The development of minimally invasive surgical techniques for ventral hernias has significantly progressed, evolving from IPOM and IPOM + to advancements like eTEP/eTEP-TAR. These newer techniques have demonstrated their effectiveness by delivering excellent postoperative outcomes, despite being introduced less than a decade ago. Recreating traditional procedures, which are considered the "gold standard" in ventral hernia surgery, through minimally invasive methods-such as the Rives-Stoppa repair-could represent the next frontier in abdominal wall surgery. This publication focuses on replicating ventral incisional hernia repair using an extraperitoneal approach, as outlined by Todd Heniford, and taking inspiration from the PeTEP technique for primary ventral hernias, whether associated with diastasis recti or not, as described by Hector Valenzuela.
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http://dx.doi.org/10.3389/jaws.2025.14072 | DOI Listing |
J Plast Reconstr Aesthet Surg
November 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address:
Background: The deep inferior epigastric perforator (DIEP) free flap reconstruction is a preferred breast reconstruction technique due to its muscle-sparing approach and patient satisfaction. However, donor-site complications, particularly wound dehiscence, remain a concern. Closed incision negative pressure wound therapy using wound vacuum assisted closure (VAC) systems may reduce these complications by enhancing perfusion and minimizing edema.
View Article and Find Full Text PDFHernia
March 2025
Department of Surgery, Elkerliek Hospital, Helmond, The Netherlands.
Introduction: Health-related quality of life (QoL) is an essential patient-reported outcome in abdominal wall surgery. The aim of this systematic review was to evaluate short term outcome of QoL after complex incisional hernia repair (IHR), focusing on open surgery.
Methods: A multi-database systematic search was performed on patients treated for complex IHR.
World J Emerg Surg
March 2025
Donegal Clinical Research Academy, Letterkenny University Hospital, Letterkenny, Donegal, Ireland.
Background: There has been a slow uptake of wound bundles and prophylactic mesh augmentation (PMA) strategies despite evidence supporting their role in reducing burst abdomens and incisional hernias (IH). This study evaluates outcomes of resorbable synthetic prophylactic mesh augmentation in reducing these rates and assesses the complication profile in emergency abdominal surgery.
Methods: A retrospective ethically approved observational study of all patients who underwent emergency open abdominal surgery using supplemental prophylactic onlay TIGR Mesh at Letterkenny University Hospital between September 2017 and April 2024 was undertaken to assess safety, complication profiles and outcomes.
Surg Endosc
March 2025
Upper Gastrointestinal and Bariatric Surgery Service, Department of General Surgery, Sengkang General Hospital, Medical Centre, Level 9, 110 Sengkang E Way, Singapore, 544886, Singapore.
Introduction: For ventral/incisional hernias between 1 and 4 cm, there is still controversy regarding open or laparoscopic mesh repairs. The study evaluated via a propensity-score adjusted analysis, the differences in outcomes between a laparoscopic and open ventral hernia mesh repair.
Methodology: A single institution retrospective cohort study was performed.
Hernia
February 2025
Department of General, Digestive and Endocrine Surgery, Claude Cabrol University Hospital, University of Reims Champagne-Ardenne, Reims, France.
Purpose: Subxiphoid incisional hernias (SIH) are rare and challenging to repair, often occurring post- cardiac surgery after sternotomy and pericardial drainage. The literature on SIH is limited, with small patient cohorts and no established consensus on optimal repair strategies published yet. This present study aimed at proposing the definition and the surgical management and decision-making processes for SIH repair through an international Delphi consensus among expert surgeons.
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