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Hernia OnlineFirst articles

29.07.2021 | Editor’s Corner

Ventral hernia and diastasis recti. Is there a consensus?

G. Campanelli

28.07.2021 | Original Article

Comparative effectiveness of surgeon-performed transversus abdominis plane blocks and epidural catheters following open hernia repair with transversus abdominis release

Enhanced recovery protocols have become a point of emphasis in postoperative care following ventral hernia repair (VHR) [ 1 – 3 ]. They have been demonstrated to be safe and effective in reducing length of stay and narcotic use [ 2 ]. There are …

D. J. Morrell, J. A. Doble, B. S. Hendriksen, C. M. Horne, C. S. Hollenbeak, E. M. Pauli

28.07.2021 | Review

Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias

Rectus diastasis (RD) is defined as the widening of the linea alba and the separation of the rectus abdominis muscles by more than 2 cm at the midline [ 1 ]. The pathophysiology of RD is secondary to increased intra-abdominal pressure, which …

H. ElHawary, N. Barone, D. Zammit, J. E. Janis

28.07.2021 | Original Article

Comparison of outcomes in rectus abdominis diastasis repair—which data do we need in a hernia registry?

Rectus abdominis diastasis (RAD) is a term describing a condition in which the two rectus abdominis muscles are separated by an abnormal distance [ 1 – 3 ]. RAD is deemed present if the distance between the two medial portions of the rectus …

F. Köckerling, R. Lorenz, B. Stechemesser, J. Conze, A. Kuthe, W. Reinpold, H. Niebuhr, B. Lammers, K. Zarras, R. Fortelny, F. Mayer, H. Hoffmann, J. F. Kukleta, D. Weyhe

27.07.2021 | Review

Diagnostic techniques for diastasis recti

Diastasis recti (DR) is an abnormality of the anterior abdominal wall, characterized by a separation of the rectus abdominis muscles along the linea alba. A thorough history and physical exam can diagnose most cases of diastasis recti.

R. C. Tung, S. Towfigh

27.07.2021 | Correction

Correction to: Surgical and non-surgical treatment of inguinal hernia during non-elective admissions in the Nationwide Readmissions Database

After online publication, the Authors found that the following data were incorrect.

H. Drolshagen, A. Bhavaraju, K. J. Kalkwarf, S. A. Karim, R. Reif, K. W. Sexton, H. K. Jensen

26.07.2021 | Original Article

The postpartum abdomen: psychology, surgery and quality of life

Pregnancy is associated with a number of significant changes involving all layers of the anterior abdominal wall. Not only is pregnancy associated with a loss of pre-pregnancy shape, women are also at risk of developing problematic, persistent and …

S-J. Edmondson, D. A. Ross

25.07.2021 | How-I-Do-It

SubCutaneous OnLay endoscopic Approach (SCOLA) for midline ventral hernias associated with diastasis recti

For a long time, diastasis recti (DR) and its aesthetic impact was a topic of almost exclusive interest for plastic surgeons. The non-relationship with symptoms or complications lead general surgeons not be concerned with their repair [ 1 , 2 ].

C. Claus, L. Cavazzola, F. Malcher

24.07.2021 | Review Open Access

Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

The condition rectus diastasis is characterised by a vertical abnormal separation of the rectus abdominis muscles [ 1 ]. The widened and weakened linea alba in rectus diastasis often presents as a bulging or sagging of the abdominal midline. The …

A. Olsson, O. Kiwanuka, G. Sandblom, O. Stackelberg

23.07.2021 | Original Article

Comparison of two fascial defect closure methods for laparoscopic incisional hernia repair

Midline incisional hernias are a common complication of abdominal surgery, where 9–20% of laparotomies and less than 2% of trocar sites may result in a hernia [ 1 , 2 ]. Although some hernias can be watched, many patients request repair due to …

M. Melland-Smith, U. Khan, L. Smith, J. Tan

23.07.2021 | Review

The male rectus diastasis: a different concept?

