Leonardo Zumerkorn Pipek, Vitor Santos Cortez, João Victor Taba, Milena Oliveira Suzuki, Fernanda Sayuri do Nascimento, Vitoria Carneiro de Mattos, Walter Augusto Moraes, Leandro Ryuchi Iuamoto, Wu Tu Hsing, Luiz Augusto Carneiro-D'Albuquerque, Alberto Meyer, Wellington Andraus
The prevalence of hernias in patient with cirrhosis can reach up to 40%. The pathophysiology of cirrhosis is closely linked to that of the umbilical hernia, but other types are also common in this population. The aim of this study is to evaluate factors that influence in the prognosis after hernia repair in patients with cirrhosis. A historical cohort of 6419 patients submitted to hernia repair was gathered. Clinical, epidemiological data and hernia characteristics were obtained. For patient with cirrhosis, data from exams, surgery and follow-up outcomes were also analyzed...
November 11, 2022: Medicine (Baltimore)
E Oma, J K Christensen, J Daes, L N Jorgensen
PURPOSE: Effects of component separation (CS) on abdominal wall morphology have only been investigated in smaller case series or cadavers. This study aimed to compare abdominal wall alterations following endoscopic anterior CS (EACS) or open transverse abdominis release (TAR). METHODS: Computed tomography scans were evaluated in patients who had undergone open incisional hernia repair with EACS or TAR. Abdominal wall circumference, lateral abdominal wall muscle thickness, and displacement were compared with (1) preoperative images after bilateral CS and (2) the undivided side postoperatively after unilateral CS...
October 16, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
C J Wehrle, P Shukla, B T Miller, K E Blake, A S Prabhu, C C Petro, D M Krpata, L R Beffa, C Tu, M J Rosen
PURPOSE: Incisional hernia is the most common complication of midline laparotomy. Although obesity is a known risk factor, the incidence of hernia formation in obese patients is not well defined. We sought to define the rate of incisional hernia formation in obese patients undergoing primary midline laparotomy in a large academic medical center. METHODS: Obese patients (BMI ≥ 30 kg/m2 ) who underwent an elective or urgent primary midline laparotomy from 2017 to 2021 at our institution were retrospectively identified...
November 1, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Matthew N Marturano, Sullivan A Ayuso, David Ku, Robert Raible, Robert Lopez, Gregory T Scarola, Keith Gersin, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Complete fascial closure significantly reduces recurrence rates and wound complications in abdominal wall reconstruction. While component separation techniques have clear effectiveness in closing large abdominal wall defects, preoperative botulinum toxin A has emerged as an adjunct to aid in fascial closure. Few data exist comparing preoperative botulinum toxin A to component separation techniques, and the aim was to do so in a matched study. METHODS: A prospective, single-center, hernia-specific database was queried, and a 3:1 propensity-matched study of patients undergoing open abdominal wall reconstruction from 2016 to 2021 with botulinum toxin A versus component separation techniques was performed based on body mass index, defect width, hernia volume, and Centers for Disease Control and Prevention wound classification...
October 10, 2022: Surgery
J J M Claessen, A S Timmer, R Hemke, J J Atema, R Hompes, M A Boermeester, M V H Rutten
OBJECTIVE: To explore how intramuscular injection of botulinum toxin A (BTA) affects the lateral abdominal wall (LAW) musculature, abdominal- and hernia dimensions, and muscle structure on computed tomography (CT) in patients scheduled for complex abdominal wall reconstruction (CAWR). METHODS: Retrospective analysis of prospectively registered patients who received bilateral intramuscular BTA injections into all three muscles of the LAW. Only patients for which a CT was available before and 3-6 weeks after BTA treatment prior to surgery were analyzed...
October 14, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
A Katawazai, G Wallin, G Sandblom
BACKGROUND: The aim of this study was to analyse the risk for reoperation following primary ventral hernia repair. METHODS: The study was based on umbilical hernia and epigastric hernia repairs registered in the population-based Swedish National Patient Register (NPR) 2010-2019. Reoperation was defined as repeat repair after primary repair. RESULTS: Altogether 29,360 umbilical hernia repairs and 6514 epigastric hernia repairs were identified...
July 8, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Jeremy A Warren, Kayla Schilling, Regan Van Metre, Caroline Nageotte, William S Cobb, Alfredo M Carbonell
BACKGROUND: Myofascial release (MFR) techniques, including retromuscular hernia repair, are often considered one-time repairs. We report recurrent ventral hernia repair (RVHR) in patients with prior MFR, focusing on redo-RM repair. METHODS: Retrospective analysis of all patients undergoing RVHR after prior MFR. Primary outcomes were operative time, surgical site infection (SSI), surgical site occurrence (SSO), and 20-month recurrence. RESULTS: 111 RVHR were performed after MFR...
