IF 2.6 2区医学

Hernia Pub Date : 2025-02-07 DOI: 10.1007/s10029-025-03284-0

Olivier Detry

引用次数: 0

A comparative study between ETEP vs. IPOM repair for ventral hernia. ETEP与IPOM修复腹疝的比较研究。

IF 2.6 2区医学

Hernia Pub Date : 2025-02-07 DOI: 10.1007/s10029-025-03280-4

Puthiya Purayil Binthaf, Gupta Parag

{"title":"A comparative study between ETEP vs. IPOM repair for ventral hernia.","authors":"Puthiya Purayil Binthaf, Gupta Parag","doi":"10.1007/s10029-025-03280-4","DOIUrl":"10.1007/s10029-025-03280-4","url":null,"abstract":"Background: Enhanced View Totally Extraperitoneal (eTEP) and Intraperitoneal Onlay Mesh (IPOM) are two widely performed laparoscopic approaches for ventral hernia repair. This randomized prospective study aimed to compare these two techniques in terms of various clinical outcomes.Materials and methods: A total of 60 patients presenting with ventral hernias at our hospital between June 2022 and December 2023 were included in the study. All patients were fit for general anesthesia and were randomized into two groups, with 30 patients undergoing eTEP and 30 patients undergoing IPOM.Results: There were no significant differences in baseline characteristics such as age, sex, or comorbidities between the two groups. The operative time for eTEP was significantly longer, with a mean duration of 211 min compared to 177.5 min for IPOM (p < 0.001). Postoperative pain and analgesic requirements were significantly lower in the eTEP group. Two patients in the eTEP group required conversion to IPOM. No intraoperative complications occurred in either group. Two patients developed seromas on the seventh postoperative day, both of which were managed conservatively. The mean hospital stay was shorter for eTEP (3.43 days) compared to IPOM (6.16 days, p < 0.001). Patients undergoing eTEP had an earlier return to work and reported better abdominal wall quality of life. No recurrences were observed in either group during the six-month follow-up period.Conclusion: eTEP repair for ventral hernias offers several advantages over the commonly performed IPOM technique, including reduced postoperative pain, shorter hospital stay, and faster recovery. However, the choice of procedure should be guided by the surgeon's expertise and confidence in performing either technique.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"88"},"PeriodicalIF":2.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364391","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

A novel laparoscopic technique for closing the defect of direct inguinal hernia: How-I-Do-It. 腹腔镜下缝合腹股沟直疝缺损的新技术：我是怎么做的。

IF 2.6 2区医学

Hernia Pub Date : 2025-02-07 DOI: 10.1007/s10029-025-03277-z

Ruslan Barzak, Alexey Yuri, Ivan Semenenko, Dmitry Tischenko

{"title":"A novel laparoscopic technique for closing the defect of direct inguinal hernia: How-I-Do-It.","authors":"Ruslan Barzak, Alexey Yuri, Ivan Semenenko, Dmitry Tischenko","doi":"10.1007/s10029-025-03277-z","DOIUrl":"https://doi.org/10.1007/s10029-025-03277-z","url":null,"abstract":"Purpose: To develop a surgical endoscopy technique for closing the defect of direct inguinal hernia and evaluate the efficacy and safety of a novel suture in the early postoperative period.Methods: A prospective randomized controlled single-center study was conducted at Yudin State Clinical Hospital (Moscow) from February to August 2024. We enrolled 142 male patients over 18 with newly diagnosed direct inguinal hernias and a hernia orifice being 1.5-3 cm, who were treated with extended Totally Extraperitoneal Plasty (eTEP) repair. The patients were randomly assigned to two equal groups: a comparison group that underwent hernia defect closure and a control group that did not receive intracorporeal sutures.Results: On postoperative day 1, ultrasound revealed seromas in 6 patients (11.7%) in the comparison group and in 22 patients (43.1%) in the control group (95% confidence interval [CI] 0.14-0.5, p = 0.05). Mean operation times were 47.25 ± 8.68 for the comparison and 43.63 ± 8.31 min for the control group. Pain intensity on day 2, assessed with a visual analog scale (VAS), was 2.57 ± 1.09 in the comparison group and 2.9 ± 1.29 in the control group, indicating mild to moderate pain. No adverse events occurred in either group 30 days postoperatively.Conclusion: This study presents a novel surgical endoscopy technique for closing direct medial inguinal hernia defects and provides anatomical feasibility. The advantages of the technique include preventing seromas and severe postoperative pain. Further randomized studies are warranted to assess long-term results of this technique and establish clinical indications for its use in surgical practice.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"86"},"PeriodicalIF":2.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364403","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

