IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1007/s10029-024-03072-2

N B Lyons, C A Mohr, H N Ciomperlik, S McGriff, B L Collie, O Akintonwa, A Jackson, O Anwoju, A Prabhu, G L Adrales, M M Loor, M K Liang, K Bernardi

引用次数: 0

Does selective intraoperative music reduce pain following abdominal wall reconstruction? A double-blind randomized controlled trial. 选择性术中音乐能减轻腹壁重建术后的疼痛吗？双盲随机对照试验

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1007/s10029-024-03092-y

Sara M Maskal, Corey K Gentle, Ryan C Ellis, Chao Tu, Michael J Rosen, Clayton C Petro, Benjamin T Miller, Lucas R A Beffa, Jenny H Chang, Nir Messer, Megan Melland-Smith, Johannes Jeekel, Ajita S Prabhu

{"title":"Does selective intraoperative music reduce pain following abdominal wall reconstruction? A double-blind randomized controlled trial.","authors":"Sara M Maskal, Corey K Gentle, Ryan C Ellis, Chao Tu, Michael J Rosen, Clayton C Petro, Benjamin T Miller, Lucas R A Beffa, Jenny H Chang, Nir Messer, Megan Melland-Smith, Johannes Jeekel, Ajita S Prabhu","doi":"10.1007/s10029-024-03092-y","DOIUrl":"10.1007/s10029-024-03092-y","url":null,"abstract":"Purpose: Although intraoperative music is purported to mitigate postoperative pain after some procedures, its application has never been explored in abdominal wall reconstruction (AWR). We sought to determine whether intraoperative music would decrease early postoperative pain following AWR.Methods: We conducted a placebo-controlled, patient-, surgeon-, and assessor-blinded, randomized controlled trial at a single center between June 2022 and July 2023 including 321 adult patients undergoing open AWR with retromuscular mesh. Patients received noise-canceling headphones and were randomized 1:1 to patient-selected music or silence after induction, stratified by preoperative chronic opioid use. All patients received multimodal pain control. The primary outcome was pain (NRS-11) at 24 ± 3 h. The primary outcome was analyzed by linear regression with pre-specified covariates (chronic opioid use, hernia width, operative time, myofascial release, anxiety disorder diagnosis, and preoperative STAI-6 score).Results: 178 patients were randomized to music, 164 of which were analyzed. 177 were randomized to silence, 157 of which were analyzed. At 24 ± 3 h postoperatively, there was no difference in the primary outcome of NRS-11 scores (5.18 ± 2.62 vs 5.27 ± 2.46, p = 0.75). After adjusting for prespecified covariates, the difference of NRS-11 scores at 24 ± 3 h between the music and silence groups remained insignificant (p = 0.83). There was no difference in NRS-11 or STAI-6 scores at 48 ± 3 and 72 ± 3 h, intraoperative sedation, or postoperative narcotic usage.Conclusion: For patients undergoing AWR, there was no benefit of intraoperative music over routine multimodal pain control for early postoperative pain reduction.Trial registration: ClinicalTrials.gov: NCT05374096.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The clinical consequences of burst abdomen after emergency midline laparotomy: a prospective, observational cohort study. 急诊中线开腹术后腹部破裂的临床后果：一项前瞻性观察队列研究。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-07-20 DOI: 10.1007/s10029-024-03104-x

Madeline Kvist, Thomas Korgaard Jensen, Christian Snitkjær, Jakob Burcharth

{"title":"The clinical consequences of burst abdomen after emergency midline laparotomy: a prospective, observational cohort study.","authors":"Madeline Kvist, Thomas Korgaard Jensen, Christian Snitkjær, Jakob Burcharth","doi":"10.1007/s10029-024-03104-x","DOIUrl":"10.1007/s10029-024-03104-x","url":null,"abstract":"Purpose: The emergency midline laparotomy is a commonly performed procedure with a burst abdomen being a critical surgical complication requiring further emergency surgery. This study aimed to investigate the clinical outcomes of patients with burst abdomen after emergency midline laparotomy.Methods: A single-center, prospective, observational cohort study of patients undergoing emergency midline laparotomy during a two-year period was done. Abdominal wall closure followed a standardized technique using monofilament, slowly absorbable suture in a continuous suturing technique with a suture-to-wound ratio of at least 4:1. Treatment of burst abdomen was surgical. Data, including intra-hospital postoperative complications, were collected and registered chronologically based on journal entries. The primary outcome was to describe postoperative complications, length of stay, and the overall morbidity based on the Comprehensive Complication Index (CCI), stratified between patients who did and did not suffer from a burst abdomen during admission.Results: A total of 543 patients were included in the final cohort, including 24 patients with burst abdomen during admission. The incidence of burst abdomen after emergency midline laparotomy was 4.4%. Patients with a burst abdomen had a higher total amount of complications per patient (median of 3, IQR 1.3-5.8 vs. median of 1, IQR 0.0-3.0; p = 0.001) and a significantly higher CCI (median of 53.0, IQR 40.3-94.8 vs. median of 21.0, IQR 0.0-42.0; p = < 0.001).Conclusion: Patients with burst abdomen had an increased risk of postoperative complications during admission as well as a longer and more complicated admission with multiple non-surgical complications.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment to: The combination of the three modifications of the component separation technique in the management of complex subcostal abdominal wall hernia. 评论：在治疗复杂的肋下腹壁疝时，将三种组件分离技术相结合。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-02-07 DOI: 10.1007/s10029-023-02937-2

