Publications by authors named "Wolfgang Reinpold"

Introduction: Preoperative botolinum toxin A (BTA) administration to the lateral abdominal wall has been widely used since its introduction for treating complex abdominal wall defects and loss of domain (LOD) hernias. Intraoperative fascial traction (IFT) is an established technique for complex abdominal wall hernias exceeding a width of 10 cm and has also shown auspicious results. We present our single center data including 143 consecutive cases combining both techniques from 2019 to 2023.

View Article and Find Full Text PDF
Article Synopsis
  • - Groin hernia repair is a highly common surgery, with over 20 million procedures done annually, prompting the need for updated management guidelines since the last ones were published in 2018.
  • - An expert group of 30 international surgeons reviewed new research until April 2022, resulting in updated guidelines with 39 new statements and 32 recommendations, including 16 strong ones.
  • - The updated guidelines aim to provide the latest evidence for better groin hernia management practices, with a commitment to adapt future guidelines as new methodologies emerge.
View Article and Find Full Text PDF

The ideal ventral hernia surgical repair is still in discussion1. The defect closure with a mesh-based repair is the base of surgical repair, in open or minimally invasive techniques2. The open methods lead to a higher surgical site infections incidence, meanwhile, the laparoscopic IPOM (intraperitoneal onlay mesh) increases the risk of intestinal lesions, adhesions, and bowel obstruction, in addition to requiring double mesh and fixation products which increase its costs and could worsen the post-operative pain3-5.

View Article and Find Full Text PDF

Introduction: Incisional hernia has an incidence of up to 20% following laparotomy and is associated with significant morbidity and impairment of quality of life. A variety of surgical strategies including techniques and mesh types are available to manage patients with incisional hernia. Previous works have reported significant heterogeneity in outcome reporting for abdominal wall herniae, including ventral and inguinal hernia.

View Article and Find Full Text PDF

Robot assisted laparoscopic abdominal wall surgery (RAWS) has seen a rapid adoption in recent years. The safe introduction of the robot platform in the treatment of abdominal wall hernias is important to safeguard the patient from harm during the learning curve. The scope of this paper is to describe the current European training curriculum in RAWS.

View Article and Find Full Text PDF

Objective: The aim was to evaluate the effectiveness, clinical practicability, and complication rate of the intraoperative fascial traction (IFT) procedure for the treatment of large ventral hernias.

Method: This study evaluated 50 patients from 11 specialized centers with an intraoperatively measured fascial distance of more than 8 cm, who were treated by IFT (traction time 30-35 min) using the fasciotens® hernia traction procedure.

Results: Fascial gaps measured preoperatively ranged from 8 cm to 44 cm, with most patients (94%) having a fascial gap above 10 cm (W3 according to the European Hernia Society classification).

View Article and Find Full Text PDF
Article Synopsis
  • In developed countries, emergency groin hernia repairs account for 2.5-7.7% of cases, whereas in developing countries, this can be as high as 76.9%, highlighting a disparity in healthcare access.
  • A study analyzing 13,028 patients from the Herniamed Registry found significant differences in post-operative complications, reoperations, and mortality rates among patients based on whether they underwent pre-operative manual reduction, operative reduction without bowel resection, or with bowel resection.
  • The study also revealed that female patients and those aged 66 years or older had worse perioperative outcomes, emphasizing the need for targeted interventions in these populations.
View Article and Find Full Text PDF

Incisional hernias are common late complications of abdominal surgery, with a 1-year post-laparotomy incidence of about 20%. A giant hernia is often preceded by severe peritonitis of various causes. The Fasciotens® Abdomen device is used to stretch the fascia in a measurably controlled manner during surgery to achieve primary tension-free abdominal closure.

View Article and Find Full Text PDF

Recently, the promising results of new procedures for the treatment of rectus diastasis with concomitant hernias using extraperitoneal mesh placement and anatomical restoration of the linea alba were published. To date, there is no recognized classification of rectus diastasis (RD) with concomitant hernias. This is urgently needed for comparative assessment of new surgical techniques.

View Article and Find Full Text PDF

Objective: Improvement of ventral hernia repair.

Background: Despite the use of mesh and other recent improvements, the currently popular techniques of ventral hernia repair have specific disadvantages and risks.

Methods: We developed the endoscopically assisted mini- or less-open sublay (MILOS) concept.