Laparoscopic repair of parahiatal hernia: surgical techniques and literature reviews. 腹腔镜下疝修补术：手术技术及文献回顾。

IF 2.6 2区医学

Hernia Pub Date : 2025-02-06 DOI: 10.1007/s10029-024-03244-0

Haifeng Han, Mingjian Zhao, Shuo Yang, Xuefeng Liu, Chengxu Miao, Xingyu Wu, Jinghui Lu

{"title":"Laparoscopic repair of parahiatal hernia: surgical techniques and literature reviews.","authors":"Haifeng Han, Mingjian Zhao, Shuo Yang, Xuefeng Liu, Chengxu Miao, Xingyu Wu, Jinghui Lu","doi":"10.1007/s10029-024-03244-0","DOIUrl":"https://doi.org/10.1007/s10029-024-03244-0","url":null,"abstract":"Purpose: Parahiatal hernia (PHH) is a rare type of diaphragmatic hernia that protrudes through a defect adjacent to, but distinct from, the esophageal hiatus. Current literature on PHH is extremely limited. In this study, we present our experience with laparoscopic repair of PHH and provide a comprehensive review of existing literature.Methods: We retrospectively reviewed clinical data from eight patients diagnosed with PHH at Qilu Hospital, Shandong University, between October 2021 and March 2024. Collected data included patient demographics, hernia characteristics, and perioperative details. The primary outcomes assessed were the safety and feasibility of the procedure, along with postoperative complications such as pleural effusion, hemorrhage, fistula, and mesh infection.Results: Laparoscopic surgery was successfully performed in all patients. Two patients underwent simultaneous sleeve gastrectomy. Concurrent hiatal hernia was diagnosed in two patients, while seven patients required esophageal hiatus repair due to an enlarged hiatus following PHH repair. The mean hernia ring width was 3.69 ± 1.22 cm. Mesh reinforcement was employed in six patients. The mean operative time was 205.63 ± 62.36 min, and the mean hospital stay was 7.75 ± 1.49 days. With a median follow-up of 11.5 (interquartile range: 7.75-29.5) months, no major complications, recurrences, or mortality were reported.Conclusion: Laparoscopic repair of PHH is a safe and effective procedure. Nonetheless, the techniques for defect closure, hiatus repair, mesh placement, and fundoplication should be customized based on the individual patient's characteristics.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"85"},"PeriodicalIF":2.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255631","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

Prophylactic funnel mesh for preventing parastomal hernia in patients with permanent end stoma: a systematic review and meta-analysis. 预防性漏斗网片用于预防永久性造口患者的腹股沟旁疝：系统回顾和荟萃分析。

IF 2.6 2区医学

Hernia Pub Date : 2025-02-04 DOI: 10.1007/s10029-025-03262-6

Bernardo Fontel Pompeu, Lucas Soares de Souza Pinto Guedes, Bruna Maffei Bossi, Lucas Monteiro Delgado, Camila Sigaud Frizzo, Isabelle Rocha Gauch, Fernanda Bellotti Formiga, Sergio Mazzola Poli de Figueiredo