July 2022: American Journal of Surgery
Hong-Feng Xie, Man Feng, Song-Mei Cao, Ying-Ying Jia, Peng Gao, Shu-Hua Wang
OBJECTIVE: To select and obtain the best evidence for parastomal hernia (PH) prevention in patients with enterostomy so as to provide reference for clinical practice to decrease the rate of PH. METHODS: Based on the method of evidence-based nursing, this paper proposes the prevention and management of PH in patients with enterostomy. The literature was checked according to the "6S" model, and literature evaluation standards (2016 edition) of JBI Evidence-based Health Care Center in Australia were adopted to evaluate the literature quality and evidence level of various studies...
2021: American Journal of Translational Research
C Snitkjær, K K Jensen, N A Henriksen, M P Werge, N Kimer, L L Gluud, M W Christoffersen
BACKGROUND: Umbilical hernia is a common and potential serious condition in patients with cirrhosis. This systematic review evaluated the risks associated with emergency and elective hernia repair in patients with cirrhosis. METHODS: Systematic review of clinical trials identified through manual and electronic searches in several databases (last update November 2021). The primary random-effects meta-analyses evaluated mortality in patients with or without cirrhosis or following emergency versus elective repair...
April 12, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Roberto Cirocchi, Gloria Burini, Stefano Avenia, Giovanni Tebala, Piergaspare Palumbo, Maria Chiara Cianci, Antonino Morabito, Paolo Bruzzone
BACKGROUND: The aim of this review is to compare the outcomes of surgical repair versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias. METHODS: Preferred reporting items for systematic reviews and meta-analyses guidelines were employed. We analysed primary outcomes: pain, quality of life, pain during daily activities and visual analogue scale (VAS that measures pain at rest and on movement) and secondary outcomes: postoperative complications and recurrence...
October 2022: ANZ Journal of Surgery
I-F Megas, C Benzing, A Winter, J Raakow, S Chopra, J Pratschke, P Fikatas
PURPOSE: Laparoscopic techniques have been used and refined in hernia surgery for several years. The aim of this study was to compare an established method such as laparoscopic intra-peritoneal onlay mesh repair (lap. IPOM) with ventral Transabdominal Preperitoneal Patch Plasty (ventral-TAPP) in abdominal wall hernia repair. METHODS: Patient-related data of 180 laparoscopic ventral hernia repairs between June 2014 and August 2020 were extracted from our prospectively maintained database...
March 23, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
David Uihwan Lee, David Jeffrey Hastie, Ki Jung Lee, Gregory Hongyuan Fan, Elyse Ann Addonizio, Jean Kwon, Raffi Karagozian
BACKGROUND AND AIMS: Since there is clinical overlap between populations with cirrhosis and those who require hernia repair (i.e. due to stretching of abdominal walls), we systematically evaluate the effects of cirrhosis on post-hernia repair outcomes. METHODS: 2011-2017 National Inpatient Sample was used to identify patients who underwent hernia repair (included: inguinal, umbilical, and other abdominal hernia repairs). The population was stratified into those with compensated cirrhosis (CC), decompensated cirrhosis (DC), and no cirrhosis; hepatic decompensation was defined as those with portal hypertension, ascites, and varices...
December 1, 2021: European Journal of Gastroenterology & Hepatology
J R Smith, R Kyriakakis, M P Pressler, G D Fritz, A T Davis, A L Banks-Venegoni, L T Durling
PURPOSE: Patient optimization and selecting the proper technique to repair large incisional hernias is a multifaceted challenge. Body mass index (BMI) is a modifiable variable that may infer higher intra-abdominal pressures and, thus, predict the need for component separation (CS) at the time of surgery, but no data exist to support this. This paper assesses if the ratio of anterior-posterior (AP): transverse (TRSV) abdominal diameter, from pre-operative CT imaging, indicates a larger proportion of intra-abdominal fat and correlates with a hernia defect requiring a component separation for successful tension-free closure...
March 21, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
John W Read, Nabeel Ibrahim, Anita S W Jacombs, Kristen E Elstner, Jeni Saunders, Omar Rodriguez-Acevedo
Purpose: The successful repair of any complex ventral hernia requires a thorough understanding of the underlying anatomical defect and its functional context. We describe an improved "functional" approach to CT imaging of the abdominal wall that can facilitate this understanding and assist surgical planning. Methods: This invited article reports the observational experience gained from the functional abdominal wall CT examinations of 88 patients who underwent complex ventral hernia repair using pre-operative Botulinum toxin A (BTA) infiltration of the lateral oblique abdominal muscles as well as a further eight patients with diastasis rectus abdominis who were examined to exclude ventral hernia...
