1
|
Fujikawa T, Nagata K, Matsuoka T, Yamana I. Massive Retroperitoneal Hematoma After Inguinal Hernia Repair Using Prolene® Hernia System: A Case Report. Cureus 2023; 15:e43300. [PMID: 37692599 PMCID: PMC10492651 DOI: 10.7759/cureus.43300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2023] [Indexed: 09/12/2023] Open
Abstract
Retroperitoneal hematoma is a possibly fatal condition that is frequently observed as a complication of procedures such as femoral artery catheterizations. We currently present a case of massive retroperitoneal hematoma after inguinal hernioplasty using Prolene® Hernia System mesh in a warfarin-treated patient. Especially in the case of inguinal hernioplasty in a patient receiving warfarin therapy, surgeons must pay close attention to prevent hemorrhage from the preperitoneal space, or they may opt for a different technique, such as the Lichtenstein method or laparoscopic approach.
Collapse
Affiliation(s)
| | - Keiji Nagata
- Surgery, Kokura Memorial Hospital, Kitakyushu, JPN
| | | | - Ippei Yamana
- Surgery, Kokura Memorial Hospital, Kitakyushu, JPN
| |
Collapse
|
2
|
Serrano-Aroca Á, Pous-Serrano S. Prosthetic meshes for hernia repair: State of art, classification, biomaterials, antimicrobial approaches, and fabrication methods. J Biomed Mater Res A 2021; 109:2695-2719. [PMID: 34021705 DOI: 10.1002/jbm.a.37238] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 05/10/2021] [Accepted: 05/12/2021] [Indexed: 12/23/2022]
Abstract
Worldwide, hernia repair represents one of the most frequent surgical procedures encompassing a global market valued at several billion dollars. This type of surgery usually requires the implantation of a mesh that needs the appropriate chemical, physical and biological properties for the type of repair. This review thus presents a description of the types of hernias, current hernia repair methods, and the state of the art of prosthetic meshes for hernia repair providing the most important meshes used in clinical practice by surgeons working in this area classified according to their biological or chemical nature, morphology and whether bioabsorbable or not. We emphasise the importance of surgical site infection in herniatology, how to deal with this microbial problem, and we go further into the future research lines on the production of advanced antimicrobial meshes to improve hernia repair and prevent microbial infections, including multidrug-resistant strains. A great deal of progress has been made in this biomedical field in the last decade. However, we are still far from an ideal antimicrobial mesh that can also provide excellent integration to the abdominal wall, mechanical performance, low visceral adhesion and minimal inflammatory or foreign body reactions, among many other problems.
Collapse
Affiliation(s)
- Ángel Serrano-Aroca
- Biomaterials and Bioengineering Lab, Centro de Investigación Traslacional San Alberto Magno, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain
| | - Salvador Pous-Serrano
- Surgical Unit of Abdominal Wall, Department of General and Digestive Surgery, La Fe University Hospital, Valencia, Spain
| |
Collapse
|
3
|
Murphy BL, Ubl DS, Zhang J, Habermann EB, Farley DR, Paley K. Trends of inguinal hernia repairs performed for recurrence in the United States. Surgery 2018; 163:343-350. [DOI: 10.1016/j.surg.2017.08.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 07/16/2017] [Accepted: 08/02/2017] [Indexed: 01/08/2023]
|
4
|
Magnusson J, Gustafsson UO, Nygren J, Thorell A. Rates of and methods used at reoperation for recurrence after primary inguinal hernia repair with Prolene Hernia System and Lichtenstein. Hernia 2017; 22:439-444. [PMID: 29196892 PMCID: PMC5960474 DOI: 10.1007/s10029-017-1705-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 11/18/2017] [Indexed: 11/28/2022]
Abstract
Introduction Since the introduction of tension-free mesh repair of inguinal hernia ad modum Lichtenstein (L), recurrence rates have been reduced to 1–2%. The bi-layer mesh Prolene Hernia System (PHS) is an alternative mesh with a theoretical potential to further reduce recurrence rates. However, a reoperation due to recurrence after PHS might be technically difficult since both the anterior and posterior space has been utilized. Methods Data on all males 18–75 years undergoing primary inguinal hernia repair (IHR) with PHS or L between January 1999 and October 2010 was collected from the Swedish Hernia Register (SHR). Moreover, data was collected for all operations due to recurrence after primary IHR with PHS or L between January 1st 1999 and December 31st 2014. Results A total of 1229 primary IHR with PHS and 78,230 with L was identified. Rates of reoperation for recurrence after PHS was significantly lower compared to L (1.5 vs. 2.7 %), [OR 0.38 (0.20–0.74)]. A medial recurrence was most common in both groups. At reoperation, an open anterior mesh repair was used in 74 % after PHS and a posterior mesh repair was performed in 58 % after L. Re-operating time was shorter, although not statistically significant in the PHS group (47 vs. 58 min, p = 0.29). Complication rates after surgery due to recurrence did not differ between groups. Conclusion The findings from this dataset suggest that recurrence rates after primary IHR with PHS might be lower and that reoperation due to recurrence after PHS is not more complicated than after L.
