Hybrid Robotic Hernia Repair for Incisional Hernias: Perioperative and Patient-Reported Outcomes

2020 ◽  
Author(s):  
Omar Yusef Kudsi ◽  
Karen Chang ◽  
Naseem Bou-Ayash ◽  
Fahri Gokcal
Keyword(s):  
Hernia Repair ◽  
Patient Reported Outcomes ◽  
Incisional Hernias ◽  
Robotic Hernia Repair ◽  
Patient Reported

scholarly journals Patient-reported outcomes after incisional hernia repair

Hernia ◽  
2021 ◽  
Author(s):  
N. van Veenendaal ◽  
M. M. Poelman ◽  
B. van den Heuvel ◽  
B. J. Dwars ◽  
W. H. Schreurs ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Patient Reported Outcomes ◽  
Incisional Hernia Repair ◽  
Hernia Surgery ◽  
Incisional Hernias ◽  
Patient Reported ◽  
Postoperative Symptoms

Abstract Purpose Patient-reported outcomes (PROs) are pivotal to evaluate the efficacy of surgical management. Debate persists on the optimal surgical technique to repair incisional hernias. Assessment of PROs can guide the selection of the best management of patients with incisional hernias. The objective of this cohort study was to present the PROs after incisional hernia repair at long term follow-up. Methods Patients with a history of incisional hernia repair were seen at the out-patient clinic to collect PROs. Patients were asked about the preoperative indication for repair and postoperative symptoms, such as pain, feelings of discomfort, and bulging of the abdominal wall. Additionally, degree of satisfaction was asked and Carolina Comfort Scales were completed. Results Two hundred and ten patients after incisional hernia repair were included with a median follow-up of 3.2 years. The main indication for incisional hernia repair was the presence of a bulge (60%). Other main reasons for repair were pain (19%) or discomfort (5%). One hundred and thirty-two patients (63%) reported that the overall status of their abdominal wall had improved after the operation. Postoperative symptoms were reported by 133 patients (63%), such as feelings of discomfort, pain and bulging. Twenty percent of patients reported that the overall status of their abdominal wall was the same, and 17% reported a worse status, compared to before the operation. Ten percent of the patients would not opt for operation in hindsight. Conclusion This study showed that a majority of the patients after incisional hernia repair still report pain or symptoms such as feelings of discomfort, pain, and bulging of the abdominal wall 3 years after surgery. Embedding patients’ expectations and PROs in the preoperative counseling discussion is needed to improve decision-making in incisional hernia surgery.

Patient-Reported Outcomes Following Ventral Hernia Repair: Designing a Qualitative Assessment Tool

2017 ◽  
Vol 11 (2) ◽  
pp. 225-234 ◽  
Author(s):  
Martin J. Carney ◽  
Kate E. Golden ◽  
Jason M. Weissler ◽  
Michael A. Lanni ◽  
Andrew R. Bauder ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Patient Reported Outcomes ◽  
Ventral Hernia Repair ◽  
Assessment Tool ◽  
Qualitative Assessment ◽  
Patient Reported

Opioid Use After Inguinal and Ventral Hernia Repair

2020 ◽  
Vol 86 (8) ◽  
pp. 965-970
Author(s):  
Jessica L. Millard ◽  
Robyn Moraney ◽  
Jordan C. Childs ◽  
Joseph A. Ewing ◽  
Alfredo M. Carbonell ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Inguinal Hernia Repair ◽  
Patient Reported Outcomes ◽  
Opioid Use ◽  
Patient Reported ◽  
Primary Ventral Hernia ◽  
Ventral Hernias