View Article and Find Full Text PDF

Purpose: Although clinical examination is the gold standard for the diagnosis of groin hernia, imaging procedures can improve the detection of femoral hernias, incipient hernias, and less-common types of hernias (e.g., an obturator hernia).

View Article and Find Full Text PDF

Objective: To assess the role of registries in the postmarketing surveillance of surgical meshes.

Background: To date, surgical meshes are classified as group II medical devices. Class II devices do not require premarket clearance by clinical studies.

View Article and Find Full Text PDF

Introduction: Chronic postoperative inguinal pain (CPIP) is the most common complication after inguinal hernia operation. Eighteen percent (range, 0.7%-75%) of patients suffered from CPIP after open inguinal hernia repair and 6% (range, 1%-16%) reported CPIP after laparoendoscopic groin hernia repair.

View Article and Find Full Text PDF

Background: Patients with symptomatic umbilical, trocar, and/or epigastric hernias and concomitant rectus abdominis diastasis represent a growing clinical problem. The optimal management of this complex hernia situation is the subject of debate in the literature. This paper reports the early results of an innovative surgical technique aimed at managing this hernia situation.

View Article and Find Full Text PDF
Article Synopsis
  • The study evaluates a training program for 46 surgeons in São Paulo on Lichtenstein inguinal herniorrhaphy, focusing on teaching methods and outcomes across two years (2014-2015).
  • The training involved active teaching strategies and a validated Qualification Form to enhance surgeons’ skills, confidence, and performance, showing significant improvements in various aspects of the surgical procedure.
  • Results indicate the program's effectiveness, with a high nerve identification rate among trained surgeons and a consensus on the training’s value in serving underserved communities, emphasizing the social responsibility of medical education.
View Article and Find Full Text PDF

Background: In Brazil, access to healthcare varies widely by community. Options for repair of surgically correctable conditions, such as inguinal hernias, are limited. A training program was instituted to expand access to Lichtenstein hernioplasty.

View Article and Find Full Text PDF

Importance: Sustainable, capacity-building educational collaborations are essential to address the global burden of surgical disease.

Objective: To assess an international, competency-based training paradigm for hernia surgery in underserved countries.

Design, Setting, And Participants: In this prospective, observational study performed from November 1, 2013, through October 31, 2015, at 16 hospitals in Brazil, Ecuador, Haiti, Paraguay, and the Dominican Republic, surgeons completed initial training programs in hernia repair, underwent interval proficiency assessments, and were appointed regional trainers.

View Article and Find Full Text PDF

Introduction: Symptomatic umbilical and/or epigastric hernias are often seen concomitantly with rectus abdominis diastasis (RAD), and suture repair of such defects has a high recurrence rate. In the literature, there are reports of both endoscopic and open techniques for repair of symptomatic umbilical and/or epigastric hernias in association with RAD. This paper now reports on the early results of a hybrid technique used for reconstruction of the linea alba and mesh augmentation [endoscopic-assisted linea alba reconstruction plus mesh augmentation (ELAR plus)].

View Article and Find Full Text PDF

Introduction: It is known that recurrences continue to occur after the follow-up period of 1-5 years usually used in most hernia studies. By reviewing the data in the Herniamed Hernia Registry documenting the time interval between the recurrent operation and previous inguinal hernia repair, the present study identifies the temporal course of onset of recurrence.

Patients And Methods: Prospective data were recorded in the Herniamed Registry between 1 September 2009 and 4 May 2015 on a total of 145,590 patients with 171,143 inguinal hernia operations.

View Article and Find Full Text PDF

Purpose: In meta-analyses and systematic reviews comparing laparoscopic with open repair of ventral hernias, data on umbilical, epigastric, and incisional hernias are pooled. Based on data from the Herniamed Hernia Registry, we aimed to investigate whether the differences in the therapy and treatment results justified such an approach.

Methods: Between 1st September 2009 and 31st August 2013, 31,664 patients with a ventral hernia were enrolled in the Herniamed Hernia Registry.

View Article and Find Full Text PDF

Background: Incisional hernia is a frequent complication after abdominal surgery. Today open sublay mesh repair and the laparoscopic intraperitoneal onlay mesh repair are the most widely used techniques for its cure. We developed a laparoscopic transperitoneal sublay mesh repair for the treatment of small- and medium-size ventral and incisional hernias.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: