Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Gillies, Madeline; Anthony, Lakmali; Al-Roubaie, Aymen; Rockliff, Aaron; Phong, Jenny

doi:10.7759/cureus.35744

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…Inguinal hernia repairs account for over 770,000 of the nearly 1 million abdominal wall hernia operations performed annually in the United States. [9].…”

Section: Indications For Ventral Hernia Repairmentioning

confidence: 99%

Management of Ventral Hernia in Obese Patients: Before or After Bariatric Surgery?

Elias,

El Hajj,

Zeaiter

2023

Hernia Updates and Approaches

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Obesity is a known risk factor for ventral hernias and their recurrences. The timing of ventral hernia repair in obese patients who are candidates for bariatric surgery is still a debatable topic. To this date, there is no consensus, neither for the timing nor for the surgical repair technic. In this chapter, we will review briefly what was already discussed about this dilemma and explore our experience with our retrospective study. If asymptomatic, the ventral hernia should be repaired after bariatric surgery when there is stabilization of the weight loss. Laparoscopic approach is recommended to allow an exploration of the trocars sites and a second look after obesity surgery. An algorithm for ventral hernia management in obese patients is proposed.

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“…Inguinal hernia repairs account for over 770,000 of the nearly 1 million abdominal wall hernia operations performed annually in the United States. [9].…”

Section: Indications For Ventral Hernia Repairmentioning

confidence: 99%

Management of Ventral Hernia in Obese Patients: Before or After Bariatric Surgery?

Elias,

El Hajj,

Zeaiter

2023

Hernia Updates and Approaches

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“…Solving this problem is paramount, as the strain on healthcare resources continues to expand (5)(6)(7). Mitigating the problem of concentrated forces causing damage to tissues has been a focus of surgeons of all specialties.…”

Section: Introductionmentioning

confidence: 99%

Duramesh registry study: short-term outcomes using mesh suture for abdominal wall closure

Hackenberger,

Mittal,

Fronza

et al. 2024

Front. Surg.

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IntroductionSutures are flexible linear elements that join tissue and maintain their hold with a surgeon-created knot. Tension at the suture/tissue interface can cut the very tissues that sutures are designed to hold, leading to dehiscence and incisional hernia formation. A new suture design (Duramesh, Mesh Suture Inc., Chicago, IL) was approved for marketing by the United States Food and Drug Administration in September 2022. The multiple filaments of the mesh suture are designed to diffuse tension at the suture/tissue interface thereby limiting pull-through. The macroporosity and hollow core of the mesh suture encourage fibrovascular incorporation for a durable repair. We created the first registry and clinical report of patients undergoing mesh suture implantation to assess its real-world effectiveness.MethodsA patient registry was created based on institutional implant logs from January to August 2023 at an integrated health-care system. Operative reports were reviewed by the study team to verify use of “Duramesh” by dictation. Retrospective chart review was conducted to evaluate patient and surgical characteristics, follow-up, and short-term outcomes of interest. Results were analyzed using descriptive statistics and Chi-squared analysis with Microsoft Excel and GraphPad Prism.ResultsThree hundred seventy-nine separate implantations by 56 surgeons across 12 (sub) specialties at a university hospital and two community hospitals were performed. Mesh suture was used for treatment of the abdominal wall in 314 cases. Follow-up averaged 80.8 ± 52.4 days. The most common abdominal wall indications were ventral hernia repair (N = 97), fascial closure (N = 93), abdominal donor site closure from autologous breast reconstruction (N = 51), and umbilical hernia repair (N = 41). Mesh suture was used in all Centers for Disease Control (CDC) wound classifications, including 92 CDC class 2 or 3 abdominal operations. There were 19 surgical site infections (6.1%) and 37 surgical site events (11.8%).ConclusionsShort-term registry data demonstrates the wide diversity of surgical disciplines and scenarios in which mesh suture has been used to date. The early adoption of mesh suture into practice highlights that consequences of suture pull-through influence operative decision making. As this is the first interim report of the Duramesh mesh suture registry, follow-up is too short for characterization of long-term durability of abdominal wall closures.

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“…Primary abdominal wall hernia is a worldwide common disease, with an estimated occurrence of 20% in adults [1]. A primary (non-incisional) hernia mostly occurs in the naturally weak points of the abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

Giant Primary Abdominal Wall Hernia: Case Report of the Surgical Treatment with a Review of the Literature

2023

Ann Case Report

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Introduction: Primary abdominal wall hernias can occur in different locations and sizes. The hernia gaps can originate either due to embryonic weaknesses or the yielding of connective tissue due to excessive intra-abdominal pressures. Surgical treatment should be discussed in the event of an emergency situation, disturbing symptoms, or prevention of complications. Case Presentation: In this case report we present a delay treatment of a giant primary ventral abdominal wall hernia, which is rarely seen in Switzerland, due to a normally earlier desired treatment of the patient. Despite delay, treatment could be performed according to the most up-to-date hernia recommendations which are discussed, including a brief review of the literature. Conclusion: A key factor in the successful treatment of large hernias is good communication and clear explanations of the procedure with the patient and his or her relatives. In addition, cooperation between the disciplines involved is crucial for the sometime prolonged follow-up. For an improvement of the evidence in hernia surgery, further case and series reports are essential to be able to offer the best possible care, individualized to our patients.

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Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Cited by 8 publications

References 25 publications

Management of Ventral Hernia in Obese Patients: Before or After Bariatric Surgery?

Management of Ventral Hernia in Obese Patients: Before or After Bariatric Surgery?

Duramesh registry study: short-term outcomes using mesh suture for abdominal wall closure

Giant Primary Abdominal Wall Hernia: Case Report of the Surgical Treatment with a Review of the Literature

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