Background Recent data on opioid consumption indicate that patients typically require far less than is prescribed. Prisma Health Upstate Hernia Center adopted standardized postoperative prescribing after hernia repair and began tracking patient-reported opioid utilization. The aim of this study is to evaluate patient opioid use after hernia repair in order to guide future prescribing. Methods All patients who underwent primary ventral (umbilical and epigastric), incisional, and inguinal hernia repair between February and May 2019 were reviewed. Patients reported the number of opioid pills taken at their first postoperative visit and documented either in the progress note or in the Americas Hernia Society Quality Collaborative (AHSQC) patient-reported outcomes (PRO) questionnaire. All demographic, operative, and outcomes data were captured prospectively in the AHSQC. Opioid use reported as milligram morphine equivalents (MME). Results A total of 162 surgeries were performed during the study period, and 107 had patient-reported opioid use for analysis. Inguinal hernia repair was performed in 36 patients, 10 primary ventral hernia repairs, and 61 incisional hernia repairs. No opioid use was reported in 63.9% of inguinal hernias, 60% of primary ventral hernias, and 20% of incisional hernias. Inguinal hernia patients consumed a mean of 10.5 MME, primary ventral patients 11 MME, and incisional hernia patients 78.5 MME. Conclusion Patients require little to no opioid after primary ventral or inguinal hernia repair and opioid-free surgery is feasible. Incisional hernia is more heterogenous, but the majority of patients still required less opioid than previously thought.

Patient reported outcomes after incisional hernia repair—establishing the ventral hernia recurrence inventory

2016 ◽  
Vol 212 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Rebeccah B. Baucom ◽  
Jenny Ousley ◽  
Irene D. Feurer ◽  
Gloria B. Beveridge ◽  
Richard A. Pierce ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Patient Reported Outcomes ◽  
Incisional Hernia Repair ◽  
Hernia Recurrence ◽  
Patient Reported

scholarly journals Long-Term Patient-Reported Outcomes of Paraesophageal Hernia Repair

2017 ◽  
Vol 21 (4) ◽  
pp. e2017.00052 ◽  
Author(s):  
Damien J. Lazar ◽  
Desmond H. Birkett ◽  
David M. Brams ◽  
Heather A. Ford ◽  
Christina Williamson ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Patient Reported Outcomes ◽  
Paraesophageal Hernia ◽  
Paraesophageal Hernia Repair ◽  
Patient Reported

Early Clinical and Patient-Reported Outcomes of a New Hybrid Mesh for Incisional Hernia Repair

2021 ◽  
Vol 265 ◽  
pp. 49-59
Author(s):  
Arturo J. Rios-Diaz ◽  
Michaela Hitchner ◽  
Adrienne N. Christopher ◽  
Robyn Broach ◽  
Jessica R. Cunning ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Patient Reported Outcomes ◽  
Incisional Hernia Repair ◽  
Hybrid Mesh ◽  
Patient Reported

Longitudinal Clinical and Patient-Reported Outcomes After Transversus Abdominis Release for Complex Hernia Repair With a Review of the Literature

2021 ◽  
pp. 000313482110385
Author(s):  
Adrienne N. Christopher ◽  
Martin P. Morris ◽  
Louis-Xavier Barrette ◽  
Viren Patel ◽  
Robyn B. Broach ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Patient Reported Outcomes ◽  
Abdominal Wall Reconstruction ◽  
Transversus Abdominis ◽  
Fascial Closure ◽  
Review Of The Literature ◽  
Transversus Abdominis Release ◽  
Patient Reported ◽  
Disease Specific

Purpose Posterior component separation with transversus abdominis release (TAR) enables medial myofascial flap advancement in complex abdominal wall reconstruction. Here, we add to a growing body of literature on TAR by assessing longitudinal clinical and patient-reported outcomes (PROs) after complex ventral hernia repair (VHR) with TAR. Methods Adult patients undergoing VHR with TAR between 10/15/2015 and 1/15/2020 were retrospectively identified. Patients with parastomal hernias and <12 months of follow-up were excluded. Clinical outcomes and PROs were assessed. Results Fifty-six patients were included with a median age and body mass index of 60 and 30.8 kg/m2, respectively. The average hernia defect was 384 cm2 [IQR 205-471], and all patients had retromuscular mesh placed. The most common complications were delayed healing (19.6%) and seroma (14.3%). There were no cases of mesh infection or explantation. Previous hernia repair and concurrent panniculectomy were risk factors for developing complications ( P < .05). One patient (1.8%) recurred at a median follow-up of 25.2 months [IQR 18.2-42.4]. Significant improvement in disease-specific PROs was maintained throughout the follow-up period (before to after P < .05). Conclusion Transversus abdominis release is a safe and efficacious technique to achieve fascial closure and retromuscular mesh in the repair of complex hernia defects.

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