IF 2.4 2区医学

Hernia Pub Date : 2025-08-04 DOI: 10.1007/s10029-025-03447-z

Gang Wang, Zhichun Liu

引用次数: 0

Comparison of totally extraperitoneal versus Lichtenstein operation under local or general anesthesia for inguinal hernia: a meta-analysis. 腹股沟疝局麻或全麻下完全腹膜外手术与Lichtenstein手术的比较：一项荟萃分析。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-04 DOI: 10.1007/s10029-025-03424-6

Haorui Zha, Han Yan, Yingnan Hu, Ruihan Li, Yicheng Wang, Junwen Hu, Dian Yu, Weihan Zhu, Xianghou Zheng, Jingyi Tang, Wei Zhang

{"title":"Comparison of totally extraperitoneal versus Lichtenstein operation under local or general anesthesia for inguinal hernia: a meta-analysis.","authors":"Haorui Zha, Han Yan, Yingnan Hu, Ruihan Li, Yicheng Wang, Junwen Hu, Dian Yu, Weihan Zhu, Xianghou Zheng, Jingyi Tang, Wei Zhang","doi":"10.1007/s10029-025-03424-6","DOIUrl":"10.1007/s10029-025-03424-6","url":null,"abstract":"Purpose: This meta-analysis compared totally extraperitoneal (TEP) laparoscopic repair with open Lichtenstein repair performed under local or general anaesthesia for unilateral inguinal hernia, asking whether the surgical or anaesthetic approach affects postoperative safety, pain and functional recovery.Methods: PubMed, Embase, Cochrane and Web of Science were searched to 1 April 2025. Eighteen randomized and observational studies comprising 4302 patients met predefined inclusion criteria. Pooled risk ratios (RR) or mean differences (MD) with 95% confidence intervals (CI) were calculated using fixed or randomeffects models; heterogeneity, sensitivity analyses and publication bias were assessed..Results: No significant recurrence difference between TEP and Lichtenstein (RR = 0.85, 95% CI [0.51, 1.40]). TEP significantly reduced early-Stage Pain (RR = 0.62, 95% CI [0.49, 0.79]), wound infection (RR = 0.54, 95% CI [0.32, 0.91]) and accelerated return to normal activities (MD = -4.44, 95% CI [-6.06, -2.85]). Hematoma, seroma and hospital stay were similar. TEP had longer operative time (MD = 8.22 min, 95%CI[1.00,15.44]), but this gap disappeared in post-2013 studies. Subgroup analysis found that the lower infection risk of TEP was only significant when compared with Lichtenstein repair under local anesthesia (RR = 0.28, 95% CI [0.08, 0.96]).Sensitivity analysis confirmed the robustness of the results, and no publication bias was detected.Conclusion: TEP and Lichtenstein repair are comparably safe and effective for inguinal hernia repair. TEP may reduce postoperative pain and wound infections, whereas Lichtenstein repair with local anesthesia is suitable for high-risk cardiopulmonary patients. Surgical choice depends on patient, anesthesia, and expertise.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"246"},"PeriodicalIF":2.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784217","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

Retraction Note: Comment to: The modified frailty index predicts postoperative morbidity in elective hernia repair patients. 备注：评论至：修正后的衰弱指数预测择期疝修补患者术后发病率。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03441-5

G Wang, N Zhuo, Z Liu

引用次数: 0

Retraction Note: Comment to: effect of surgeon-patient sex discordance on ventral hernia repair outcomes. 注：评论：手术-患者性别不一致对腹疝修复结果的影响。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03443-3

Gang Wang, Zhichun Liu

引用次数: 0

Retraction Note: Comment to: is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? 注：评论：外科医生每年的病例量是否与腹疝修补术后的并发症有关？

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03448-y

Gang Wang, Zhichun Liu

引用次数: 0

Retraction Note: Comment to "Identifying postoperative complications after inguinal hernia repair with a smartphone application". 备注：对“用智能手机应用程序识别腹股沟疝修补术后并发症”的评论。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03444-2