{"title":"Prophylactic funnel mesh for preventing parastomal hernia in patients with permanent end stoma: a systematic review and meta-analysis.","authors":"Bernardo Fontel Pompeu, Lucas Soares de Souza Pinto Guedes, Bruna Maffei Bossi, Lucas Monteiro Delgado, Camila Sigaud Frizzo, Isabelle Rocha Gauch, Fernanda Bellotti Formiga, Sergio Mazzola Poli de Figueiredo","doi":"10.1007/s10029-025-03262-6","DOIUrl":"https://doi.org/10.1007/s10029-025-03262-6","url":null,"abstract":"Purpose: The high incidence of parastomal hernia (PSH) has led surgeons to study strategies to minimize PSH, including prophylactic mesh placement during permanent stoma creation. There are several studies on prophylactic mesh for preventing PSH with conflicting results and there is limited information on using 3D funnel meshes and their effectiveness in preventing PSH.Methods: A search was performed on PubMed, Scopus, Cochrane Central Register of Clinical Trials, and Web of Science for studies published up to September 2024. Odds ratios (ORs) and mean differences (MD) with 95% confidence intervals (CIs) were pooled using a random-effects model. Heterogeneity was assessed with I² statistics. Statistical analysis was performed using R Software version 4.4.1 (R Foundation for Statistical Computing).Results: One randomized controlled trial and six observational studies were included, totaling 585 patients who underwent colorectal surgeries requiring a permanent stoma. Of these, 278 patients (47.5%) received prophylactic funnel meshes, and 307 (52.5%) underwent conventional stoma procedures. Compared to conventional procedures without mesh, the funnel mesh group showed significantly lower rates of PSH (9% vs. 54%; OR 0.07, 95% CI 0.03-0.17, p < 0.001). However, no significant differences were observed in time to PSH development, stoma prolapse, Clavien-Dindo grade 3b complications, stricture, ileus, leak, wound infection, small bowel obstruction, 30-day mortality, operative time, or hospital stay.Conclusion: In patients undergoing colorectal surgery with a permanent end stoma, prophylactic funnel mesh was associated with lower rates of PSH, but findings remain exploratory and limited by current evidence.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"84"},"PeriodicalIF":2.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189236","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

Preoperative progressive pneumoperitoneum: insights on implementation in an ambulatory care setting. How I do it? 术前渐进式气腹：在门诊护理环境中实施的见解。我是怎么做的？

IF 2.6 2区医学

Hernia Pub Date : 2025-02-03 DOI: 10.1007/s10029-024-03253-z

Alix Donadieu, Fahad Alhammadi, Alicia Mettoudi, Annie Garois, Reza Kianmanesh, Ahmad Tashkandi, Yohann Renard

{"title":"Preoperative progressive pneumoperitoneum: insights on implementation in an ambulatory care setting. How I do it?","authors":"Alix Donadieu, Fahad Alhammadi, Alicia Mettoudi, Annie Garois, Reza Kianmanesh, Ahmad Tashkandi, Yohann Renard","doi":"10.1007/s10029-024-03253-z","DOIUrl":"https://doi.org/10.1007/s10029-024-03253-z","url":null,"abstract":"Introduction: Incisional hernias with loss of domain (IHLD) are challenging to treat. Preoperative techniques like botulinum toxin injection (BTA) and preoperative progressive pneumoperitoneum (PPP) are highly effective, potentially preventing the need for perioperative component separation in the vast majority of cases. PPP involves preoperative introduction of gas into the abdominal cavity to increase the abdominal wall volume, aiding diaphragmatic prehabilitation and hernia reintegration. This study aimed at explaining our technique in performing PPP in ambulatory setting.Description of the technique: The first insufflation and BTA injection occur during a 3-day hospitalization. Subsequently, patients are managed on an ambulatory basis with three sessions per week for at least three weeks. Each hospital visit lasts about 1 to 2 h. Patients can remain at home or in a residential center of our hospital. No preventive anticoagulation nor prophylactic antibiotics are needed.Discussion: Performing PPP in outpatient care does not compromise its efficacy. Instead, it allows for longer preparation, potentially improving efficacy. Patients maintain daily activities, possibly yielding better results than traditional physiotherapy. It reduces hospital stay costs and nosocomial infection risks. Each ambulatory hospitalization offers better patient attention.Conclusions: PPP is a valuable preoperative technique for IHLD repair, particularly in combination with botulinum toxin, offering potential benefits for selected patients. Performing it in outpatient care may enhance patient satisfaction and offers several advantages.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"82"},"PeriodicalIF":2.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079709","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 on: Does onlay mesh placement in emergency laparotomy prevent incisional hernia? A prospective randomized double-blind study. 评论：急诊剖腹手术中放置补片能预防切口疝吗？一项前瞻性随机双盲研究。

