Introduction: Ventral hernia repairs are common surgical procedures and quality monitoring with a high validity is mandatory. The aim of the present study was to validate the data quality of the Danish Ventral Hernia Database (DVHD).
Material And Methods: All ventral hernia repairs performed in the Region of Zealand and registered in the DVHD between 1 October 2010 and 1 October 2011 were included. Eleven clinically relevant surgical variables in the DVHD were compared for agreement with data in hospital files.
Results: The Region of Zealand cohort included 410 ventral hernia repairs corresponding to 13.8% of the repairs registered in the DVHD in Denmark during the inclusion period. There was 89-99% agreement between data in the DVHD and hospital files (κ = 0.75-0.99).
Conclusion: The present study based on a regional cohort suggests that the DVHD can be used as a reliable tool to monitor clinical quality following ventral hernia repair.
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J Minim Access Surg
October 2024
Department of Surgery, Government Medical College, Nagpur, Maharashtra, India.
Introduction: The last decade has witnessed several modifications in the laparoscopic techniques for ventral hernia. The aim of this study was to compare an established repair such as laparoscopic intraperitoneal onlay mesh repair with defect closure (IPOM plus) with subcutaneous onlay endoscopic approach (SCOLA) for medium ventral hernia.
Patients And Methods: From June 2019 to November 2021, 29 patients undergoing IPOM plus and 22 patients undergoing SCOLA for medium ventral hernia (umbilical and epigastric hernia of size 2-4 cm) were included in the study.
Hernia
December 2024
Department of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
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.
View Article and Find Full Text PDFHernia
December 2024
Department of Surgery, NYU Langone Medical Center, 550 First Ave, HCC 12th Floor, New York, NY, 10016, USA.
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.
Hernia
December 2024
Department of Surgery, Cleveland Clinic, Cleveland, OH, USA.
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.
J Robot Surg
December 2024
Mid-Florida Surgical Associates, Clermont, FL, 34711, USA.
Robotic assisted laparoscopy is increasingly popular for primary ventral and incisional hernia repair. A variety of robotic techniques have been described. More data is needed to evaluate the indications and benefits of these approaches.
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