Ventral Hernia Repair: A Meta-Analysis of Randomized Controlled Trials

Abstract

Mesh reinforcement is recommended for all VH repairs in a clean case (high grade of evidence). Sublay mesh location may result in fewer recurrences and SSIs than onlay or inlay placement, but further study is needed to confirm this hypothesis (moderate grade of evidence).

Incisional Hernia Cannot Be Diagnosed by a Patient-Reported Diagnostic Questionnaire

“…Great progress in both primary prevention and results of surgical repair has been accomplished over the past decades. 13,14,32,34,35 Continuous examination by physical examination or imaging is time-consuming and often not feasible. Patient-reported outcomes could provide a feasible and costeffective tool for long-term follow-up, which is essential to assess current practice and the effectivity of new closure techniques.…”

Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report

“…There are conflicting reports on the risk of infection in hernia repairs with and without a mesh. Mesh reinforcement can prevent hernia recurrence but is also associated with increased J Microbiol Infect Dis www.jmidonline.org Vol 9, No 2, June 2019 surgical site infection [9]. The ideal location of mesh placement is also debated.…”

The effect of polypropylene mesh on different layers to the formation of collagen type I/ III ratio and total collagen density in incisional hernia repair

“…4 Holihan et al, in their meta-analysis, reported that sublay mesh location may result in fewer recurrences. 22 Intraperitoneal space is not safe for placing prolen mesh. However it is not recommended, intraperitoneal mesh placement can be safe with prolen mesh reported by Brandi et al 23 Neither acute nor chronic enterocutaneus fistulas were encountered during follow-up in any of the patients in their study.…”