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Hiatal Hernia

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

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Published on: December 23, 2022

Establishment and initial experiences from the Danish Ventral Hernia Database.

F Helgstrand¹, J Rosenberg, M Bay-Nielsen

¹Department of Surgical Gastroenterology, Herlev Hospital, The Danish Hernia Database, Copenhagen, Denmark. freh@regionsjaelland.dk

Hernia : the Journal of Hernias and Abdominal Wall Surgery

|November 26, 2009

Summary

The Danish Ventral Hernia Database (DVHD) was established to improve ventral hernia repair outcomes. Initial data reveal significant variations in surgical techniques, highlighting the need for large-scale studies to optimize patient care.

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Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Published on: October 2, 2017

Area of Science:

Hernia Surgery
Surgical Outcomes
Health Informatics

Background:

Ventral hernia repair outcomes are suboptimal.
Surgical techniques lack standardization and large-scale evidence.
Current practices rely on personal preference or limited data.

Purpose of the Study:

Establish the Danish Ventral Hernia Database (DVHD).
Present the initial 2-year data (2007-2008) from the DVHD.
Assess the potential of the DVHD for improving hernia repair.

Main Methods:

Prospective online web-registration of perioperative data.
Individualized tracking of follow-up data.
Validation against the Danish National Patient Register.

Main Results:

The DVHD was established in June 2006.
Data from 2007-2008 showed wide variation in surgical techniques, including open vs. laparoscopic approaches and mesh usage.
5,629 elective and 661 acute repairs were registered, with a 70% initial registration rate.

Conclusions:

The first national ventral hernia database is operational.
Preliminary findings indicate a need for large-scale prospective and randomized studies.
The DVHD can identify technical issues and improve outcomes, but a higher registration rate is crucial.