Humanism is the soul of medicine. For surgeons, humanism is reflected in the "warmth of the scalpel". This article analyzes from three dimensions: the internal meaning of humanism, the core characteristics of medical humanism, and clinical practice in hernia surgery. It emphasizes four practical dimensions: empathetic preoperative communication, precise intraoperative operation, postoperative rehabilitation care, and the social responsibility of academic inheritance, and how to integrate surgical skills with humanistic care, to call on hernia surgeons to adhere to the original intention of saving lives and treating diseases.

Ileal conduit diversion is a commonly performed surgical procedure following radical cystectomy, and the incidence of parastomal hernia after ileal conduit (ICPH) is notably high. ICPH may lead to a variety of complications. Treatment options for ICPH include laparoscopic repair, open repair, and stoma relocation, etc. This article reviews the incidence, complications, treatment modalities, and outcomes of ICPH, as well as the current controversies surrounding its prevention and management. Additionally, based on the author's clinical experience with ICPH and colostomy parastomal hernias, key considerations and technical points in the treatment of ICPH are summarized and commented upon.

Perineal hernia after Miles' operation refers to a hernia in which abdominal or pelvic organs protrude through a pelvic floor defect or area of weakness resulting from the Miles procedure into the perineal region. Once a perineal hernia has developed after Miles' operation, surgical repair is the only effective treatment. This article focuses on the pathogenesis and surgical management of perineal hernia following Miles' operation, with particular emphasis on the indications, technical key points, and outcome differences of various surgical approaches and repair methods. It further discusses strategies for individualized procedure selection, in order to provide a reference for standardized clinical diagnosis and treatment.

To explore the correlation between visceral fat area(VFA) and the occurrence of incisional hernia after colorectal cancer surgery.

A retrospective analysis was conducted on the clinical data of 246 patients who underwent laparoscopic radical resection for colorectal cancer in the Sixth Affiliated Hospital of Sun Yat-sen University in 2020. Patients were divided into groups according to the occurrence of incisional hernia, and multivariate analysis was performed to identify the risk factors for incisional hernia. According to VFA, patients were classified into the high-fat group (VFA≥130 cm²) and the low-fat group (VFA<130 cm²). Propensity score matching (PSM) method was adopted with a 1:1 matching ratio, using seven indicators including age, gender, body mass index, preoperative neoadjuvant chemotherapy, postoperative surgical site infection, diabetes mellitus, and cardiovascular disease as covariates, and the matching tolerance was set at 0.02. Eventually, 49 pairs of patients were successfully matched, and the incidence of incisional hernia was compared between the two groups.

Multivariate analysis showed that incision infection (OR=15.807, 95% CI 3.372-74.095, P<0.001) and VFA≥130 cm² (OR=2.487, 95% CI 1.249-4.951, P=0.010) were independent risk factors for incisional hernia. After PSM, the baseline data of the two groups were balanced and comparable (P>0.05). The incidence of incisional hernia in the high-fat group (46.9%) was significantly higher than that in the low-fat group (22.4%), with a statistically significant difference (OR=3.06, P=0.01).

VFA≥ 130 cm² is an important risk factor for incisional hernia after colorectal cancer surgery. Prophylactic mesh placement may reduce the risk of incisional hernia in such patients.

To explore the short-term clinical feasibility of laparoscopic trans- abdominal preperitoneal hernia repair (TAPP) combined with laparoscopic inguinal canal posterior wall reconstruction based on the Bassini principle (transabdominal preperitoneal Bassini, TAPB) in the treatment of inguinal hernias at high risk of recurrence.

A retrospective analysis was conducted on the clinical data of 20 patients with inguinal hernias at high risk of recurrence who were admitted to the Department of General Surgery, the Second People's Hospital of Futian District, Shenzhen, from September 2025 to January 2026. All patients underwent TAPP combined with TAPB. Synthetic mesh or biological mesh was selected individually according to patients' age, hernia classification, characteristics of abdominal wall defect, and clinical needs. Transversus abdominis plane block was performed intraoperatively in all patients, and standardized analgesia was administered postoperatively. The operation time, blood loss, visual analogue scale (VAS) scores, hospital stay, perioperative complications, and short-term hernia recurrence rate were uniformly observed and recorded.