Collapse
Affiliation(s)
- J Magnusson
- Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden. .,Department of Surgery, Ersta Hospital, Stockholm, Sweden.
| | - U O Gustafsson
- Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.,Department of Surgery, Danderyds Hospital, Stockholm, Sweden
| | - J Nygren
- Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.,Department of Surgery, Ersta Hospital, Stockholm, Sweden
| | - A Thorell
- Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.,Department of Surgery, Ersta Hospital, Stockholm, Sweden
| |
Collapse
|
5
|
Weissler JM, Lanni MA, Tecce MG, Carney MJ, Shubinets V, Fischer JP. Chemical component separation: a systematic review and meta-analysis of botulinum toxin for management of ventral hernia. J Plast Surg Hand Surg 2017; 51:366-374. [PMID: 28277071 DOI: 10.1080/2000656x.2017.1285783] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Ventral hernia represents a surgical challenge plagued by high morbidity and recurrence rates. Primary closure of challenging hernias is often prohibited by severe lateral retraction and tension of the abdominal wall musculature. Botulinum toxin injections have recently been identified as a potential pre-operative means to counteract abdominal wall tension, reduce hernia size, and facilitate fascial closure during hernia repair. This systematic review and meta-analysis reviews outcomes associated with botulinum toxin injections in the setting of ventral hernia, and demonstrates an opportunity to leverage this mainstream aesthetic product for use in abdominal wall reconstruction. METHODS A literature review was conducted according to PRISMA guidelines using MeSH terms 'ventral hernia', 'herniorrhaphy', 'hernia repair', and 'botulinum toxins'. Relevant studies reporting pre- and postinjection data were included. Outcomes of interest included changes in hernia defect width and lateral abdominal muscle length, recurrence, complications, and patient follow-up. Qualitative findings were also considered to help demonstrate valuable themes across the literature. RESULTS Of 133 results, 12 were included for qualitative review and three for quantitative analysis. Meta-analysis revealed significant hernia width reduction (mean = 5.79 cm; n = 29; p < 0.001) and lateral abdominal wall muscular lengthening (mean = 3.33 cm; n = 44; p < 0.001) following botulinum injections. Mean length of follow-up was 24.7 months (range = 9-49). CONCLUSIONS Botulinum toxin injections offer tremendous potential in ventral hernia management by reducing hernia width and lengthening abdominal wall muscles prior to repair. Although further studies are needed, there is a significant opportunity to bridge the knowledge gap in preoperative practice measures for ventral hernia risk reduction.
