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The Enhanced-View Totally Extraperitoneal Repair for Ventral and Incisional Hernia: Midterm Results of an Evolving Technique.

J Laparoendosc Adv Surg Tech A

December 2024

Department of General Surgery, Aulss 5 Polesana, Viale Tre Martiri, Rovigo, Italy.

In the field of abdominal wall hernias, several innovative procedures have been developed, including the extended/enhanced-view totally extraperitoneal (eTEP) hernia repair technique. Initially introduced for laparoscopic hernia repair by J. Daes, it was subsequently applied to ventral hernia repair (VHR) and incisional hernia repair (IVHR) by I.

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Article Synopsis
  • The study investigates the safety and performance of a single-use negative pressure wound therapy (suNPWT) system on closed surgical incisions that are at risk of complications.
  • It utilized a prospective, open, non-comparative, multicentre design with 35 patients, measuring outcomes like wound closure rates and any adverse events over a 14-day period.
  • Results showed that all wounds remained closed, exhibited low infection rates, and reported minimal pain, indicating the suNPWT system is effective and safe for managing closed surgical incisions.
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Article Synopsis
  • - Cesarean delivery (CD) is a surgical method used when vaginal delivery is risky, with over 1.2 million performed annually in the U.S.
  • - An interdisciplinary team implemented a standardized infection prevention program, using a summary measure known as the standardized infection ratio (SIR) to track surgical site infections (SSIs), resulting in a significant reduction in SSI rates from 2021 to 2023.
  • - The success of the project was attributed to ongoing data analysis, collaboration between departments, and standardized practices, which have led to zero observed SSIs from January to May 2024.
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The prevalence and incidence of wounds is predicted to rise due to an ageing population, that is also likely to have an increasing number of comorbidities (Dowsett et al, 2017). This trend will invariably result in increased costs to the NHS. The estimated annual cost of wound management in 2017/2018 was £8.

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Article Synopsis
  • Surgical wound complications, particularly surgical site infections and wound dehiscences, significantly impact the health of pediatric patients, especially those treated for non-idiopathic scoliosis.
  • This study aims to assess the cost-effectiveness of using incisional negative pressure wound therapy compared to traditional dressing methods in preventing these complications in children after surgery.
  • Results show a notable reduction in complications, with 7.7% in the intervention group versus 38.5% in the control group, indicating that negative pressure wound therapy could be a beneficial preventive measure in this context.
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