All 20 patients completed the surgery successfully without conversion to open surgery. The operation time was (133±49) minutes, intraoperative blood loss was (2±1) ml, and postoperative hospital stay was (4±2) days. The VAS scores on the day of surgery and the first postoperative day were both (2±1) points, indicating a mild degree of pain. One case of inferior epigastric vein injury occurred intraoperatively, which was treated with Hemolock clipping for hemostasis and had a good prognosis. No severe perioperative complications were observed. All patients completed 3-9 months of follow-up, and no hernia recurrence was observed during the follow-up period.

TAPP combined with laparoscopic inguinal canal posterior wall reconstruction based on the Bassini principle is safe and feasible in the short term, which can provide a minimally invasive treatment option for clinical practice. The long-term efficacy and safety need to be further verified by prospective studies with larger sample sizes and longer follow-up periods.

To investigate the impact of the waterproof properties of α-cyanoacrylate isobutyl ester medical adhesive on postoperative incision management and early quality of life in patients undergoing laparoscopic tension-free inguinal hernia repair.

The study included 40 adult patients who underwent elective laparoscopic tension-free inguinal hernia repair at the Seventh Affiliated Hospital of Sun Yat-sen University between December 2025 and March 2026. The patients were divided into an observation group (n=20, with incisions closed using α-cyanoacrylate isobutyl ester medical adhesive) and a control group (n=20, with incisions closed using traditional interrupted sutures). Patients in the observation group were permitted to shower starting on the third postoperative day, while those in the control group had their sutures removed on the seventh postoperative day and were permitted to shower starting on the eighth day. Postoperative incision healing, complication rates, scores on each dimension of the 1-month postoperative SF-36 health status questionnaire, and satisfaction with incision care were compared between the two groups.

Postoperative incisions in both groups achieved Grade A healing, with no cases of deep infection, seroma, or incision dehiscence; there was no statistically significant difference in the overall incidence of incision complications between the two groups (P>0.05). One month postoperatively, the observation group had higher scores on the SF-36 questionnaire in the physical health, physical function, physical pain, and social function than those of the control group, with statistically significant differences [(85.5±3.9) points vs (81.5±3.9) points, (87.5±4.0) points vs (84.6±4.0) points, (85.4±3.0) points vs (83.2±3.0) points, (85.4±3.0) points vs (83.2±3.0) points; all P<0.05].

The use of α-cyanoacrylate isobutyl ester medical adhesive in laparoscopic tension-free inguinal hernia repair creates a reliable waterproof barrier at the surgical incision site. This allows for safe and feasible showering in the early postoperative period without increasing the incidence of incision complications. It significantly simplifies nursing procedures and improves patients' quality of life in the early postoperative period, aligning with the principles of enhanced recovery after surgery.

To preliminarily explore the efficacy and safety of posterior sheath posterior approach single-incision laparoscopic totally extraperitoneal mesh repair (SIL-TEP) in the treatment of inguinal hernia.

From May 2024 to August 2024, 20 patients with inguinal hernia who underwent posterior sheath posterior approach SIL-TEP at the First Affiliated Hospital of Wannan Medical College were selected. We collected and analyzed the clinical data of these patients, standardized and statistically analyzed the clinical data, and shared surgical experiences and insights.

Among the 20 patients, 16 were male and 4 were female, with an average age of (68.10±10.32) years. All patients had unilateral indirect inguinal hernia (9 cases on the right side and 11 cases on the left side). All operations were completed successfully, with an average operation time of (55.85±15.89) min and an average intraoperative blood loss of (3.85±1.13) ml. The average time to get out of bed after surgery was (22.50±8.87) h. All patients had mild pain after surgery, with a visual analogue scale (VAS) score of (1.20±0.52) points on the first day after surgery. The average postoperative hospital stay was [1(1, 1)] d. No postoperative complications occurred. During an average follow-up period of 14.5 months (ranging from 13 to 16 months), there was no hernia recurrence, chronic pain, mesh infection, or incisional hernia.

