IF 2.6 2区医学

Hernia Pub Date : 2024-12-30 DOI: 10.1007/s10029-024-03236-0

Rui Cao, Xiangyu Shao, Junsheng Li

{"title":"Effect of sac transection versus sac reduction on seroma in laparoscopic indirect hernia repair: a systematic review and meta-analysis.","authors":"Rui Cao, Xiangyu Shao, Junsheng Li","doi":"10.1007/s10029-024-03236-0","DOIUrl":"https://doi.org/10.1007/s10029-024-03236-0","url":null,"abstract":"Background: Seroma formation is a prevalent postoperative complication following laparoscopic inguinal hernia repair. While seromas are mostly self-absorbed, they can cause discomfort for the patient and complicate the assessment of hernia recurrence. Two primary techniques for managing the hernia sac are sac transection and complete sac reduction. This article aims to evaluate whether sac transection leads to a higher incidence of seroma compared to sac reduction and to review the main preventive strategies for seroma.Methods: Four databases (PubMed, MEDLINE, Embase and Cochrane Library) and ClinicalTrials.gov were comprehensively searched for relevant studies. The date of the last search was 25 March 2024. The results reported should include reliable information on seroma incidence, mean operation time, hospital stay and postoperative complications.Results: The present study included 6 studies compared the results of indirect hernia sac transection and complete sac reduction. The pooled results indicated that indirect hernia sac transection was associated increased seroma formation (OR = 1.74, 95% CI: 1.35-2.24%), and there was no statistical difference in mean operation time, hospital stay and recurrence between the sac transection (TS) and sac reduction (RS) groups. Postoperative pain was evaluated in 4 studies. There was no statistical difference between the two groups in postoperative pain reported in each of the four articles.Conclusions: The study revealed that transection of the indirect hernia sac is associated with a higher incidence of seroma, but does not increase the occurrence of other complications.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"60"},"PeriodicalIF":2.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909444","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

Initial and recurrent management of parastomal hernia after cystectomy and ileal conduit urinary diversion: a 10 year single-center experience. 膀胱切除术和回肠尿管改道后造口旁疝的初始和复发处理：10年的单中心经验。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-30 DOI: 10.1007/s10029-024-03207-5

Edouard Roussel, Hugo Dupuis, Julien Grosjean, Jean-Nicolas Cornu, Haitham Khalil

{"title":"Initial and recurrent management of parastomal hernia after cystectomy and ileal conduit urinary diversion: a 10 year single-center experience.","authors":"Edouard Roussel, Hugo Dupuis, Julien Grosjean, Jean-Nicolas Cornu, Haitham Khalil","doi":"10.1007/s10029-024-03207-5","DOIUrl":"https://doi.org/10.1007/s10029-024-03207-5","url":null,"abstract":"Purpose: The management of parastomal hernia following cystectomy and ileal conduit diversion is challenging due to its specific nature and a high recurrence rate, yet is poorly described.Methods: We retrospectively searched the clinical data warehouse of our center for patients who had primary parastomal hernia repair following cystectomy and ileal conduit diversion. The primary endpoint was recurrence of parastomal hernia; secondary endpoints were postoperative complications and surgical management of recurrences.Results: From January 1st 2012 to January 1st 2022, 35 patients were included in the study, 13 patients (37.1%) were operated with the Keyhole technique and 22 patients (62.9%) with the Sugarbaker technique. The median follow-up was 24 months. The main complication was urinary tract infection, in 6 patients (17.4%). Postoperative complications were severe in 4 patients (11.4%), 3 (8.6%) for prosthesis extraction due to infection. Ninety-day mortality was null. Eight patients (22.9%) had a symptomatic recurrence of parastomal hernia leading to a second surgery, 4 patients (30.7%) in the Keyhole group and 4 patients (18.2%) in the Sugarbaker group. Surgical management of recurrences involved repair without synthetic mesh in 4 patients (50%) due to difficult adhesiolysis, leading to a third surgery for 3 patients (37.5%).Conclusion: The high rates of recurrence observed with the Keyhole technique, in particular, but also with the Sugarbaker technique, suggest that these techniques should no longer be used for the repair of parastomal hernia after ileal conduit urinary diversion. New preventive and curative approaches need to be explored to improve the surgical management of parastomal hernia.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"57"},"PeriodicalIF":2.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909496","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: Post-operative pain associated with ProGrip mesh hernioplasty. 评论：术后疼痛与ProGrip补片疝成形术相关。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-30 DOI: 10.1007/s10029-024-03249-9