IF 2.6 2区医学

Hernia Pub Date : 2025-02-03 DOI: 10.1007/s10029-025-03272-4

Junsheng Li

引用次数: 0

Narrative review of long-standing groin pain in athletes. Retrospective analysis of over 12 000 patients. 运动员腹股沟长期疼痛的叙述性回顾。回顾性分析超过12000例患者。

IF 2.6 2区医学

Hernia Pub Date : 2025-01-27 DOI: 10.1007/s10029-024-03229-z

Osvaldo Santilli, Hernán Santilli

{"title":"Narrative review of long-standing groin pain in athletes. Retrospective analysis of over 12 000 patients.","authors":"Osvaldo Santilli, Hernán Santilli","doi":"10.1007/s10029-024-03229-z","DOIUrl":"https://doi.org/10.1007/s10029-024-03229-z","url":null,"abstract":"Purpose: This article critically examines long-standing groin pain (LSGP) in physically active adults related to sports overload by analyzing terminology, pathophysiology, and treatment.Method: This review is based on data from over 10,000 patients managed through a multidisciplinary algorithm. (LSGP) has been variably labeled, using terms that have led to inconsistencies in understanding its origin and management. Terms such as \"Pubic Inguinal Pain Syndrome,\" \"Sportsman's Groin,\" and \"Athletic Pubalgia\" have been proposed to standardize terminology and unify the classification of (LSGP). Pathophysiologically, (LSGP) is often due to tendinopathies affecting major tendons in the groin region, such as the adductors, iliopsoas, conjoint tendon, and inguinal ligament, often associated with weakness in the posterior wall of the inguinal canal. This condition frequently arises in sports involving abrupt directional changes and high-energy loads in the groin. Tendinopathies progress through reactive, reparative, or degenerative stages of tendinosis.Results: Literature supports a multidisciplinary approach involving surgeons, physiotherapists, sports medicine physicians, and orthopedists for accurate diagnosis and effective treatment. Our algorithm focuses on both anatomical and functional factors in managing (LSGP). Initial conservative therapies aim to support tendon regeneration and load correction, while surgical interventions, such as laparoscopic hernioplasty, are reserved for non-responsive cases. From 2004 to 2024, 12,144 patients completed this protocol, with only 14% requiring surgery. Long-term follow-up demonstrated a low recurrence rate of tendinopathy and an absence of severe complications.Conclusion: Standardizing terminology, understanding pathophysiology, and utilizing a multidisciplinary approach are essential for optimizing the diagnosis and management of sports-related (LSGP).","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"81"},"PeriodicalIF":2.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046665","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 learning curve for the Shouldice Repair: a pilot analysis of post-training specialized surgeons at the Shouldice Hospital. 肩部修复的学习曲线：肩部医院专业外科医生培训后的试点分析。

IF 2.6 2区医学

Hernia Pub Date : 2025-01-23 DOI: 10.1007/s10029-024-03252-0

Christoph Paasch, Richard Hunger, Peter Szasz, Ayse Yilbas, Fernando A C Spencer Netto, Rene Mantke, Marguerite Mainprize

