To evaluate the efficacy and safety of total pelvic floor reconstruction centered on modified laparoscopic pectopexy (MLP), designated as "Chaoyang-Chen Total Pelvic Floor Reconstruction" (Chen's procedure for short), in the treatment of pelvic organ prolapse (POP).

This was a single-center retrospective cohort study. A retrospective analysis was performed on 189 patients who underwent Chen's procedure at Beijing Chaoyang Hospital between March 2020 and December 2024. The procedure utilized the self-designed "Chaoyang mesh" and combined pectopexy with uterosacral ligament suspension, round ligament shortening, and anterior and posterior vaginal wall repair. Anatomical outcomes were assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system before and after the surgery. Symptom severity and quality of life were evaluated using the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7).

After the surgery, all POP-Q measurement points (Aa, Ba, Ap, Bp, C, and D) were significantly elevated compared with preoperative values, and all were restored to above the hymenal level. Satisfactory anatomical and functional repair was achieved in all patients. The preoperative-to-postoperative differences in Aa, Ba, C, Ap, Bp, and D were 3.50 (2.00, 5.00), 5.00 (2.50, 6.00), 8.00 (6.00, 10.00), 2.00 (1.50, 3.50), 3.50 (2.00, 5.00), and 7.00 (5.50, 9.50), respectively, with statistically significant differences (Z=-11.57, -11.74, -11.92, -11.68, -11.81, -11.54; all P<0.001). Postoperative PFDI-20 and PFIQ-7 scores were significantly lower than preoperative scores, with differences of 128.13 (87.50, 168.75) and 152.38 (104.76, 188.10), respectively. The differences were statistically significant (Z=-11.92, -11.92; both P<0.001). No severe perioperative complications occurred. New-onset stress urinary incontinence occurred in 1 patient, abnormal urination in 1 patient, and deep vein thrombosis of lower extremities in 8 patients. Follow-up ranged from 12 to 60 months. No recurrence was observed during follow-up period.

Chen's procedure provides reliable short- and mid-term efficacy with favorable safety in patients with POP.

To summarize the optimization strategies for the surgical details of laparoscopic Sugarbaker repair in the treatment of parastomal hernia, and to investigate the perioperative outcomes and short-term follow-up results of the modified technique.

This study is a single-center retrospective case series study. We selected 24 patients with parastomal hernia who were treated with totally laparoscopic modified Sugarbaker repair in the Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, from January 2024 to December 2025. Clinical data were collected, including baseline characteristics, perioperative parameters (operative time, intraoperative blood loss, time to first flatus and defecation, length of postoperative hospital stay, etc.), stoma defecation function scores, postoperative complications, and follow-up outcomes, in order to assess surgical safety, postoperative efficacy, and hernia recurrence.

All 24 patients successfully completed modified repair without conversion to open surgery. The mean age was (69.08±8.31) years, with 12 males and 12 females. Perioperative indicators were expressed as median (interquartile range, Q₁, Q₃): operative time 118 (97.75, 127.25) minutes, intraoperative blood loss 20 (10.0, 32.5) ml, time to first flatus 1 (1, 2) days, time to first defecation 3 (2, 3) days, and postoperative hospital stay 5 (4, 5) days. No severe postoperative complications such as bowel perforation, intestinal obstruction, mesh infection, or stomal ischemia and necrosis were observed. Postoperative stoma defecation function scores indicated that most patients had generally favorable outcomes in defecation awareness, continence, and sensory function. During a follow-up of 3-24 months (median, 13 months), no parastomal hernia recurrence was detected. In addition, most patients showed significant improvement in abdominal wall appearance, stoma comfort, and physical activity.

With optimization of key surgical details, laparoscopic Sugarbaker repair for parastomal hernia appears safe and feasible, with rapid postoperative recovery and no recurrence observed in the short-term follow-up. However, this was a single-center retrospective study with a small sample size and limited follow-up duration; further studies are needed to validate these findings.