Rectus Diastasis (RD) is a separation of the vertically oriented rectus abdominal muscles as a result of thinning and widening of the linea alba. A distance up to 2 cm’s could be considered within the normal range, defining larger than 2 cm’s as …

S. W. Nienhuijs, E. H. M. Berkvens, T. S. de Vries Reilingh, E. H. H. Mommers, N. D. Bouvy, J. Wegdam

21.07.2021 | Original Article

Outcomes of redo-transversus abdominis release for abdominal wall reconstruction

The clinical and economic consequences of ventral hernia recurrence are substantial, and therefore, durable repair of ventral hernias and hernia prevention is increasingly prioritized [ 1 – 5 ]. Transversus abdominis release (TAR) has recently been …

K. C. Montelione, S. J. Zolin, A. Fafaj, J. D. Thomas, C. M. Horne, K. Baier, B. C. Perlmutter, S. Rosenblatt, D. M. Krpata, A. S. Prabhu, C. C. Petro, M. J. Rosen

19.07.2021 | Original Article Open Access

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

Incisional hernias occur in up to 20% of patients after midline laparotomy [ 1 ]. In case of complaints, such as pain and reduced quality of life (QoL), operative repair is indicated [ 2 ]. This repair traditionally took place with permanent …

M. M. J. Van Rooijen, T. Tollens, L. N. Jørgensen, T. S. de Vries Reilingh, G. Piessen, F. Köckerling, M. Miserez, A. C. J. Windsor, F. Berrevoet, R. H. Fortelny, B. Dousset, G. Woeste, H. L. van Westreenen, F. Gossetti, J. F. Lange, G. W. M. Tetteroo, A. Koch, J. Jeekel

17.07.2021 | Case Report

Robotic abdominoplasty for abdominal wall lateral bulging repair in an adult prune belly syndrome patient: a novel approach

R. I. Lopes, R. Z. Abdalla, F. T. Dénes

08.07.2021 | Comment

Hemipelvectomy hernia: case series and literature review—letter to the editor

A. Gómez-Portilla, E. López de Heredia, E. Diago, E. Merino, A. Gareta

07.07.2021 | Comment

Shouldice Hospital comments on “Shouldice standard 2020: review of current literature and results of an international consensus meeting”

P. Szasz, F. Spencer Netto, Shouldice Hospital

03.07.2021 | Original Article

Surgical and non-surgical treatment of inguinal hernia during non-elective admissions in the Nationwide Readmissions Database

Inguinal hernia repair is one of the most common surgical procedures, yet the optimal management strategy remains undefined [ 1 ]. Treatment of symptomatic inguinal hernias includes surgical and non-surgical approaches, with non-surgical repair …

H. Drolshagen, A. Bhavaraju, K. J. Kalkwarf, S. A. Karim, R. Reif, K. W. Sexton, H. K. Jensen

03.07.2021 | Review Open Access

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Diaphragmatic hernias may occur congenitally or secondarily due to trauma allowing thoracic herniation of abdominal contents. Normally, diaphragmatic formation separates the thoracic cavity from the peritoneal one around week 8 of gestation [ 1 ].

J. P. Ramspott, T. Jäger, M. Lechner, P. Schredl, A. Gabersek, F. Mayer, K. Emmanuel, S. Regenbogen

02.07.2021 | Review

Characteristics of laparoscopic and open hernia repair simulation models: a systematic review

Hernia repair has long been regarded as an “index” procedure in the early stages of surgical training, and competence in open and laparoscopic hernia repair is viewed by many surgical trainees as a milestone in their careers. While many other …

T. Pelly, J. Vance-Daniel, C. Linder

02.07.2021 | Original Article Open Access

Early outcomes of component separation techniques: an analysis of the Spanish registry of incisional Hernia (EVEREG)

The component separation technique (CST) has become popular in recent years for incisional hernia (IH) repair [ 1 , 2 ]. Currently, the following two main CSTs are being used: anterior components separation (ACS) [ 3 ] and posterior components …

J. A. Pereira-Rodriguez, A. Bravo-Salva, B. Montcusí-Ventura, P. Hernández-Granados, V. Rodrigues-Gonçalves, M. López-Cano, the EVEREG Registry Members