The posterior sheath posterior approach SIL-TEP is a safe, effective, and reliable surgical method for inguinal hernia, which is worthy of promotion.

To observe the clinical efficacy and safety of laparoscopic preperitoneal hernia repair (TAPP) in the treatment of elderly patients with acute incarcerated inguinal hernia.

This retrospective controlled clinical study included 80 elderly patients with acute incarcerated inguinal hernia who were admitted to the Department of Emergency Medicine, Lianyungang Hospital of Jiangsu Provincial Hospital of Traditional Chinese Medicine, from April 2022 to June 2025. The surgical approach was determined by the physician in charge based on a comprehensive assessment of each patient's clinical condition, and informed consent was obtained from all patients. According to the surgical approach, the patients were divided into the control group, which underwent conventional open tension-free hernia repair (n=38), and the experimental group, which underwent TAPP (n=42). Surgical-related indicators, early postoperative pain scores, stress indicators, gastrointestinal function recovery, intestinal mucosal barrier function indicators, and postoperative complications were compared between the two groups.

Both groups of patients successfully underwent surgery and completed the 3-month follow-up and no drop-out cases were found. The operation time, the time of the first postoperative ambulation, and the postoperative hospital stay in the experimental group were all shorter than those in the control group, and the differences were statistically significant (P<0.05). The visual analogue scale scores for pain in the experimental group on the 1st day, 1st week, and 3rd month after surgery were lower than those in the control group, and the differences were statistically significant (F=0.816, P=0.041). On the 1st day after surgery, the levels of substance P and neuropeptide Y in both groups decreased significantly compared to those before the operation, and the levels in the experimental group were lower, with statistically significant differences (P<0.05). The first defecation time and the recovery time of bowel sounds in the experimental group were better than those in the control group, and the differences were statistically significant (P<0.05). The levels of epinephrine, cortisol, and serum malondialdehyde in both groups significantly increased on the 1st day after surgery, but the levels in the experimental group were lower than those in the control group, with statistically significant differences (P<0.05). The levels of diamine oxidase and serum D-lactic acid in both groups significantly decreased on the 1st day after surgery, and the levels in the experimental group were lower than those in the control group, with statistically significant differences (P<0.05). There were no cases of partial intestinal obstruction or recurrence of hernia in both groups. The complication and recurrence rates between groups were 11.90% (5/42) and 7.89% (3/38), there was no statistically significant difference (Fisher's exact test, P=0.715).

Compared with conventional open surgery, TAPP is superior in alleviating early postoperative pain and stress response and promoting gastrointestinal function recovery in elderly patients with acute incarcerated inguinal hernia, while providing comparable safety.

To investigate the analgesic efficacy of artificial intelligence- patient-controlled analgesia (Ai-PCA) versus conventional analgesia in patients undergoing laparoscopic inguinal hernia repair, and to systematically analyze the differences between these two analgesic modalities in terms of pain control, analgesia-related complications, and early postoperative recovery.

This study was a retrospective cohort study. A total of 60 patients who underwent laparoscopic TAPP repair with postoperative intravenous patient-controlled analgesia (PCA) and complete medical records in the Department of Hernia and Abdominal Wall Surgery, Peking University First Hospital Taiyuan Hospital between July 2025 and January 2026 were selected. Based on the postoperative analgesia protocol, patients were divided into an intelligent analgesia group (using an AI-PCA smart analgesia pumps, n=30) and a conventional analgesia group (using a traditional electronic PCA pumps, n=30). Visual Analog Scale (VAS) scores for pain and discomfort, analgesia-related complications (nausea, vomiting, dry mouth, etc.), postoperative rehabilitation indicators, and patient satisfaction were compared between the two groups.