Rachana Mehta, Ranjana Sah, Shubham Kumar

引用次数: 0

Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Authors' reply. 外科医生每年的病例量与腹疝修补术后的并发症有关吗？作者的回答。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-30 DOI: 10.1007/s10029-024-03255-x

R van den Berg, F P J den Hartog, A G Menon, P J Tanis, J F Gillion

引用次数: 0

Lateral abdominal wall hernias after coughing: a single center experience. 咳嗽后腹壁疝：单中心经验。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-27 DOI: 10.1007/s10029-024-03251-1

Ryan C Ellis, Sara M Maskal, Alexander Bertke, Sergio Mazzola Poli de Figueiredo, Kimberly P Woo, Aldo Fafaj, Nir Messer, Daphne Remulla, David M Krpata, Benjamin T Miller, Lucas R A Beffa, Clayton C Petro, Ajita S Prabhu, Michael J Rosen

{"title":"Lateral abdominal wall hernias after coughing: a single center experience.","authors":"Ryan C Ellis, Sara M Maskal, Alexander Bertke, Sergio Mazzola Poli de Figueiredo, Kimberly P Woo, Aldo Fafaj, Nir Messer, Daphne Remulla, David M Krpata, Benjamin T Miller, Lucas R A Beffa, Clayton C Petro, Ajita S Prabhu, Michael J Rosen","doi":"10.1007/s10029-024-03251-1","DOIUrl":"https://doi.org/10.1007/s10029-024-03251-1","url":null,"abstract":"Purpose: Forceful coughing is assumed to be an uncommon etiology for lateral abdominal wall hernias. The literature regarding this topic is very limited and there is a lack of consensus in management, both operative and non-operative. We aim to report our center's experience in repair of lateral abdominal wall hernias secondary to vigorous coughing.Methods: All patients undergoing lateral abdominal wall hernia repairs secondary to coughing at our institution from August 2014 to December 2023 were identified in the Abdominal Core Health Quality Collaborative (ACHQC). Only patients with lateral abdominal wall hernias without prior lateral incisions, reporting a vigorous coughing event were included in the analysis. Recurrent repairs were also included. Patient and hernia characteristics, operative details, post-operative outcomes, and long-term patient reported outcomes were extracted from the ACHQC database and chart review.Results: Twelve patients with lateral abdominal wall hernias secondary to coughing underwent repair within the study period. The median hernia width was 18.5 cm. Transversus abdominus release was performed in all patients, 8 had heavyweight polypropylene mesh placed, and 9 received mesh fixation. Wound complications were noted in 2 patients, both resolved with superficial wound opening. At a mean follow up of 4.0 years, one patient reported a bulge, and no clinical or radiographic recurrences were identified.Conclusion: Lateral abdominal wall hernias after forceful coughing have not been well defined. Here we present our series based on our repairs. Unfortunately, our ability to comment on recurrences is limited by a lack of follow up.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"56"},"PeriodicalIF":2.6,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894153","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

Correction to: Proposal for a uniform protocol and checklist for cadaveric courses for surgeons with special interest in open abdominal wall reconstruction. 修正：建议对开放式腹壁重建有特殊兴趣的外科医生制定统一的尸体过程方案和检查表。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-26 DOI: 10.1007/s10029-024-03250-2