Collapse
Affiliation(s)
- Jason M Weissler
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| | - Michael A Lanni
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| | - Michael G Tecce
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| | - Martin J Carney
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| | - Valeriy Shubinets
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| | - John P Fischer
- a Division of Plastic Surgery, Department of Surgery , University of Pennsylvania , Philadelphia , PA , USA
| |
Collapse
|
6
|
Caviglia H, Cambiaggi G, Vattani N, Landro ME, Galatro G. Lesion of the hip abductor mechanism. SICOT J 2016; 2:29. [PMID: 27382925 PMCID: PMC4935799 DOI: 10.1051/sicotj/2016020] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 05/25/2016] [Indexed: 11/15/2022] Open
Abstract
Introduction: The disruption of the abductor muscles of the hip after hip revision surgery often causes limping, pain, and instability of the implant. The purpose of our paper is to describe a mesh technique to repair hip abductor mechanism injuries after hip revision. Patients and methods: Forty-six patients with hip abductor damage after prosthetic revision were treated. Inclusion criteria were: patients presenting with prosthetic loosening, complaint of pain, and with a positive Trendelenburg sign due to deficient abductor muscle mechanisms. Thirty-one were women (67.39%) with an average age of 64 years (34–82 years). The number of previous revision surgeries was three (two to seven). The Merle d’Aubigné score and variants before and after treatment were also reported. Results: In the postoperative follow-up after hip revision with the mesh technique, the Merle d’Aubigné score improved and the Trendelenburg sign was negative in 78.3% of the patients (p < 0.001). Also, the Trendelenburg test with the knee flexed was negative in 60.9% (p < 0.001) and the stair-climbing test was negative in 60.9% of cases (p < 0.001). The gluteus medius test in the lateral position was negative in 52.2% of patients, and in the lateral position with the knee flexed it was negative in 47.8% of patients (p < 0.001). Discussion: Repair of the abductor mechanism with the mesh technique has proven effective for both partial and total lesions.
Collapse
Affiliation(s)
- Horacio Caviglia
- Orthopaedic and Traumatology Department, General Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina
| | - Guillermo Cambiaggi
- Orthopaedic and Traumatology Department, General Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina
| | - Nosrat Vattani
- Orthopaedic and Traumatology Department, General Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina
| | - María Eulalia Landro
- Orthopaedic and Traumatology Department, General Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina
| | - Gustavo Galatro
- Orthopaedic and Traumatology Department, General Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina
| |
Collapse
|
7
|
Badkur M, Garg N. Comparative Study of Prolene Hernia System and Lichtenstein Method for Open Inguinal Hernia Repair. J Clin Diagn Res 2015; 9:PC04-7. [PMID: 26266158 DOI: 10.7860/jcdr/2015/12177.6009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Accepted: 03/16/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND Prolene Hernia System (PHS) is a bi-layered polypropylene mesh with a connector that combines the anterior and posterior inguinal hernia repair, but still not very popular in this part of the country. Hence a prospective & randomized comparative study was undertaken to compare PHS with the already popular Lichtenstein Hernia Repair (LHR) and determine the post-operative outcome. MATERIALS AND METHODS Total 67 inguinal hernia repairs were randomly assigned to either PHS or LHR method, and data was collected regarding various outcome measures like duration of surgery, post-operative pain, requirement of analgesia, return to normal activity, and early and late complications. RESULTS Mean duration of surgery was significantly higher for PHS group than LHR group (65.4 min vs 51.26 min, p-value <0.0001). Significant difference was noted between the PHS and LHR group in terms of moderate to severe post-operative pain (15.15% vs 41.18%,p-value 0.018), time of requirement of analgesia (3.7 vs 4.6 days, p-value 0.024), and time to return to normal activity (2.7 vs 3.4 days, p-value 0.023), all in favour of the former technique. No intra-operative complication was noted in either of the groups. 5 patients had early complications in PHS group and 6 in LHR group, but this was statistically not significant. The average time of follow-up for the study was 7.8 month, ranging from 1 to 18 months. Chronic inguinal pain was noted in 1 and 2 patients respectively in PHS and LHR group, again statistically not significant. No recurrence was noted in both the groups till the time of follow-up. CONCLUSION PHS is a safe and better alternative to the time honored Lichtenstein hernia repair with the added advantage of strengthening whole of myopectineal orifice, and virtually eliminating any risk of recurrence.
