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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Management of Acutely Symptomatic Hernia (MASH) study
Victoria K Proctor1, Olivia M O'Connor1, Flora A Burns1
1Academic Directorate of General Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
The British Journal of Surgery
|May 24, 2022
Summary
Emergency hernia surgery for acute abdominal wall and groin hernias is common. Immediate surgical management significantly improves quality of life, though optimal strategies require further study.
Area of Science:
- General Surgery
- Surgical Outcomes
- Hernia Repair
Background:
- Acutely symptomatic abdominal wall and groin hernias frequently lead to emergency surgical admissions.
- Limited data exist to guide the management of these high-risk patients.
- This study addresses the need for evidence in emergency hernia surgery.
Purpose of the Study:
- To assess outcomes of emergency hernia surgery.
- To identify common management strategies for acutely symptomatic hernias.
- To improve care for patients undergoing emergency hernia repair.
Main Methods:
- A 20-week national multicentre prospective cohort study (NCT04197271) in the UK.
- Recruited 272 adults with acutely symptomatic abdominal wall and groin hernias.
- Collected data on patient characteristics, management, quality of life, complications, and wound healing with 30 and 90-day follow-up.
Main Results:
- Inguinal and umbilical hernias were most common (37.8% and 37.1%).
- 81.3% underwent surgical management, predominantly open repair (93.5%) under general anaesthesia.
- Complications were infrequent; 90-day mortality was 4.9%. Immediate surgery improved quality of life at 30 days.
Conclusions:
- Significant variation exists in the investigation and management of acute hernias in the UK.
- Optimal management strategies for specific acute presentations need further establishment.
- Further research is needed to define best practices for emergency hernia surgery.
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