State of the Art: Advances in Hernia Care

The field of hernia surgery has seen many recent advances and continues to evolve. Care of the hernia patient begins preoperatively by ensuring adequate preparation for surgery with surgeons now having the opportunity to accurately predict risk which can aid with informed consent. Imaging studies ca...

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Bibliographic Details
Published in:The American surgeon 2024-08, Vol.90 (8), p.1983-1989
Main Author: Hope, William W.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal wall
Body mass index
Botulinum toxin
Calculators
Collagen
Diabetes
Hernia
Hernia, Ventral - surgery
Hernias
Herniorrhaphy - methods
Humans
Incisional Hernia - prevention & control
Incisional Hernia - surgery
Informed consent
Laparotomy
Medical imaging
Minimally invasive surgery
Minimally Invasive Surgical Procedures
Patients
Physical fitness
Prevention
Prostheses
Prosthetics
Robotic surgery
Robotic Surgical Procedures
Smartphones
Smoking cessation
Surgeons
Surgery
Surgical Mesh
Surgical techniques
Sutures
Terminology
Weight control
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Summary:The field of hernia surgery has seen many recent advances and continues to evolve. Care of the hernia patient begins preoperatively by ensuring adequate preparation for surgery with surgeons now having the opportunity to accurately predict risk which can aid with informed consent. Imaging studies can now help surgeons diagnose and plan hernia surgery on an individual level based on hernia characteristics as well as abdominal wall musculature. In the operating room, new technology and surgical techniques have allowed surgeons to become increasingly sophisticated with goals of reducing tension on midline closures, utilizing minimally invasive and robotic techniques, and availability of new and varied mesh prosthetics. While modest improvements in outcomes have been witnessed by these advances, there is still opportunity for improvement which will be realized by continued research, use of registries, and education and training. Hernia prevention strategies focusing on minimally invasive surgery, laparotomy closure, and the use of prophylactic mesh will also help with the burden of incisional hernias. These advances in hernia surgery have led to the new field of Abdominal Core Health which helps represent this evolving and growing new subspecialty of general surgery.
ISSN:0003-1348
1555-9823
1555-9823
DOI:10.1177/00031348241241717