Repeated measures ANOVA revealed that the VAS scores for pain and discomfort at 2, 6, 12, 24, and 48 hours postoperatively were significantly lower in the intelligent analgesia group compared with the conventional analgesia group (Between-group F=32.15, 42.68; both P<0.05; and partial η² for between- group effects=0.358, 0.422). In the intelligent analgesia group, the overall incidence of analgesia-related complications was 13.33% (4/30), which was significantly lower than that in the conventional analgesia group (43.33%, 13/30) (P<0.05; Cramer's V=0.333). The time to first flatus, the time to first ambulation, and the length of hospital stay in the intelligent analgesia group were all significantly shorter than those in the conventional analgesia group, with statistically significant differences (P<0.05; Cohen's d=1.78, 1.43, and 0.97, respectively). Patient satisfaction in the intelligent analgesia group was higher than that in the conventional analgesia group (P<0.05; Cramer's V=0.268).

The application of an intelligent analgesia system after inguinal hernia repair can effectively control postoperative pain, enhance postoperative comfort, reduce the incidence of postoperative analgesia-related complications, accelerate early patient recovery, and significantly improve patient satisfaction.

To evaluate the efficacy of laparoscopic enhanced-view totally extraperitoneal repair (e-TEP) versus intraperitoneal onlay mesh repair (IPOM) in the treatment of adult umbilical hernia.

This study was a retrospective cohort study. The clinical data of 19 umbilical hernia patients in Lu'an People's Hospital from January 2020 to December 2023 were retrospectively analyzed. These patients were divided into an e-TEP group (undergoing laparoscopic enhanced view totally extra peritoneal repair, n=10) and an IPOM group (receiving laparoscopic intraperitoneal onlay mesh repair, n=9). The operation time, length of hospital stay, hospitalization expenses, postoperative pain within 6 months, and incidence of complications within 12 months postoperatively were observed and compared between the two groups.

Compared with the IPOM group, the e-TEP group had a longer mean operative time [(125.50±8.96) minutes vs. (74.44±9.17) minutes], a shorter mean postoperative hospital stay [(3.90±0.74) days vs. (6.89±0.78) days], and a lower mean hospitalization cost [(10 315.09±676.64) yuan vs. (27 581.12±1432.92) yuan], with all differences being statistically significant (P<0.001). Two-way repeated- measures ANOVA showed that compared with the IPOM group, the e-TEP group had lower pain scores (VAS) at all postoperative time points, and the difference in overall pain scores between the two groups was statistically significant (F_group=104.31, P_group<0.001). The pain scores in both groups decreased with the prolongation of postoperative time (F_time=120.50, P_time<0.001), and there was a significant interaction between operation method and time (F_interaction=68.22, P_interaction<0.001). Post hoc multiple comparisons between groups at the same time points were conducted using the Bonferroni method. At each postoperative time point (1, 3, 7, 15 days, and 1, 3, 6 months), the pain score in the eTEP group was significantly lower than that in the IPOM group (P<0.001). During the 12-month follow-up period, no patients were lost to follow-up. There were no cases of hernia recurrence, incision infection, or seroma in either group. One patient in the IPOM group developed constipation and intestinal obstruction postoperatively. Postoperative adhesive intestinal obstruction was considered highly likely, and the symptoms were relieved by dietary modification.

Laparoscopic e-TEP is associated with less postoperative pain and faster recovery but requires a longer operative time. In contrast, IPOM is technically less demanding but is associated with more pronounced postoperative pain and higher overall costs. The choice of surgical approach should be based on the surgeon's proficiency and the patient’s economic status.

To investigate the effects of remimazolam besylate combined with sufentanil in elderly patients undergoing laparoscopic inguinal hernia repair.

This study is a prospective, non-randomized controlled trial. A total of 100 elderly patients scheduled for laparoscopic inguinal hernia repair at the Second Hospital of Tianjin Medical University from January 2024 to January 2026 were included. Patients were alternately assigned according to the time of enrollment into an experimental group (remimazolam besylate combined with sufentanil, n=50) or a control group (propofol combined with sufentanil, n=50) using convenient sampling (those with odd numbers were assigned to the control group, while those with even numbers were assigned to the experimental group). This study adopted a single blind design. Cognitive function [Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE)], sedation and analgesic effects [Ramsay Sedation Scale (RSS) score, Visual Analogue Scale (VAS) score], and serum stress response indicators [adrenaline, norepinephrine (NE), cortisol] were assessed before surgery, and at 24 hours and 48 hours after surgery. Perioperative hemodynamic parameters [mean arterial pressure (MAP) and heart rate at 5 min before anesthesia induction (T0), 5 min after tracheal intubation (T1), 5 min after pneumoperitoneum establishment (T2), and 5 min after tracheal extubation at the end of surgery (T3)] were recorded. The perioperative consumption of anesthetics and the occurrence of perioperative complications were also recorded.