Collapse
Affiliation(s)
- Mayank Badkur
- Resident, Department of General Surgery, People's College of Medical Sciences and Research Centre , Bhanpur Bhopal, Madhy Pradesh, India
| | - Nitin Garg
- Associate Professor, Department of General Surgery, People's College of Medical Sciences and Research Centre , Bhanpur Bhopal, Madhy Pradesh, India
| |
Collapse
|
8
|
Short- and long-term outcomes of open inguinal hernia repair: comparison of the Prolene Hernia System and the Mesh Plug method. Surg Today 2014; 44:2255-62. [PMID: 24554374 DOI: 10.1007/s00595-014-0867-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Accepted: 11/13/2013] [Indexed: 10/25/2022]
Abstract
PURPOSE Tension-free mesh repair of adult inguinal hernias has become a standard procedure, but there have been few comparisons of the postoperative outcome after hernia repair using the Prolene Hernia System (PHS) vs. the Mesh Plug (MP) method in a large number of patients from a single institution. METHODS We reviewed the medical records of patients to investigate the short- and long-term outcomes of the different types of hernia repair. Late symptoms were evaluated by questionnaire. A total of 1,141 repairs performed from 1999 to 2008 (PHS in 957 and MP in 184 repairs) were evaluated. RESULTS There were 93 early postoperative complications (8.2%). A subcutaneous hematoma was found more frequently after MP repair compared with after PHS repair (3.8 vs. 1.3%, P = 0.013). Seven hundred and ten patients (62.2%) could be followed up for more than 2 years. Recurrence was detected in 14 patients with PHS repair and two patients with MP repair (1.5 vs. 1.1%, P = 0.956). Wound infections occurred in three patients (0.3%) with PHS repair vs. none with MP repair (P > 0.999). Patients with PHS and MP repair showed no significant differences in the long-term wound pain. CONCLUSIONS The recurrence and wound infection rates were similar after hernia repair using the PHS and MP methods. Patients undergoing PHS repair developed fewer subcutaneous hematomas. An older age (≥65 years) was a significant independent risk factor for recurrence.
Collapse
|
9
|
Management of Recurrent Inguinal Hernia at a Tertiary Care Hospital of Southern Sindh, Pakistan. World J Surg 2012; 37:510-5. [DOI: 10.1007/s00268-012-1897-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
10
|
Rare late mesh complications following inguinal prolene hernia system hernioplasty: report of three cases. Surg Today 2012; 42:1253-8. [DOI: 10.1007/s00595-012-0189-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2011] [Accepted: 10/16/2011] [Indexed: 10/28/2022]
|
11
|
Randomized controlled multicenter international clinical trial of self-gripping Parietex™ ProGrip™ polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair: interim results at 3 months. Hernia 2012; 16:287-94. [PMID: 22453675 DOI: 10.1007/s10029-012-0900-y] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2011] [Accepted: 01/13/2012] [Indexed: 11/27/2022]
Abstract
PURPOSE To compare clinical outcomes following sutureless Parietex™ ProGrip™ mesh repair to traditional Lichtenstein repair with lightweight polypropylene mesh secured with sutures. METHODS This is a 3-month interim report of a 1-year multicenter international study. Three hundred and two patients were randomized; 153 were treated with Lichtenstein repair (L group) and 149 with Parietex™ ProGrip™ precut mesh (P group) with or without fixation. The primary outcome measure was postoperative pain using the visual analog scale (VAS, 0-150 mm); other outcomes were assessed prior to surgery and up to 3 months postoperatively. RESULTS Compared to baseline, pain score was lower in the P group at discharge (-10%) and at 7 days (-13%), while pain increased in the L group at discharge (+39%) and at 7 days (+21%). The difference between groups was significant at both time points (P = 0.007 and P = 0.039, respectively). In the P group, patients without fixation suffered less pain compared to those with single-suture fixation (1 month: -20.9 vs. -6.15%, P = 0.02; 3 months: -24.3 vs. -7.7%, P = 0.01). The infection rate was significantly lower in the P group during the 3-month follow-up (2.0 vs. 7.2%, P = 0.032). Surgery duration was significantly shorter in the P group (32.4 vs. 39.1 min; P < 0.001). No recurrence was observed at 3 months in both groups. CONCLUSIONS Surgery duration, early postoperative, pain and infection rates were significantly reduced with self-gripping polyester mesh compared to Lichtenstein repair with polypropylene mesh. The use of fixation increased postoperative pain in the P group. The absence of early recurrence highlights the gripping efficiency effect.
