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Related Concept Videos

Hiatal Hernia01:25

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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Lateral incisional hernia. EVEREG registry analysis.

P Martínez-López1, V Rodrigues-Gonçalves2, M Verdaguer-Tremolosa2

  • 1Abdominal Wall Surgery Unit, General Surgery Service, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain. pilar.martinez@vallhebron.cat.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|May 21, 2024
PubMed
Summary

Lateral incisional hernia (LIH) repair outcomes show high recurrence rates, especially without specialist involvement. Laparoscopic approaches remain infrequent for these common abdominal wall defects.

Keywords:
HerniaLateralRegistryWall

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Area of Science:

  • Abdominal wall surgery
  • Hernia repair outcomes
  • Surgical registry data analysis

Background:

  • Lateral incisional hernias (LIH) represent a significant surgical challenge.
  • The National Incisional Hernia Registry (EVEREG) provides valuable data on LIH epidemiology and management.
  • Understanding current practices and outcomes is crucial for improving patient care.

Purpose of the Study:

  • To analyze data from the EVEREG registry concerning lateral incisional hernias.
  • To assess current surgical practices and patient outcomes in LIH repair.
  • To identify factors associated with recurrence after LIH repair.

Main Methods:

  • Retrospective cohort study utilizing 10 years (2012-2022) of LIH data from the EVEREG registry.
  • Analysis of comorbidities, hernia characteristics, surgical approach (open vs. laparoscopic), and short-term complications.
  • Evaluation of recurrence rates and their association with surgical factors, including specialist presence.

Main Results:

  • 1742 LIH cases were analyzed, with a majority (87.7%) undergoing open repair.
  • The overall recurrence rate at 24 months was 27.2%.
  • Higher recurrence incidence was observed with no specialist present, onlay mesh placement, and larger defect sizes.

Conclusions:

  • Surgery for LIH is common, but laparoscopic repair is infrequent.
  • High recurrence rates in LIH repair are a concern, particularly when abdominal wall surgery specialists are absent.
  • Improving surgical expertise and technique may reduce LIH recurrence.