Compared with the control group, the experimental group exhibited higher scores in the primary outcome indicator (24 h postoperative MoCA score) and secondary outcome indicators (48 hours postoperative MoCA score, as well as 24 and 48 hours postoperative MMSE scores). At 24 and 48 hours after surgery, the experimental group had better RSS and VAS scores, alongside lower serum levels of adrenaline, NE and cortisol; all differences were statistically significant (P<0.05). The MAP and heart rate at T1 and T2 were more stable in the experimental group than in the control group (P<0.05). The total perioperative propofol consumption was significantly lower in the experimental group than that in the control group (P<0.001). There was no statistically significant difference in the overall incidence of perioperative complications between the two groups (χ²=1.084, P=0.298).

This study preliminarily indicates that remimazolam besylate combined with sufentanil in elderly patients undergoing laparoscopic inguinal hernia repair can improve early postoperative cognitive function, offer reliable sedation and analgesia, stabilize hemodynamics and attenuate postoperative stress response, with no elevated risk of serious adverse events. However, further large-sample, multicenter randomized controlled trials are required to confirm these findings.

To analyze the diagnostic value of multi-slice spiral computed tomography (MSCT) and color high-frequency ultrasound for early complications in patients undergoing open tension-free inguinal hernia repair.

A total of 168 patients who underwent open tension-free inguinal hernia repair in Wuxi Xinwu District Xinrui Hospital from January 2021 to February 2025 and developed adverse symptoms in the early postoperative period were selected as the research objects. All enrolled patients were diagnosed with either MSCT or color high-frequency ultrasound. During the diagnosis, the examination position and technique were adjusted according to the individual clinical condition of each patient, and multi-sectional exploration was performed to ensure comprehensive sonographic images were obtained. After the diagnosis, radiologists were responsible for identifying and interpreting the ultrasound scan images.

MSCT achieved a coincidence rate of 100.00% in detecting periprosthetic effusion, which was significantly higher than that of color high-frequency ultrasound (66.67%), while its coincidence rate for fat liquefaction was 63.16%, significantly lower than that of color high-frequency ultrasound (94.74%) (P<0.05). MSCT diagnosed 131 cases as positive, 37 cases as negative, with 6 misdiagnosed cases and 8 missed cases; color high-frequency ultrasound diagnosed 132 cases as positive, 36 cases as negative, with 11 misdiagnosed cases and 12 missed cases. The κ value (0.753) and Youden index (0.768) of MSCT for early postoperative complications were higher than those of color high-frequency ultrasound (0.589 and 0.596, respectively).

MSCT and color high- frequency ultrasound have similar overall diagnostic efficacy for early complications in patients undergoing open tension-free inguinal hernia repair. However, MSCT demonstrates superior diagnostic consistency and comprehensive practical value, with advantages in detecting periprosthetic effusion, while color high- frequency ultrasound is more targeted in detecting fat liquefaction.

To explore the effects of remifentanil combined with propofol for total intravenous anesthesia on the hemodynamic status and anesthesia recovery quality of children undergoing laparoscopic high ligation of hernial sac for indirect inguinal hernia.

This was a prospective randomized controlled trial. A total of 100 children who underwent laparoscopic high ligation of hernial sac for indirect inguinal hernia in Fuyang Women and Children's Hospital from January 2022 to December 2023 were enrolled as the research subjects. They were divided into the control group (receiving fentanyl combined with propofol anesthesia, n=50) and the trial group (receiving remifentanil combined with propofol anesthesia, n=50) according to the random number table method. The hemodynamic parameters [heart rate, mean arterial pressure (MAP)] and stress response indicators [adrenaline, cortisol] before anesthesia induction (T₁), after tracheal intubation (T₂), at the end of the surgery (T₃), and at the time of tracheal extubation (T₄) were compared between the two groups. The postoperative awakening time and extubation time of the children in both groups were recorded, and the postoperative adverse reactions were statistically analyzed.

The heart rate, MAP, adrenaline and cortisol levels of the trial group at time-points T2, T3 and T4 were significantly lower than those of the control group (P<0.05, the between-group effect sizes (partial η²) of repeated measures variance analysis were 0.150, 0.121, 0.094, and 0.086, respectively). The recovery time and extubation time of the trial group were both shorter than those of the control group, and the incidence of adverse reactions was lower than that of the control group (P<0.05).

Remifentanil combined with propofol for total intravenous anesthesia in pediatric laparoscopic high ligation of hernial sac for indirect inguinal hernia can stabilize hemodynamics, reduce stress responses, and minimize adverse reactions, thereby enhancing anesthesia safety and postoperative recovery quality.

To observe the application of different compression methods after laparoscopic tension-free inguinal hernia repair and their preventive effects on seroma.

A total of 100 patients who underwent laparoscopic tension-free inguinal hernia repair at Suzhou Municipal Hospital from February 2023 to February 2025 were selected. They were divided into a control group and an observation group with 50 cases in each group using the random number table method. After surgery, the control group received conventional compression with a salt bag, while the observation group received compression with a novel hernia wearable device (HWD). Occurrence of seroma, the visual analogue scale (VAS) score and the Carolina comfort scale (CCS) score were compared between the two groups.

At 1 week and 1 month after surgery, the incidence of seroma in the observation group was 4.00% and 2.00%, respectively, which was lower than 12.00% and 6.00% in the control group. However, there was no statistically significant difference between the two groups (P>0.05). At 6, 12, 24 after surgery, VAS scores of the observation group [(3.12±0.43) points, (2.28±0.30) points, (1.69±0.22) points] were lower than those of the control group [(3.82±0.51) points, (3.02±0.45) points, (2.41±0.39) points], with statistically significant difference (P<0.05). One week after surgery, CCS score of the observation group (22.03±6.59 points) was lower than that of the control group (26.77±8.24) points, with statistically significant difference (P<0.05).

Compared to conventional compression with a salt bag, compression with a HWD after laparoscopic tension-free inguinal hernia repair can reduce the incidence of seroma, alleviate postoperative pain and improve quality of life. It is worthy of clinical promotion and application.

To evaluate the postoperative clinical effects of an intervention guided by Maslow's hierarchy of needs theory in patients with inguinal hernia.

The clinical data of 147 patients with inguinal hernia who received treatment at Bozhou People's Hospital from March 2024 to October 2025 were retrospectively analyzed. A total of 81 patients who received conventional intervention from March to December 2024 were assigned to the control group, while 66 patients who received an intervention guided by Maslow's hierarchy of needs theory from January to October 2025 were assigned to the observation group. Surgery-related indicators, early postoperative mobility, pain status, Connor-Davidson Resilience Scale (CD-RISC) scores, satisfaction, and complications were compared between the two groups.

The observation group showed significantly better postoperative recovery indicators than the control group. The time to first ambulation, time to first oral intake, and mean length of hospital stay in the observation group were (13.98±2.42) h, (14.78±1.71) h, and (4.11±0.98) d, respectively, all of which were shorter than those in the control group [(15.09±2.86) h, (15.54±1.97) h, and (4.48±1.01) d]. Regarding early mobility at 24 h after surgery, the time required to get out of bed and stand, the time required to flex the knee and hip to 90°, and the time required to walk 20 m in the observation group were (8.05±1.84) s, (1.40±0.29) s, and (25.11±2.31) s, respectively, which were also lower than those in the control group [(8.73±1.62) s, (1.58±0.41) s, and (26.08±2.26) s], with statistically significant differences (P<0.05). In terms of pain assessment, repeated-measures analysis of variance showed significant time effects and between-group effects for visual analogue scale (VAS) scores in the two groups (P<0.05). The VAS scores in the observation group at 12 h, 24 h, and 48 h after surgery were (4.84±0.70), (4.04±0.76), and (2.95±0.64) points, respectively, which were significantly lower than those in the control group [(5.12±0.89), (4.39±0.83), and (3.32±0.79) points], with statistically significant differences (P<0.05). After intervention, the scores for all dimensions of psychological resilience in the observation group [tenacity: (36.86±4.97) points; strength: (25.42±2.77) points; optimism: (12.79±2.28) points] were higher than those in the control group [(35.02±5.08), (24.18±3.02), and (11.83±1.95) points], with statistically significant differences (P<0.05). Meanwhile, the nursing satisfaction rate in the observation group was significantly higher than that in the control group (92.42% vs 80.25%), with a statistically significant difference (P<0.05). The overall incidence of postoperative complications in the observation group was significantly lower than that in the control group (3.03% vs 12.35%), with a statistically significant difference (P<0.05).