Gang Wang, Liu Zhichun

引用次数: 0

Retraction Note: Comment to: Association of active smoking on 30-day wound events and additional morbidity and mortality following inguinal hernia repair with mesh. 注：评论：主动吸烟与腹股沟疝补片修补术后30天伤口事件和额外发病率和死亡率的关系。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03442-4

Gang Wang, Ning Zhuo, Zhichun Liu

引用次数: 0

Retraction Note: Comment to: Impact on quality of life following inguinal hernia repair under local anaesthetic in a primary care setting. 备注：评论：在初级保健环境下局部麻醉对腹股沟疝修补术后生活质量的影响。

IF 2.4 2区医学

Hernia Pub Date : 2025-08-01 DOI: 10.1007/s10029-025-03446-0

Gang Wang, Zhichun Liu

引用次数: 0

Abandoning mesh "overlap" in favor of "width" and its importance in open retromuscular midline incisional hernia repair: a nationwide database study. 放弃补片“重叠”而选择“宽度”及其在开放式肌后中线切口疝修补中的重要性：一项全国性数据库研究。

IF 2.4 2区医学

Hernia Pub Date : 2025-07-29 DOI: 10.1007/s10029-025-03423-7

Mads Marckmann, Nadia A Henriksen, Kristian S Kiim

{"title":"Abandoning mesh \"overlap\" in favor of \"width\" and its importance in open retromuscular midline incisional hernia repair: a nationwide database study.","authors":"Mads Marckmann, Nadia A Henriksen, Kristian S Kiim","doi":"10.1007/s10029-025-03423-7","DOIUrl":"10.1007/s10029-025-03423-7","url":null,"abstract":"Purpose: Recurrence after open incisional hernia repair remains an issue. Where the mesh preferably is placed in a retrorectus position, it is undetermined what the optimal mesh overlap is. This study aimed to assess the effect of mesh width on long-term recurrence after open incisional hernia repair.Method: The Danish Ventral Hernia Database was merged with The Danish National Patients Registry allowing a 100% follow-up. From 2011 to 2023 we included patients who underwent elective incisional hernia repair with vertical incision, retromuscular mesh placement, and linea alba reconstruction. Mesh and hernia size and repair type were registered. Kaplan-Meier plots showed cumulative incidences of operation for hernia recurrence over a 5-year period. Possible confounders were included in Cox proportional hazard and logistic regression analyses.Results: We included 1,539 patients. Mean (sd) age was 61.2 (12.4) years, 46.2% were females. Mean horizontal defect size was 8.4 (4.2) cm. Seventy-two (4.7%) patients underwent reoperation within 90 days and 112 (7.3%) developed recurrence (median follow-up 3.8 (IQR 1.8-6.1) years). Mesh width of 10-15 cm was associated with significantly decreased risk of operation for recurrence compared to both smaller and larger sizes (HR 0.38, CI 0.16-0.90, P = 0.029). Interestingly, fascial defect width was not associated with recurrence risk when adjusting for mesh width.Conclusion: A 10-15 cm mesh width is associated with lower risk of recurrence for patients undergoing elective open midline retromuscular incisional hernia repair: this \"golden mean\" should be of aim rather than \"too little\" or \"as much as possible\".","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"237"},"PeriodicalIF":2.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12307556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730109","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

Clinical and perioperative outcomes of abdominal wall reconstruction and panniculectomy in a single surgical procedure: experience from a high-complexity center in bogotá, Colombia. 单次手术腹壁重建和胰管切除术的临床和围手术期结果：来自哥伦比亚波哥大<e:1>一家高复杂性中心的经验。

IF 2.6 2区医学

Hernia Pub Date : 2025-07-21 DOI: 10.1007/s10029-025-03415-7

Carolina Riscanevo Bobadilla, Alejandro Lora Aguirre, Juan Pablo Ruiz, Neil Valentín Vega, Arnold José Barrios, Ana María Sastre, German Paez, David Duque, Camilo Mejia, Camilo Herrera, Luis Arturo Molina, María Del Pilar Montilla

引用次数: 0

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