- Artificial intelligence-based anatomical segmentation in transabdominal preperitoneal repair of groin hernia. [Journal Article]
- CONCLUSIONS: The AI-based model recognized critical anatomical structures during TAPP. Its integration into clinical practice may improve intraoperative recognition of critical anatomical structures and facilitate appropriate mesh placement during TAPP.
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- Internal ring ligation in laparoscopic transabdominal preperitoneal repair of giant inguinoscrotal hernia: a non-prospective comparative study on seroma outcomes. [Journal Article]
- CONCLUSIONS: Internal ring ligation during TAPP repair was associated with reduced postoperative seroma burden and favorable seroma resolution trajectory in patients with giant inguinoscrotal hernia, without an evident increase in morbidity when followed up for 1 year.
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- Postoperative complication burden after ventral hernia repair stratified by modified ventral hernia working group grade: a claims-based cohort study. [Journal Article]
- CONCLUSIONS: This study operationalizes mVHWG classification in claims data and demonstrates an increase in complication burden across mVHWG grades following VHR, including higher incidence and greater number of complications per patient. Grade 2 patients represented a large proportion of the cohort and experience greater complication burden than Grade 1 patients, underscoring the importance of this risk group. Further research is warranted to validate the algorithm against clinically assigned mVHWG grades as well as to examine long-term outcomes and costs associated with early complications across mVHWG grades.
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- Young women are more often dissatisfied with appearance after primary ventral hernia repair: a nationwide survey- and register-based study. [Journal Article]
- CONCLUSIONS: Young women were more dissatisfied with both the postoperative scar and overall appearance compared with older age groups. Although most women motivated for surgery by appearance reported postoperative improvement, the youngest remained the most dissatisfied, highlighting the importance of preoperative expectation management.
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- Pain outcomes in emergent versus elective ventral hernia repair: Propensity score matched analysis. [Multicenter Study]
- CONCLUSIONS: Emergent VHR patients demonstrated superior patient-reported pain outcomes at one year compared to propensity-matched elective controls, with equivalent complication and recurrence rates. These findings challenge the notion that emergent repairs inherently lead to worse outcomes and suggest that surgical urgency may not negatively impact long-term pain recovery.
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- Network meta-analysis of robotic ventral and incisional hernia repair techniques: intraperitoneal, preperitoneal, retromuscular, and sublay approaches. [Systematic Review]
- CONCLUSIONS: Preperitoneal approaches, particularly rTEP-RM and rTAPP, were associated with more favorable early postoperative outcomes than rIPOM, although certainty of evidence was mostly low or very low.
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- Toward precision hernia surgery: integrating biomarkers, genomics, quantitative imaging, and artificial intelligence in abdominal wall repair. [Review]
- CONCLUSIONS: Available data support the plausibility that host biological heterogeneity contributes to the formation, healing, prosthetic integration, and recurrence of AWH, thereby broadening the traditional paradigm centered predominantly on defect anatomy. The main value of this work is the critical integration of molecular and cellular biomarkers, genetics, quantitative imaging, and AI/ML into a unified conceptual framework for future precision herniology research.
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- Self-gripping mesh without fixation versus anatomical mesh with tack fixation for laparoscopic TAPP inguinal hernia repair: a retrospective cohort study. [Journal Article]
- CONCLUSIONS: In this retrospective cohort, the self-gripping mesh/no-fixation strategy was associated with shorter operative duration, lower early postoperative pain scores, and lower direct material costs than the anatomical mesh/tack-fixation strategy. These findings should be interpreted as differences between two combined mesh-fixation strategies rather than as evidence that one mesh design is intrinsically superior to the other. Larger prospective comparative studies are needed to determine the independent contributions of mesh design and fixation technique.
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- Patient narratives in an online hernia peer-support community: a qualitative netnographic analysis. [Journal Article]
- CONCLUSIONS: Online patient narratives offer rich insight into the lived experience of hernia and demonstrate how peer communities contribute to information seeking, support, and treatment-related discussion. These exploratory findings identify issues relevant to patient-centred communication and future outcomes research and suggest value in recognising the digital patient as an active information-seeker and co-producer of meaning.
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- ReTAPP for recurrent inguinal hernia after laparoscopic repair: extended experience and comparative analysis. [Journal Article]
- CONCLUSIONS: In high-volume centers, reTAPP is a safe and effective option for recurrent inguinal hernia after prior laparoscopic repair, associated with shorter hospital stay and less postoperative pain, with comparable re-recurrence rates.
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- From pixels to prediction: CT morphometrics and artificial intelligence in complex ventral hernia repair. [Review]
- CONCLUSIONS: Quantitative CT morphometrics combined with AI has the potential to transform complex ventral hernia assessment from descriptive imaging to evidence-based, patient-specific surgical planning. Future progress will depend on standardized CT acquisition and reporting, consensus morphometric definitions, multicentre collaborative datasets, rigorous external validation of predictive models, and prospective evaluation of their clinical utility before routine implementation in abdominal wall reconstruction.
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