An intervention strategy based on Maslow's hierarchy of needs theory can effectively promote early postoperative recovery in patients with inguinal hernia, enhance mobility, relieve pain, improve psychological resilience, and reduce the incidence of complications.

To investigate the postoperative application effect of refined nursing combined with hernia belt in patients with hepatopathy-related thrombocytopenia (HRT) complicated by inguinal hernias.

A retrospective analysis was conducted on the clinical data of 47 patients with HRT complicated by inguinal hernia who underwent open tension-free hernioplasty in the Second People's Hospital of Fuyang from January 2023 to December 2024. According to the postoperative nursing regimen, the patients were divided into 2 groups. In the observation group (15 cases), a hernia belt was worn postoperatively, combined with refined nursing. In the control group (32 cases), the routine general nursing mode for inguinal hernia in the department of general surgery was adopted after surgery. The preoperative baseline data, postoperative complications (such as subcutaneous ecchymosis, scrotal hematoma/edema, and incision infection), length of hospital stay were compared between the 2 groups.

There were no statistically significant differences between the 2 groups in age, gender, etiology of liver disease, preoperative platelet count, coagulation function, and albumin level (P>0.05). The incidence of complications in the observation group was significantly lower than that in the routine nursing group, and the difference was statistically significant (P<0.05). All patients were discharged safely, and no recurrence occurred within 1 year after surgery.

For patients with HRT complicated by inguinal hernia undergoing surgical treatment, the use of refined nursing combined with surgical-site negative pressure drainage and compression by wearing a hernia belt can effectively reduce complications.

To explore the clinical effect of nursing intervention based on the Omaha system combined with the Knowledge-Attitude-Practice theory on patients with enterostomy to prevent parastomal hernia.

A prospective randomized controlled trial was conducted. Sixty patients with enterostomy were randomly selected from those treated at Taiyuan Central Hospital between January 2022 and December 2025 and enrolled. The patients were grouped using the random number table method. The control group (n=30) received routine care, while the experimental group (n=30) received the nursing intervention model based on the Omaha system combined with the Knowledge-Attitude-Practice theory. The intervention effects of the two groups were compared.

Six months after the intervention, the scores of self-care ability of the stoma, the mastery of stoma-related knowledge, and the quality of life of the patients in the experimental group were all higher than those in the control group, and the incidence of parastomal hernia was lower than that in the control group (P<0.05).

The nursing intervention based on the Omaha system combined with the Knowledge-Attitude-Practice theory may improve the self-care ability and disease-related knowledge level of patients with enterostomy, reduce the occurrence of parastomal hernia, and improve their quality of life.

This article reports a case of an elderly male patient admitted due to manifestations of intestinal obstruction. Intraoperatively, it was found that the ileum herniated through the foramen of Winslow with incarceration and necrosis, and intestinal resection and anastomosis were performed. Postoperatively, the patient developed a pulmonary infection and was discharged voluntarily due to financial reasons. This case suggests that early identification of Winslow hernia and timely surgical exploration are the keys to improving prognosis.

