The authors retrospectively analyse 457 inguinal and femural hernioplasties with synthetic prosthesis materials, during a period of 10 years. There have been discussions going on about the prosthesis utilisation indications (advanced stages, complex inguinal hernia), type of prosthesis that has been used, the modalities of inserting a prosthesis and the surgical techniques employed. In 164 (34%) of the operations the mesh has been used as an reinforcement and 293 (64%) of the interventions were "tension-free" operations. The average reccurrence was approximately 1%, during a period ranging between 1 to 5 years.
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Hernia
January 2025
Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive Suite 300, Charlotte, NC, 28204, USA.
Purpose: To present updated outcomes after previously describing a novel technique for the robotic repair of parastomal hernias.
Methods: Patients who underwent parastomal hernia repair with a robotic Sugarbaker technique at a tertiary hernia center were identified from an institutional database. The approach involves mesh placement in the intraperitoneal or preperitoneal position after closure of the fascial defect.
Hernia
December 2024
Department of Digestive and Oncologic Surgery, Charles Nicolle University Hospital, Rouen Cedex, France.
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.
Hernia
December 2024
First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Purpose: Biologic meshes had been the first choice for abdominal wall reconstruction (AWR) in contaminated surgical fields. However, due to increased cost and questioned effectiveness, synthetic meshes have been also implemented. The aim of the present meta-analysis was to compare synthetic and biologic mesh in terms of recurrence and postoperative outcomes.
View Article and Find Full Text PDFCureus
October 2024
General Surgery, Dr. José Eleuterio Gonzalez University Hospital at the Autonomous University of Nuevo León, Monterrey, MEX.
Inguinal hernia repair is one of the most common surgical procedures. Traditionally, traumatic fixations have been used to prevent mesh migration, resulting in chronic pain in the groin. However, a non-traumatic alternative with cyanoacrylate glue is offered.
View Article and Find Full Text PDFHernia
November 2024
Center for Abdominal Core Health, Cleveland Clinic, 2049 E 100th St, Desk, A-100, Cleveland, OH, 44106, USA.
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