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Reader asks what to do about inguinal hernia
14 hours ago
Reader asks what to do about inguinal hernia, Dear Dr. Gott: I am in my late 70s and suddenly have an inguinal hernia. It is not incarcerated, and I am wondering if I need surgery. If so, can it be done with local anesthesia?, Thu, 29 Jul 2010 00:32:39 -0700
Ask Dr. Gott: Battle of the bulge
13 hours ago
Ask Dr. Gott: Battle of the bulge, Dear Dr. Gott: I read your column daily but have never seen you comment on an inguinal hernia. Can you address it? I am in my late 70s and suddenly have one. It is not incarcerated, and I am wondering if I need surgery., Thu, 29 Jul 2010 01:50:57 -0700
Biomerix Ventral Hernia Repair Mesh Receives FDA 510(k) Clearance
21 Jul 2010 at 7:42am
Biomerix Ventral Hernia Repair Mesh Receives FDA 510(k) Clearance, Biomerix Corporation announced that it has received U.S. Food and Drug Administration (FDA) 510(k) Clearance to market its Biomerix Ventral Hernia Repair Mesh, the latest addition to its innovative portfolio of soft tissue repair devices. The Biomerix Ventral Hernia Repair Mesh, with two distinctly different sides, is the first and only device featuring the Biomerix Biomaterial? on one side ..., Wed, 21 Jul 2010 05:42:36 -0700
Ratt and the Scorpions infest the Mahalia Jackson Theatre with rock
20 Jul 2010 at 5:11am
Ratt and the Scorpions infest the Mahalia Jackson Theatre with rock, Twenty-plus years past their peak, the Scorpions can still lord over an explosive fireworks show., Tue, 20 Jul 2010 03:11:33 -0700
PolyTouch Medical Ltd. Announces the Appointment of Robert D. Fanelli, MD, FA...
6 Jul 2010 at 4:59am
PolyTouch Medical Ltd. Announces the Appointment of Robert D. Fanelli, MD, FACS, FASGE as Medical Advisor, PolyTouch Medical Ltd., a leading developer of laparoscopic soft tissue prosthetic placement technologies, today announced that it has appointed Robert D. Fanelli, MD, FACS, FASGE as Medical Advisor., Tue, 06 Jul 2010 02:59:00 -0700
Biomerix receives FDA 510(k) Clearance to market Ventral Hernia Repair Mesh
30 Jun 2010 at 11:08pm
Biomerix receives FDA 510(k) Clearance to market Ventral Hernia Repair Mesh, Biomerix Corporation announced today that it has received U.S. Food and Drug Administration 510(k) Clearance to market its Biomerix Ventral Hernia Repair Mesh, the latest addition to its innovative portfolio of soft tissue repair devices. The Biomerix Ventral Hernia Repair Mesh, with two distinctly different sides, is the first and only device featuring the Biomerix Biomaterial on one side ..., Wed, 30 Jun 2010 21:08:52 -0700

The Latest...

Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair

Laparoscopy enables hernial orifices to be observed and

tension-free mesh repair to be carried out effectively. In

the first randomised controlled trial on hernia repair,

which compared laparoscopic transabdominal preperitoneal

(TAPP) mesh with open darn repairs, laparoscopic

repair was less painful and enabled patients to

return to work and normal activity more quickly.1 Since2 3 More4

then, several randomised controlled studies and systematic

reviews have largely confirmed these results.

recently in the United Kingdom, the National Institute

for Clinical Excellence reviewed the available early

results and published its guidance on the use of laparoscopic

surgery for inguinal hernias.

Definitive Surgical Treatment of Infected or Exposed Ventral Hernia Mesh

To discuss the difficulties in dealing with infected or exposed

ventral hernia mesh, and to illustrate one solution using an

autogenous abdominal wall reconstruction technique.

Current Opinions About Laparoscopic Incisional Hernia Repair - A Survey of Practicing Surgeons

Background—

Incisional hernias are common. The optimal repair is one of the most analyzed and

Methods—

(www.surveymonkey.com) to assess practices and opinions regarding incisional hernia repair.An IRB approved protocol was designed using an internet-based survey site

Results—

hospital. 85–96% performed basic laparoscopic procedures. The median percentage of laparoscopic

to total hernia repair was <10%. Use of the laparoscopic technique was associated with a higher

volume of hernia repair (r

(z

(z

hernia repair, 81% indicated “no”. In that group, 52% indicated that a lack of improved results was

the main reason, followed by risk of enterotomy > operative time > cost > experience. Those who

would start indicated that the main reason was patient request (54%). Among those that use the

laparoscopic technique, 85% indicated that they would perform more. The main reason for this was

a lower recurrence rate (42%).Of 766 surgeons, 204 (27%) responded. Most respondents practice in an academic, urbanSpearman’s=0.315, p=0.001), concurrent advanced laparoscopic experienceWilcoxon rank sum=−2.348, p=0.019) and completion of a laparoscopic fellowshipWilcoxon rank sum=−3.317, p=0.001). When asked how many would start to perform laparoscopic

Conclusions—

of incisional hernias. Surgeons with experience with advanced laparoscopic techniques, laparoscopic

fellowship training, and higher volume of hernia repair are more likely to use a laparoscopic approach.There continues to be a lack of consensus on the most appropriate repair method

debated topics. There is no consensus as to the appropriate surgical technique.