J Li, Z Ji

引用次数: 0

Comment to: Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? 发表评论：腹腔 TAPP 能否在微创腹股沟疝修补术中取得良好疗效？

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-02-03 DOI: 10.1007/s10029-024-02973-6

J Li, Z Ji

引用次数: 0

Successful non-operative mesh salvage using a multi-modal treatment strategy for infected composite mesh. 采用多模式治疗策略成功挽救感染的复合网片。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-03-31 DOI: 10.1007/s10029-024-03017-9

Amy Aimei Jiang, Joel Lau, Wei Keat Cheah, Man Hon Tang

引用次数: 0

Lateral incisional hernia. EVEREG registry analysis. 侧切口疝。EVEREG 登记分析。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI: 10.1007/s10029-024-03073-1

P Martínez-López, V Rodrigues-Gonçalves, M Verdaguer-Tremolosa, J A Pereira, P Hernández-Granados, M López-Cano

{"title":"Lateral incisional hernia. EVEREG registry analysis.","authors":"P Martínez-López, V Rodrigues-Gonçalves, M Verdaguer-Tremolosa, J A Pereira, P Hernández-Granados, M López-Cano","doi":"10.1007/s10029-024-03073-1","DOIUrl":"10.1007/s10029-024-03073-1","url":null,"abstract":"Background: The aim of this study is to analyze the data collected on lateral incisional hernias (LIH) in the National Incisional Hernia Registry (EVEREG) and assess current practices and outcomes in LIH repair.Methods: A retrospective cohort study was conducted using LIH data recorded over 10 years (2012-2022). Comorbidities, hernia characteristics, short-term complications, and recurrences were studied, along with their association with the type of approach used, either open or laparoscopic, in elective surgery.Results: 1742 LIH cases were studied. According to the EHS classification, these included L1 409 (23.5%), L2 388 (22.3%), L3 565 (32.4%), L4 150 (8.6%) and combined 230 (13.2%). An open approach was performed in 1528 (87.7%) cases and laparoscopic in 214 (12.3%). The median age was 66 ± 12.45 years, with a majority of males, 934 (53.6%). The median body mass index was 29 ± 5.18 kg/m2. The most observed comorbidity was arterial hypertension (957 patients, 55%). A specialist was present in 638 interventions (56%). The 24-month follow-up was 17.9%, and recurrence in those cases was 27.2%, with a higher incidence when there was no specialist present during the intervention, onlay mesh position, and larger defect size.Conclusions: Surgery for LIH is common, although laparoscopic approach remains infrequent. Furthermore, it is associated with a high percentage of recurrences that increases when there is no specialist in abdominal wall surgery present.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term outcomes of preventing parastomal hernia using the modified stapled mesh stoma reinforcement technique (SMART) in rectal cancer surgery: letter to the editor. 在直肠癌手术中使用改良缝合网造口加固技术（SMART）预防吻合口旁疝的长期效果：致编辑的信。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-06-14 DOI: 10.1007/s10029-024-03082-0

Aras Emre Canda, Tayfun Bisgin, Cigdem Arslan, Canan Altay, Cem Terzi

引用次数: 0

Comment to: Biosynthetic meshes in contaminated fields: where are we now? A systematic review and meta-analysis in humans. 发表评论：污染田中的生物合成网格：我们现在在哪里？对人类的系统回顾和荟萃分析。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1007/s10029-024-03096-8

Giuffrida Mario, Perrone Gennaro, Bonati Elena, Petracca Gabriele Luciano, Catena Fausto

引用次数: 0

The impact of smoking on inguinal hernia repair outcomes: a meta-analysis of multivariable-adjusted studies. Author's reply. 吸烟对腹股沟疝修补术结果的影响：多变量调整研究的荟萃分析。作者回复。

IF 2.6 2区医学

Hernia Pub Date : 2024-10-01 DOI: 10.1007/s10029-024-03112-x

Patricia Marcolin, Bruna Oliveira Trindade, Sarah Bueno Motter, Gabriela R Brandão, Nir Messer, Sérgio Mazzola Poli de Figueiredo

引用次数: 0

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