Articles: herniorrhaphy.
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Cochrane Db Syst Rev · Feb 2025
Penetrating versus non-penetrating mesh fixation in laparoscopic groin hernia repair.
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the benefits and harms of penetrating versus non-penetrating mesh fixation in adults receiving laparoscopic groin hernia repair.
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Case Reports
Rectus sheath nerve block for analgesia & incarcerated hernia reduction in the emergency department.
Patients who present to the emergency department (ED) with incarcerated or strangulated ventral hernias are often in significant pain. Furthermore, even with procedural sedation, reduction itself also causes substantial pain. Hernias that cannot be reduced at the bedside with intravenous opioids or procedural sedation will require emergent surgery, which contributes to morbidity and mortality, especially in high-risk populations. ⋯ Ultrasound can visualize and diagnose an incarcerated hernia, and a bilateral rectus sheath block can be performed in the ED to anesthetize the peritoneal wall, paralyze abdominal musculature, and achieve nearly painless hernia reduction.
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Patient and procedure factors are considered in the decision-making process for surgical repair of hiatal hernias. Recurrence is multi-factorial and has been shown to be related to size, type, BMI and age. ⋯ It is important to educate patients on the likelihood and risk factors of recurrence. A comprehensive review of procedures and a quality improvement program in our facility for hiatal hernia repair is shown to reduce recurrence.
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In this 10-year follow-up study, we evaluated the long-term postoperative results of single-layer modified Kugel (MK) herniorrhaphy without an onlay mesh. ⋯ In this study, we demonstrated the long-term safety and efficacy of single-layer MK-mesh herniorrhaphy without an onlay mesh. Omitting the onlay mesh minimized the amount of foreign material implanted into patients, resulting in decreased long-term postoperative complications without sacrificing the efficacy of mesh herniorrhaphy.