Ricerc@Sapienza

Introduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare
condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is
often confirmed during the laparotomic exploration. Due to the vague clinical manifestation in most cases, the surgical
treatment is frequently delayed. Materials and Methods. In this study, we systematically reviewed the literature up to 2019

Post-operative groin and scrotal hematoma is an infrequent condition after inguinal hernia repair but its rate is
progressively rising due to the increase of patients with high bleeding risk (coagulopathy or antithrombotic therapy) [1].
We therefore think that it is useful to share our recent experience of treatment of giant post-operative groin and scrotum
hematoma; this complication occurred after a Lichtenstein open hernia repair in a patient on antithrombotic therapy
(Warfarin®) due to congenital coagulopathy.

Background: Incisional heia is a frequent complication of midline laparotomy. The use of mesh in hernia repair has been reported to lead to fewer recurrences compared to primary repair. However, in Ventral Hernia Working Group (VHWG) Grade 3 hernia patients, whose hernia is potentially contaminated, synthetic mesh is prone to infection. There is a strong preference for resorbable biological mesh in contaminated fields, since it is more able to resist infection, and because it is fully resorbed, the chance of a foreign body reaction is reduced.

Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surgery and a significantly lower mean visual analogue scale (VAS) postoperative pain score recorded immediately after the procedure in the 3D mesh group.

Purpose: Primary (PVHs) and incisional (IHs) ventral hernias represent a common indication for surgery. Nevertheless, most of the papers presented in literature analyze both types of defect together, thus potentially introducing a bias in the results of interpretation. The purpose of this systematic review and meta-analysis is to highlight the differences between these two entities. Methods: Methods MEDLINE, Scopus, and Web of Science databases were reviewed to identify studies evaluating the outcomes of both open and laparoscopic repair with mesh of PVHs vs IHs.

Background: Current guidelines state that the Shouldice technique has lower recurrence rates than other suture repairs and therefore is strongly recommended in non-mesh inguinal hernia repair. Recently a new tissue repair technique has been proposed by Desarda and studied in trials against Lichtenstein technique. Methods: The present study was performed according to the PRISMA Statement for Network Meta-analysis and the AMSTAR 2 checklist.

We have read with great interest the editorial “Mesh in a mess?” by Wexner and
White . We agree with the authors when they say that the potential
complications associated with mesh should not forestall the use of prosthetic
materials when benefits attributable to mesh are demonstrated, as occurs in the
prevention of parastomal hernia. This also applies to groin hernia surgery.

Background: The terms “Hernia Center” (HC) and Hernia Surgeon” (HS) have gained more and more popularity in recent years. Nevertheless, there is lack of protocols and methods for certification of their activities and results. The Italian Society of Hernia and Abdominal Wall Surgery proposes a method for different levels of certification. Methods: The national board created a commission, with the task to define principles and structure of an accreditation program. The discussion of each topic was preceded by a Systematic Review, according to PRISMA Guidelines and Methodology.