Gaurav V Kulkarni, Toby Hammond, Dominic Slade, Knut Borch, Alexios Theodorou, Luis Blazquez, Javier Lopez-Monclus, Miguel Angel Garcia-Urena

引用次数: 0

How I do it: using physics and progressive defect tensioning to close large hernia defects during MIS ventral hernia repair. 我是怎么做的：在MIS腹疝修复过程中，使用物理和渐进的缺陷张紧术来关闭大的疝缺陷。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-26 DOI: 10.1007/s10029-024-03230-6

Xavier Pereira, Pedro De Oliveira, Daniel Tagerman, Gustavo Romero-Velez, Rockson Liu, Flavio Malcher

{"title":"How I do it: using physics and progressive defect tensioning to close large hernia defects during MIS ventral hernia repair.","authors":"Xavier Pereira, Pedro De Oliveira, Daniel Tagerman, Gustavo Romero-Velez, Rockson Liu, Flavio Malcher","doi":"10.1007/s10029-024-03230-6","DOIUrl":"https://doi.org/10.1007/s10029-024-03230-6","url":null,"abstract":"Introduction: Closure of large hernia defects with minimally invasive surgery has long-been a challenge. Barbed sutures have helped us bridge this technical gap, but their off-label use is not well studied.Materials and methods: We describe a suturing technique for minimally invasive ventral hernia repair (MIS-VHR) termed \"progressive defect tensioning\" and explore its theoretical advantages. Progressive defect tensioning utilizes barbed sutures to progressively and evenly re-approximate the fascia along the entire defect length. Tension is then sequentially applied to each throw, distributing the load across multiple anchor points along the closure. This redistribution of tension is explained using a physics model to depict its theoretical benefit. We also explore how biomechanical properties, such as tissue creep and hysteresis, impact closure of complex defects.Results: Our initial, proof-of-concept cohort of 12 patients with hernias larger than 10 cm undergoing MIS-VHR had acceptable perioperative outcomes compared to the literature.Conclusions: Ultimately, progressive defect tensioning leverages the properties of barbed sutures and the biomechanics of fascia to achieve optimal tension distribution during MIS-VHR.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"55"},"PeriodicalIF":2.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894151","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

Anatomical recognition of dissection layers, nerves, vas deferens, and microvessels using artificial intelligence during transabdominal preperitoneal inguinal hernia repair. 应用人工智能识别经腹膜前腹股沟疝修补术中的夹层、神经、输精管和微血管。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-26 DOI: 10.1007/s10029-024-03223-5

Kazuhito Mita, Nao Kobayashi, Kunihiko Takahashi, Takashi Sakai, Mayu Shimaguchi, Michitaka Kouno, Naoyuki Toyota, Minoru Hatano, Tsuyoshi Toyota, Junichi Sasaki

{"title":"Anatomical recognition of dissection layers, nerves, vas deferens, and microvessels using artificial intelligence during transabdominal preperitoneal inguinal hernia repair.","authors":"Kazuhito Mita, Nao Kobayashi, Kunihiko Takahashi, Takashi Sakai, Mayu Shimaguchi, Michitaka Kouno, Naoyuki Toyota, Minoru Hatano, Tsuyoshi Toyota, Junichi Sasaki","doi":"10.1007/s10029-024-03223-5","DOIUrl":"10.1007/s10029-024-03223-5","url":null,"abstract":"Purpose: In laparoscopic inguinal hernia surgery, proper recognition of loose connective tissue, nerves, vas deferens, and microvessels is important to prevent postoperative complications, such as recurrence, pain, sexual dysfunction, and bleeding. EUREKA (Anaut Inc., Tokyo, Japan) is a system that uses artificial intelligence (AI) for anatomical recognition. This system can intraoperatively confirm the aforementioned anatomical landmarks. In this study, we validated the accuracy of EUREKA in recognizing dissection layers, nerves, vas deferens, and microvessels during transabdominal preperitoneal inguinal hernia repair (TAPP).Methods: We used TAPP videos to compare EUREKA's recognition of loose connective tissue, nerves, vas deferens, and microvessels with the original surgical video and examined whether EUREKA accurately identified these structures. Intersection over Union (IoU) and F1/Dice scores were calculated to quantitively evaluate AI predictive images.Results: The mean IoU and F1/Dice scores were 0.33 and 0.50 for connective tissue, 0.24 and 0.38 for nerves, 0.50 and 0.66 for the vas deferens, and 0.30 and 0.45 for microvessels, respectively. Compared with the images without EUREKA visualization, dissection layers were very clearly recognized and displayed when appropriate tension was applied.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"52"},"PeriodicalIF":2.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894146","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

Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh. 门诊腹疝补片修补术后阿片类药物处方的特点。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-26 DOI: 10.1007/s10029-024-03247-x

Kimberly P Woo, Xinyan Zheng, Amitabh P Goel, Rana M Higgins, Anthony A Iacco, Todd S Harris, Jeremy A Warren, Michael Reinhorn, Clayton C Petro

{"title":"Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh.","authors":"Kimberly P Woo, Xinyan Zheng, Amitabh P Goel, Rana M Higgins, Anthony A Iacco, Todd S Harris, Jeremy A Warren, Michael Reinhorn, Clayton C Petro","doi":"10.1007/s10029-024-03247-x","DOIUrl":"https://doi.org/10.1007/s10029-024-03247-x","url":null,"abstract":"Purpose: Despite efforts to minimize opioid prescribing, outpatient ventral hernia repair (VHR) with mesh remains notoriously painful, often requiring postoperative opioid analgesia. Here, we aim to characterize patterns of opioid prescribing for the heterogenous group of patients and procedures that comprise mesh-based, outpatient VHR.Methods: The Abdominal Core Health Quality Collaborative registry was queried for patients undergoing VHR with mesh who were discharged the same or next day between January 2019 to October 2023. Procedures were broadly classified by approach and mesh location: open, minimally-invasive with intraperitoneal mesh (MIP), and minimally-invasive with retromuscular or preperitoneal mesh (MRPP). Surgeon-reported opioid prescription quantity and patient-reported 30-day consumption data were reviewed.Results: Of 2,795 patients who met inclusion criteria (46.1% open, 22.7% MIP, 31.2% MRPP), approximately 80% of patients consumed ≤ 10 tablets of opioid pain medication (open 87.7%, MIP 78.4%, MRPP 84.2%). For patients who were prescribed ≤ 10 tablets, the median number of unconsumed tablets was 5 (IQR 0-8). For patients who were prescribed > 10 tablets, the median number of unconsumed tablets was 10 or more (open 10 [IQR 2-16], MIP 10 [IQR 2-18], MRPP 12 [IQR 5-16]). The number of tablets consumed was positively correlated with the number of tablets prescribed (Kendall's rank correlation = 0.232, p < 0.001).Conclusion: Regardless of technique, for outpatient VHR with mesh, the fewer opioid tablets prescribed, the fewer tablets patients consumed. Decreasing the prescription quantity to ≤ 10 tablets, coupled with preoperative patient education, may help minimize excess opioid prescribing while still achieving adequate pain control.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"54"},"PeriodicalIF":2.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894148","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

Correction to: Relationship between immune cell traits, circulating inflammatory cytokines, and the risk of incisional hernia after gastric surgery. 修正：免疫细胞特性、循环炎症因子与胃手术后切口疝风险的关系。

IF 2.6 2区医学

Hernia Pub Date : 2024-12-21 DOI: 10.1007/s10029-024-03241-3

Hekai Shi, Heng Song, Qian Wu, Ligang Liu, Zhicheng Song, Yan Gu

引用次数: 0

Hernia最新文献