2022: Frontiers in Surgery
Michael J Rosen, David M Krpata, Clayton C Petro, Alfredo Carbonell, Jeremy Warren, Benjamin K Poulose, Adele Costanzo, Chao Tu, Jeffrey Blatnik, Ajita S Prabhu
IMPORTANCE: Biologic mesh is widely used for reinforcing contaminated ventral hernia repairs; however, it is expensive and has been associated with high rates of long-term hernia recurrence. Synthetic mesh is a lower-cost alternative but its efficacy has not been rigorously studied in individuals with contaminated hernias. OBJECTIVE: To determine whether synthetic mesh results in superior reduction in risk of hernia recurrence compared with biologic mesh during the single-stage repair of clean-contaminated and contaminated ventral hernias...
April 1, 2022: JAMA Surgery
Britta J Han, Bradley S Kushner, Sara E Holden, Arnab Majumder, Jeffrey A Blatnik
BACKGROUND: Recurrent hernias pose significant challenges due to violated anatomic planes, resultant scar, and potential prior mesh. Transversus abdominis release has been widely utilized for complex hernias. Transversus abdominis release can provide a novel plane for dissection and mesh placement for recurrent hernias. This study provides our institution's experience with transversus abdominis release in patients with recurrent ventral hernias. METHODS: A retrospective chart review was conducted of patients with recurrent ventral hernias from January 2018 to September 2020 who underwent transversus abdominis release by 2 fellowship-trained abdominal wall surgeons...
March 2022: Surgery
F Abo-Alhassan, T Perrin, M Bert, T Delorme, P Ortega-Deballon
PURPOSE: Abdominal wall injuries (AWI) is a clinical and radiological diagnosis of fasciomuscular and at times cutaneous defects after abdominal trauma. Their severity encompasses a spectrum of parietal defects, with the most severe being a burst abdomen with eviscerated organs. With the wide use of CT scans in trauma settings, their incidence is being more recognized. Especially in severe AWI, where associated intrabdominal lesions are highly prevalent, many questions about parietal reconstruction arise concerning the timing and type of surgery, and their final hernia recurrence rate...
October 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Regine Nessel, Thorsten Löffler, Johannes Rinn, Philipp Lösel, Samuel Voss, Vincent Heuveline, Matthias Vollmer, Johannes Görich, Yannique-Maximilian Ludwig, Luai Al-Hileh, Friedrich Kallinowski
Aim: Mechanical principles successfully guide the construction of polymer material composites in engineering. Since the abdominal wall is a polymer composite augmented with a textile during incisional hernia repair we ask: can incisional hernia be repaired safely and durably based on biomechanical principles? Material and Methods: Repair materials were assessed on a self-built bench test using pulse loads to elude influences on the reconstruction of the abdominal wall. Tissue elasticity was analyzed preoperatively as needed with computed tomography at rest and during Valsalva's maneuver...
2021: Frontiers in Surgery
S T Adams, D Slade, P Shuttleworth, C West, M Scott, A Benson, A Tokala, C J Walsh
Computed tomography (CT) scanning is the imaging modality of choice when planning the overall management and operative approach to complex abdominal wall hernias. Despite its availability and well-recognised benefits there are no guidelines or recommendations regarding how best to read or report such scans for this application. In this paper we aim to outline an approach to interpreting preoperative CT scans in abdominal wall reconstruction (AWR). This approach breaks up the interpretive process into 4 steps-concentrating on the hernia or hernias, any complicating features of the hernia(s), the surrounding soft tissues and the abdominopelvic cavity as a whole-and was developed as a distillation of the authors' collective experience...
January 5, 2022: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Andrea Carolina Quiroga-Centeno, Carlos Augusto Quiroga-Centeno, Silvia Guerrero-Macías, Orlando Navas-Quintero, Sergio Alejandro Gómez-Ochoa
BACKGROUND: Surgical Mesh Infection (SMI) after Abdominal Wall Hernia Repair (AWHR) represents a catastrophic complication. We performed a systematic review and meta-analysis to analyze the risk factors for SMI in the context of AWHR. METHODS: PubMed, Embase, Scielo, and LILACS were searched without language or time restrictions from inception until June 2021. Articles evaluating the association between demographic, clinical, laboratory and surgical characteristics with SMI in AWHR were included...
July 2022: American Journal of Surgery
2022-02-18 20:13:25
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