from the Americas Hernia Society Quality Collaborative (AHSQC) including adults who underwent open or robotic-assisted retromuscular, incisional hernia repair between 2013 and 2019. Read More

View Article and Full-Text PDF
January 2021

Lung Hernia Related with a Rope Bullfight: Case Report.

Rev Port Cir Cardiotorac Vasc 2019 Jul-Sep;26(3):219-222

Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal.

Lung herniation is an uncommon entity which was fully classified in 1845 after the study of several case reports. Acquired lung hernia, especially traumatic, is the most common etiology. In the absence of clear guidelines, management of lung hernia is made in a case-by-case basis. Read More

View Article and Full-Text PDF
December 2019

Are online surgical discussion boards a safe and useful venue for surgeons to ask for advice? A review of the International Hernia Collaboration Facebook Group.

Surg Endosc 2020 03 9;34(3):1285-1289. Epub 2019 Aug 9.

Department of Surgery, McGovern Medical School at University of Texas Health, 5656 Kelley Street, Houston, TX, 77026, USA.

Background: Social media is a growing medium for disseminating information among surgeons. The International Hernia Collaboration Facebook Group (IHC) is a widely utilized social media platform to share ideas and advice on managing patients with hernia-related diseases. Our objective was to assess the safety and utility of advice provided. Read More

View Article and Full-Text PDF

Large Incisional Hernias Increase in Size.

J Surg Res 2019 12 8;244:160-165. Epub 2019 Jul 8.

Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.

Background: Patients with an incisional hernia often wait a significant period of time from the first referral to hernia surgery because of waiting lists, watchful waiting, or the need for preoperative optimization. It is unknown if hernia dimensions or patient-reported symptoms increase during this period. The aim of the study was to examine if incisional hernias increase in size during the time from initial assessment to surgical repair. Read More

View Article and Full-Text PDF
December 2019

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B.

Surg Endosc 2019 11 10;33(11):3511-3549. Epub 2019 Jul 10.

Department of Hernia and Abdominal Surgery, Huashan Hospital, Fudan University, Shanghai, China.

In 2014 the International Endohernia Society (IEHS) published the first international "Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias". Guidelines reflect the currently best available evidence in diagnostics and therapy and give recommendations to help surgeons to standardize their techniques and to improve their results. However, science is a dynamic field which is continuously developing. Read More

View Article and Full-Text PDF
November 2019

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A.

Surg Endosc 2019 10 27;33(10):3069-3139. Epub 2019 Jun 27.

Department of Hernia and Abdominal Surgery, Huashan Hospital, Fudan University, Shanghai, China.

In 2014, the International Endohernia Society (IEHS) published the first international "Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias." Guidelines reflect the currently best available evidence in diagnostics and therapy and give recommendations to help surgeons to standardize their techniques and to improve their results. However, science is a dynamic field which is continuously developing. Read More

View Article and Full-Text PDF
October 2019

Laparoscopic bilateral groin hernia repair with one large self-fixating mesh: prospective observational study with patient-reported outcome of urological symptoms and EuraHS-QoL scores.

Surg Endosc 2020 02 28;34(2):920-929. Epub 2019 May 28.

Department of Surgery, Maria Middelares, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium.

Background: Laparoscopic bilateral inguinal hernia repair may be completed with one large self-fixating mesh crossing the midline. No studies have investigated in detail whether preperitoneal mesh placement induces temporary or more lasting urinary symptoms.

Methods: Urinary and hernia-related symptoms were evaluated preoperatively and postoperatively at 1, 3 and 12 months using the ICIQ-MLUTS questionnaire and EuraHS-QoL score in patients undergoing bilateral inguinal hernia repair. Read More

View Article and Full-Text PDF
February 2020

Etiology, management, and survival of acute mechanical bowel obstruction: Five-year results of a training and research hospital in Turkey.

Ulus Travma Acil Cerrahi Derg 2019 May;25(3):268-280

Department of General Surgery, Okmeydanı Training and Research Hospital, İstanbul-Turkey.

Background: Acute mechanical bowel obstruction (AMBO) is still a major surgical problem for emergency departments. The aim of this study was to evaluate AMBO in terms of etiology, management, and survival.

