Unlabelled: The aim of this study was to learn if general surgeons with no special interest in hernia repairs, using the open tension free repair, could achieve a degree of success comparable to that of the experts.
Materials And Methods: A survey was undertaken of 72 surgeons who were known to be performing an open tension-free onlay mesh patch repair for primary inguinal hernias with no attempt to suture together the edges of the hernia defect. While several European surgeons were included, most were from the United States.
Results: There was a minimal amount of wound infection, an absence of mesh rejection when Marlex mesh was used, and a recurrence rate under 0.5% in 16,068 operations.
Conclusions: The experience of the non-experts demonstrated that excellent results were attained by surgeons who had no special interest in hernia surgery and testifies to the simplicity and reliability of the method.
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Cureus
November 2024
Colorectal Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Background Splenic flexure mobilization (SFM) is widely regarded as one of the most challenging steps in laparoscopic and robotic colorectal surgery, sparking ongoing debate. Some surgeons routinely advocate for SFM, citing its role in achieving greater left colonic reach, which facilitates a safe, tension-free, and well-vascularized anastomosis while adhering to oncological principles. Conversely, others argue that SFM does not consistently ensure these benefits and may increase the risk of complications, including splenic, bowel, or vascular injuries, as well as unnecessarily prolonging the procedure.
View Article and Find Full Text PDFWorld J Plast Surg
January 2024
Department of General Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Background: Inguinal hernia is one of the most common cases of elective surgery. Several methods are used to repair inguinal hernia, however, none of these methods have been introduced as the preferred method. Based on this, the current study was designed with the aim of comparing the postoperative short-term complications and recurrence after one year between laparoscopic transabdominal pre-peritoneal (TAPP) and Lichtenstein tension free repair in the treatment of primary unilateral inguinal hernia.
View Article and Find Full Text PDFAnn Anat
January 2025
Neurological Clinic, HELIOS Hospital Sangerhausen, Am Beinschuh 2a, Sangerhausen 06526, Germany; University Clinic and Outpatient Clinic for Neurology, Martin Luther University Halle-Wittenberg, Ernst-Grube-Straße 40, Halle (Saale) 06120, Germany. Electronic address:
Background: Inguinal hernia is one of the most common visceral surgical conditions in industrialised countries. The aim of the present observational clinical study was to investigate the dermatome patterns after nerve injury following inguinal hernia surgery and to demonstrate the marked individual anatomical and topographical variability of peripheral nerves in the inguinal region.
Methods: 220 patients were followed up for one year after inguinal herniotomy.
Cureus
August 2024
Department of General Surgery, Indus Hospital and Health Network, Karachi, PAK.
Ann Med Surg (Lond)
September 2024
Department of Surgery, Pokhara Academy of Health Sciences, Pokhara.
Introduction: A hernia is an abnormal protrusion of the viscus through the normal or abnormal opening of its containing cavity. Lichtenstein tension-free mesh repair is a commonly performed surgery for hernia. Various studies have revealed atraumatic fixation of the mesh produces less pain without compromising the outcomes.
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