Pathogenesis of the epigastric hernia

Abstract

The epigastric hernia is a very common condition, mostly asymptomatic. Together with general factors for hernia formation, the theory of extra tension in the epigastric region by the diaphragm is the most likely theory of epigastric hernia formation.

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

“…Most studies pool PH and IH in LVHR and repeatedly report a recurrence rate close to 5% in these pooled analyses [30,86,150]. That epigastric and umbilical hernia have different outcome has been elucidated by a registry study [151], and may have diverse etiologies [152]. In synopsis, the results from the PH cohort treated with LVHR in our study do not differ from published reports and seem to add to the pool of evidence that favors this methodology.…”

Is laparoscopic treatment of incisional and recurrent hernias associated with an increased risk for complications?

“…The latter are regarded as a typical complication in the first 5 postoperative years after abdominal surgery [7]. The incidence of primary and secondary hernias varies between 0.5-10% and 5e20% respectively [8,9]. Accordingly, in the patient cohort analyzed in the present study we had a high proportion of secondary hernias.…”

The effect of intravenous tranexamic acid on reduction of seroma after para- umbilical hernioplasty

“…Abdominal wall hernias are one of the most common surgical problems, and mainly caused by any condition that increases the pressure in the intra-abdominal cavity. 7 All patients of both groups were subjected to hernioplasty and on-lay mesh repair through atransverse incision and a suction drain were inserted in all patients.…”