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

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Emergency umbilical hernia management: scoping review.

Josephine Walshaw^1,2, Anna Kuligowska¹, Neil J Smart³

¹Leeds Institute of Emergency General Surgery, St James's University Hospital, Leeds, UK.

|June 20, 2024

Summary

Emergency umbilical hernia care lacks high-quality evidence. This review highlights the need for randomized trials and patient-reported outcomes in managing acute umbilical hernias.

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Area of Science:

General Surgery
Gastroenterology
Surgical Outcomes

Background:

Umbilical hernias can become acutely symptomatic, requiring emergency treatment.
High-quality evidence is crucial for optimal emergency umbilical hernia care.
This review identifies evidence gaps in emergency umbilical hernia management.

Purpose of the Study:

To conduct a scoping review of evidence regarding emergency care for umbilical hernias.
To identify existing research and highlight areas needing further investigation.

Main Methods:

Searched EMBASE, MEDLINE, and CENTRAL databases until November 2023.
Included primary research studies on emergency umbilical hernia care published in English.
Performed narrative synthesis of data from 14 included studies.

Main Results:

14 studies encompassing 52,042 patients were included, mostly retrospective cohort designs.
Key themes included risk assessment, timing of surgery, repair methods, and operative outcomes.
No studies reported patient-reported outcomes for emergency umbilical hernia repair.

Conclusions:

A significant paucity of high-quality data exists for emergency umbilical hernia care.
There is a critical need for randomized trials in this field.
Future research should incorporate patient-reported outcomes.