Methods: Data of the age, sex, etiology, management, and survival of patients who were hospitalized for bowel obstruction between January 2014 and December 2018 were evaluated retrospectively. Read More

View Article and Full-Text PDF

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation.

Cochrane Database Syst Rev 2019 04 24;4:CD009487. Epub 2019 Apr 24.

Department of Surgery, University Medical Centre Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, Mannheim, Baden-Württemberg, Germany, 68167.

Background: A parastomal hernia is defined as an incisional hernia related to a stoma, and belongs to the most common stoma-related complications. Many factors, which are considered to influence the incidence of parastomal herniation, have been investigated. However, it remains unclear whether the enterostomy should be placed through, or lateral to the rectus abdominis muscle, in order to prevent parastomal herniation and other important stoma complications. Read More

View Article and Full-Text PDF

Health-Related Quality of Life After Ventral Hernia Repair With Biologic and Synthetic Mesh.

Ann Plast Surg 2019 05;82(5S Suppl 4):S332-S338

Background: Quality of life (QOL) is an important outcome measure after ventral hernia repair (VHR). The Hernia-Related QOL Survey (HerQLes) is a specific survey tool for QOL after VHR. Studies comparing QOL in patients with biologic mesh repairs (BMRs) and synthetic mesh repairs (SMRs) are lacking. Read More

View Article and Full-Text PDF

The Use of Standardized Measures to Predict and Assess Quality of Life after Laparoscopic Hiatal Hernia Repair.

Am Surg 2018 Jun;84(6):789-795

The literature regarding laparoscopic hiatal hernia repair is difficult to interpret because of inconsistencies in describing hernia characteristics and outcome measures. This study was performed to evaluate risk factors for an unsatisfactory outcome after repair using objective definitions of hernia size and a clinically relevant outcome instrument. A retrospective review of a prospectively maintained database was conducted over a seven-year period. Read More

View Article and Full-Text PDF

Left atrial compression and right ventricular outflow tract diameter on echocardiography are independently associated with exercise capacity in patients with large hiatal hernia.

Echocardiography 2018 05;35(5):592-602

Department of Cardiology, Concord Hospital, The University of Sydney, Sydney, NSW, Australia.

Introduction: Large hiatal hernia (HH) is often associated with left atrial (LA) compression, anteroposterior cardiac compression (manifesting as reduced right ventricular outflow tract (RVOT) diameter), and left ventricular (LV) compression (manifesting as systolic paradoxical outward motion (LV-PM) of the posterobasal LV segment). Exercise impairment, also common in this population, improves following HH surgery. We aimed to identify echocardiographic parameters independently associated with exercise impairment due to HH-mediated cardiogenic compression. Read More

View Article and Full-Text PDF

Methodical endoscopic repair of congenital indirect inguinoscrotal hernia in adult male patients with completely patent processus vaginalis.

Authors:
C R Berney

Hernia 2017 10 11;21(5):737-743. Epub 2017 Jul 11.

Bankstown-Lidcombe Hospital, University of New South Wales, Bankstown, NSW, 2200, Australia.

Purpose: Indirect inguinal hernia related to the presence of a patent processus vaginalis (PPV) in adult is estimated to be around 15%. Most surgeons would favor a standard anterior hernioplasty to minimize the potential risk of damaging the spermatic cord structures that are always intimately fused to the congenital peritoneal sac. This also means overlooking the potential benefit of alternative posterior techniques such as endoscopic totally extraperitoneal (TEP) repair that is known to offer faster recovery with reduced risk of developing chronic groin pain. Read More

View Article and Full-Text PDF
October 2017

A modified Chevrel technique for ventral hernia repair: long-term results of a single centre cohort.

Hernia 2017 08 13;21(4):591-600. Epub 2017 Apr 13.

Department of Surgery, Máxima Medical Centre, Eindhoven, The Netherlands.

Purpose: To evaluate the short- and long-term results after a modified Chevrel technique for midline incisional hernia repair, regarding surgical technique, hospital stay, wound complications, recurrence rate, and postoperative quality of life. These results will be compared to the literature derived reference values regarding the original and modified Chevrel techniques.

Methods: In this large retrospective, single surgeon, single centre cohort all modified Chevrel hernia repairs between 2000 and 2012 were identified. Read More

View Article and Full-Text PDF