Inguinal hernia is a common general surgical disease, and surgical repair is the only way to cure inguinal hernia. Laparoscopic inguinal hernia repair is the main surgical method. With the development of minimally invasive concept and minimally invasive technology, single-incision laparoscopic inguinal hernia repair has also been developed and applied in continuous exploration and practice. This article describes the application and advantages of single-incision laparoscopic totally extra-peritoneal hernia repair (SIL-TEP) in patients with special anatomical conditions through three case reports. Case 1 was left indirect inguinal hernia combined with umbilical hernia with decompensated liver cirrhosis and abdominal wall varices. Case 2 was right direct inguinal hernia with a history of lower abdominal median incision laparotomy. Case 3 was left direct inguinal hernia with a history of left lower abdominal multiple endoscopic foramen operations. The special anatomical conditions of the three cases increased the difficulty of the conventional three-incision laparoscopic inguinal hernia repair, such as the establishment of channels and space separation. We can optimize the special extra-peritoneal route and space of laparoscopic inguinal hernia repair through SIL-TEP, and complete inguinal hernia repair safely and effectively in patients with special anatomical conditions.

To compare the efficacy and safety of partially absorbable mesh versus non-absorbable mesh in laparoscopic inguinal hernia repair, and to provide a reference for clinical decision-making.

A literature search was conducted in databases including PubMed, Elsevier, Embase, Cochrane Library, CNKI, and Wanfang Data to retrieve Chinese and English literature published from October 2015 to October 2025 on clinical studies comparing partially absorbable mesh and non-absorbable mesh in laparoscopic inguinal hernia repair. Quality assessment of the included studies was performed, and RevMan 5.4 software was used for meta-analysis.

A total of 13 studies were ultimately included, comprising 2016 cases, with 1009 cases in the partially absorbable mesh group and 998 cases in the non-absorbable mesh group. Compared with the non-absorbable mesh group, the partially absorbable mesh group showed lower rates of postoperative chronic pain (RR=0.40, 95% CI 0.22-0.72, P=0.003), foreign body sensation (RR=0.37, 95% CI 0.20-0.66, P=0.0008), and overall complications (RR=0.58, 95% CI 0.44-0.75, P<0.0001). No statistically significant differences were observed between the two groups for the following indicators: postoperative recurrence rate (RR=0.90, 95% CI 0.18-4.56, P=0.90), postoperative mesh infection rate (RR=0.20, 95% CI 0.02-1.69, P=0.14), postoperative seroma rate (RR=0.94, 95% CI 0.63-1.41, P=0.78), and postoperative dysuria rate (RR=0.79, 95% CI 0.31-2.01, P=0.62).

Current evidence suggests that in laparoscopic inguinal hernia repair, the use of partially absorbable mesh is associated with lower rates of postoperative chronic pain, foreign body sensation, and overall complications. However, the rates of postoperative mesh infection, seroma, and dysuria are comparable to those with non-absorbable mesh, and due to low statistical power and a very low GRADE rating, no definitive conclusion can be drawn regarding the postoperative recurrence rate. Based on the currently available evidence, partially absorbable mesh may represent a safe option for laparoscopic inguinal hernia repair; however, further high-quality randomized controlled trials are required to confirm these findings.

The recurrence rate following ventral hernia repair remains relatively high. Recurrent ventral hernia represents a major therapeutic challenge in hernia and abdominal wall surgery because of factors such as previously implanted mesh, larger abdominal wall defects, dense intra-abdominal adhesions, and disruption of the biomechanical integrity of the abdominal wall. This review summarizes the risk factors and treatment considerations associated with recurrent ventral hernia from the perspectives of patient-related factors, surgical techniques, mesh materials, and perioperative management, with the aim of providing a clinical reference for the prevention and management of recurrent ventral hernia.

Synthetic hernia repair mesh, also referred to as synthetic mesh, is a type of polymer material and was the first material to be used as a practical artificial prosthesis for the repair of various abdominal wall hernias. This was followed by the application of biological meshes. Biological meshes are decellularized scaffolds with regenerative properties; however, their regenerative capacity remains incomplete. Nevertheless, their introduction has promoted a transition in hernia repair from artificial prosthetic repair toward regenerative medicine. At present, various synthetic tissue-engineering scaffolds have become a major research focus in hernia and abdominal wall surgery. Compared with biological meshes, these scaffolds have more comprehensive regenerative potential and therefore possess substantial potential for clinical application.