Collapse
|
12
|
Singh R, Hamada AJ, Bukavina L, Agarwal A. Physical deformities relevant to male infertility. Nat Rev Urol 2012; 9:156-74. [DOI: 10.1038/nrurol.2012.11] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
13
|
Manyilirah W, Kijjambu S, Upoki A, Kiryabwire J. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair among black African patients: a short-term double-blind RCT. Hernia 2011; 16:133-44. [DOI: 10.1007/s10029-011-0883-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2011] [Accepted: 09/18/2011] [Indexed: 11/29/2022]
|
14
|
Mottin CC, Ramos RJ, Ramos MJ. Using the Prolene Hernia System (PHS) for inguinal hernia repair. Rev Col Bras Cir 2011; 38:24-7. [PMID: 21537739 DOI: 10.1590/s0100-69912011000100005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2010] [Accepted: 03/16/2010] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess immediate postoperative and late complications in patients with inguinal hernia undergoing surgical correction by Gilbert technique, using the Prolene Hernia System (HPS). METHODS We surveyed all patients undergoing inguinal hernia repair with PHS mesh at The Sao Lucas Hospital--PUCRS, from January 2001 to october 2006. Information was retrospectively collected through telephone calls and chart review. The protocol for data collection included epidemiological aspects, as well as immediate and late complications. RESULTS ninety-six patients were enrolled. We identified six (6.25%) complications in different patients, none of which resulting in death. Two patients (2.08%) had seroma; hematoma was identified in one patient (1.04%); one patient (1.04%) had wound infection. Two patients (2.08%) had scrotal edema. After a mean follow up of 49.25 months (range 16 to 86.12) two patients (2.08%) had chronic pain and one patient (1.04%) had hernia recurrence twenty-six months after surgery. CONCLUSION The repair of inguinal hernia with PHS is a safe, effective and reproducible method, with low complication and recurrence rates or long term symptoms.
Collapse
Affiliation(s)
- Cláudio Corá Mottin
- Department of General and Digestive System Surgery of the Hospital São Lucas, PUCRS, Porto Alegre-Rio Grande do Sul, Brazil
| | | | | |
Collapse
|
15
|
Lee WI, Kim HS, Ryu BY, Kim HK, Lee JW, Choi YH, Kim JB, Lee JS. Clinical Analysis of Inguinal Hernia in Adult Using Prolene Hernia System. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2010. [DOI: 10.4174/jkss.2010.79.2.137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Won Il Lee
- Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Hae Sung Kim
- Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Byoung Yoon Ryu
- Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Hong Ki Kim
- Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Jin Won Lee
- Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Young Hee Choi
- Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea
| | - Jin Bong Kim
- Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
| | - Jae Sung Lee
- Department of Emergency Medicine, Hallym University College of Medicine, Chuncheon, Korea
| |
Collapse
|
16
|
Faraj D, Ruurda JP, Olsman JG, van Geffen HJAA. Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital. Hernia 2009; 14:155-8. [DOI: 10.1007/s10029-009-0576-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2009] [Accepted: 10/09/2009] [Indexed: 10/20/2022]
|
17
|
Itani KMF, Fitzgibbons R, Awad SS, Duh QY, Ferzli GS. Management of recurrent inguinal hernias. J Am Coll Surg 2009; 209:653-8. [PMID: 19854408 DOI: 10.1016/j.jamcollsurg.2009.07.015] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2009] [Revised: 07/17/2009] [Accepted: 07/17/2009] [Indexed: 11/27/2022]
Affiliation(s)
- Kamal M F Itani
- Department of Surgery, Boston Veterans Affairs Health Care System and Boston University, Boston, MA, USA.