{"title":"The learning curve for the Shouldice Repair: a pilot analysis of post-training specialized surgeons at the Shouldice Hospital.","authors":"Christoph Paasch, Richard Hunger, Peter Szasz, Ayse Yilbas, Fernando A C Spencer Netto, Rene Mantke, Marguerite Mainprize","doi":"10.1007/s10029-024-03252-0","DOIUrl":"10.1007/s10029-024-03252-0","url":null,"abstract":"Purpose: The aim of the study was to evaluate operative time and postoperative complications of 4 post-training specialized surgeons.Methods: This was a pilot retrospective chart review to determine the learning curve of a Shouldice primary inguinal hernia repair (Shouldice Repair) of 4 post-training specialized surgeons, at the Shouldice Hospital. The first 300 Shouldice Repairs (early learning block) were compared to their 900-1,000 repairs as the primary operating surgeon (late learning block). Data was collected from the hospital's database. The learning curve was examined using cumulative sum analysis (CUSUM).Results: During the early learning block cases, the surgeons had a mean operating time of 59.2 ± 11.2 min. The late learning block cases had significantly reduced operative time (53.4 ± 10.5 min, p = 0.001). According to the CUSUM analysis all four surgeons had a plateau after 78 to 88 operations in terms of operative time. A nonsignificant reduction in the rate of reported recurrences (n = 16 vs. n = 0) and surgical site occurrences (haematoma, seroma, infection; n = 27 vs. n = 2) was found between the early and late learning block cases.Conclusion: The operating time plateaued after 78-88 Shouldice Repairs for the 4 surgeons trained and working at the Shouldice Hospital. A nonsignificant trend towards fewer complications were noted among late learning block cases.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"70"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protocol for the AFTERHERNIA Project: patient-reported outcomes of groin and ventral hernia repair. 后疝项目的方案：腹股沟和腹疝修复的患者报告的结果。

IF 2.6 2区医学

Hernia Pub Date : 2025-01-23 DOI: 10.1007/s10029-025-03259-1

Anders Gram-Hanssen, Jason Joe Baker, Hugin Reistrup, Klaus Kaae Andersen, Jacob Rosenberg

{"title":"Protocol for the AFTERHERNIA Project: patient-reported outcomes of groin and ventral hernia repair.","authors":"Anders Gram-Hanssen, Jason Joe Baker, Hugin Reistrup, Klaus Kaae Andersen, Jacob Rosenberg","doi":"10.1007/s10029-025-03259-1","DOIUrl":"10.1007/s10029-025-03259-1","url":null,"abstract":"Purpose: The AFTERHERNIA Project aims to shift the focus of hernia surgery towards patient-reported outcomes by examining the impact of surgical methods and long-term complications on a national level. Groin and ventral hernia repairs are common surgical procedures with significant impact on patient quality of life and healthcare costs. Most large-scale studies focus on clinical outcomes like reoperation and readmission rates, rather than patient-reported outcomes.Methods: This nationwide survey involves Danish patients who have undergone groin or ventral hernia repair over a ten-year period. Patients will be identified in the Danish National Patient Registry, and they will receive either the Abdominal Hernia-Q or Groin Hernia-Q questionnaire to collect data on patient-reported outcomes. Data from the questionnaire will be linked with clinical and patient-related data from the Danish Hernia Database. The Danish National Patient Registry also contains information on long-term surgical complications. Thereby, it will be possible to link specific perioperative details with patient-reported outcomes and long-term surgical complications.Conclusion: The AFTERHERNIA Project aims to redefine the understanding of hernia surgery outcomes by emphasizing patient-reported outcomes on a nationwide basis. By capturing a broad spectrum of patient experiences and outcomes, the project expects to inform and possibly transform clinical guidelines and patient care practices.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"79"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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