| | | | | | | | | |
Collapse
|
18
|
Lee Y, Chung M. Comparing of Complications of Inguinal Hernia Repair Using Prolene Hernia System. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2009. [DOI: 10.4174/jkss.2009.76.2.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Younghwan Lee
- Department of Surgery, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Min Chung
- Department of Surgery, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| |
Collapse
|
19
|
Farrow B, Awad S, Berger DH, Albo D, Lee L, Subramanian A, Bellows CF. More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center. Am J Surg 2008; 196:647-51. [PMID: 18954598 DOI: 10.1016/j.amjsurg.2008.07.018] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2008] [Revised: 07/27/2008] [Accepted: 07/27/2008] [Indexed: 10/21/2022]
Abstract
BACKGROUND The purpose of this study was to determine the rate of surgical site infection for open elective umbilical hernia repairs and to identify the factors related to an increased risk of infection and/or recurrence. METHODS A retrospective analysis of 152 open elective umbilical hernia repairs between 2003 and 2007 was performed. RESULTS Overall, 19% of repairs became infected. Both high ASA classification (P = .01) and mesh repair (P = .01) significantly predicted wound infection, whereas age >60 years, body mass index >30, smoking, immunosuppression, diabetes, and hernia size did not. Only 2 of 17 infected mesh repairs required removal of the mesh. The recurrence rate was 1.5% for mesh and 9.2% for suture repairs. CONCLUSIONS Umbilical hernia repair is associated with a high rate of infection, and most superficial mesh infections can be treated with antibiotics alone. In addition, mesh repair of umbilical hernias decreased the rate of recurrence but increased the risk of infection compared with suture repairs.
Collapse
Affiliation(s)
- Buckminster Farrow
- Department of Surgery, Michael E. DeBakey VA Medical Center, Baylor College of Medicine-Houston, Houston, TX, USA.
| | | | | | | | | | | | | |
Collapse
|
20
|
|
21
|
Matthews RD, Neumayer L. Inguinal hernia in the 21st century: an evidence-based review. Curr Probl Surg 2008; 45:261-312. [PMID: 18358264 DOI: 10.1067/j.cpsurg.2008.01.002] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- R Douglas Matthews
- Salt Lake City VA Healthcare System and University of Utah, Salt Lake City, UT, USA
| | | |
Collapse
|
22
|
Gray SH, Hawn MT, Itani KMF. Surgical progress in inguinal and ventral incisional hernia repair. Surg Clin North Am 2008; 88:17-26, vii. [PMID: 18267159 DOI: 10.1016/j.suc.2007.11.007] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The goals of this article are to describe the history of hernia repair and how innovations in surgical technique, prosthetics, and technology have shaped current practice.
Collapse
Affiliation(s)
- Stephen H Gray
- Section of Gastrointestinal Surgery, University of Alabama at Birmingham, KB 429, 1530 3rd Avenue South, Birmingham, AL 35294, USA
| | | | | |
Collapse
|
23
|
Woods B, Neumayer L. Open repair of inguinal hernia: an evidence-based review. Surg Clin North Am 2008; 88:139-55, ix-x. [PMID: 18267167 DOI: 10.1016/j.suc.2007.11.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This article provides an evidence-based review of open hernia repair. Technical considerations in general, including perioperative management of the patient, and the most currently used open repairs are addressed. Outcomes after repair are reviewed using the latest available literature. Current recommendations from this review include the routine use of mesh in primary repair of inguinal hernia and the need to counsel patients preoperatively about the risk of chronic postoperative groin pain.
Collapse
Affiliation(s)
- Benjamin Woods
- Department of Surgery, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA
| | | |
Collapse
|