To analyze the key procedural steps and technical refinements of laparoscopic Sugarbaker repair for parastomal hernia, and to investigate the incidence of postoperative complications, aiming to further standardize the critical details of the laparoscopic Sugarbaker technique and reduce postoperative complication rates.

A single-center retrospective cohort study was conducted to analyze the clinical data of 161 patients who underwent laparoscopic Sugarbaker repair for parastomal hernia at the Department of Hernia and Obesity Surgery, The First Affiliated Hospital of University of Science and Technology of China, from January 2015 to December 2025. Data such as conversion to open surgery, postoperative complications, operative time, hernia defect size were recorded, and follow-up was completed.

All 161 surgeries were successfully completed, with 2 conversions to open surgery and no perioperative deaths. The median operative time was 135 (110, 180) minutes and the median hernia defect area was 19.6 (12.6, 28.3) cm². The median follow-up time was 24 (12, 36) months. The symptomatic recurrence rate was 5.0% (8/161), and the radiological recurrence rate was 5.6% (9/161). Kaplan-Meier survival analysis showed that, based on 10-year study data (maximum follow-up of 96 months), the 8-year cumulative symptomatic recurrence rate was 7.4% and the 8-year cumulative radiological recurrence rate was 8.1%. The overall incidence of other complications was 7.5% (12/161), including intestinal obstruction (n=3), stoma mucocutaneous separation (n=3), stoma infection (n=2), and one case each of delayed intestinal fistula from the hernia sac, hernia sac effusion, reoperation for recurrence, and poor wound healing.

Optimized key techniques in laparoscopic Sugarbaker repair demonstrate favorable outcomes for parastomal hernia, and can effectively control the incidence of postoperative complications.

To evaluate the clinical application value of CT multiplanar reconstruction (MPR) technology in the preoperative differentiation of inguinal hernia types and prediction of incarceration risk, and to provide a reference for optimizing the clinical preoperative evaluation process.

This was a single-center retrospective diagnostic accuracy study. A total of 102 patients with inguinal hernia (involving 109 hernia sacs) confirmed by surgery at the 73rd Group Army Hospital of the Chinese People's Liberation Army Army from January 2023 to April 2025 were included. All patients underwent preoperative multi-slice spiral CT (MSCT) plain scan and MPR (coronal, oblique coronal, and sagittal planes). The display effects of different reconstruction planes on key anatomical structures in the inguinal region were analyzed, characteristic imaging signs were identified, and the hernia sac neck ratio (the ratio of the maximum width of the hernia sac to the width of the hernia sac neck) was measured. Using surgical findings as the gold standard, receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance for hernia classification and the predictive value for incarceration risk.

The complete visualization rate of the inguinal ligament using oblique coronal MPR was significantly higher than that using coronal reconstruction (56.88% vs. 21.10%), while the non-visualization rate (14.68%) was significantly lower than that of coronal reconstruction (40.37%) (P<0.05). The area under the curve (AUC) values of the "lateral crescent sign" and the "direct inguinal hernia triangle filling sign" for differentiating direct from indirect inguinal hernia were 0.812 and 0.843, respectively, while the AUC value of the "femoral triangle filling sign" for distinguishing femoral hernia from other types of hernia was 0.831 (P<0.05). The incarceration rate of femoral hernia (72.00%, 18/25) was significantly higher than that of indirect hernia (14.58%, 7/48) and direct hernia (16.67%, 6/36) (χ²=36.241, P<0.001). The optimal cutoff values of the hernia sac neck ratio for predicting incarceration in indirect, direct, and femoral hernias were 2.40, 3.70, and 3.30, respectively, with corresponding AUC values of 0.852, 0.876, and 0.791.

CT MPR technology can clearly delineate the anatomical structures of the inguinal region. Its characteristic imaging signs enable accurate differentiation of various types of inguinal hernias, and the hernia sac neck ratio can effectively quantify and predict the risk of incarceration, thereby providing a reliable basis for individualized clinical treatment planning.

To investigate the current status of quality of life (QoL) in patients with medium-to-large incisional hernia and its influencing factors, and to provide evidence for improving patients' QoL.

A retrospective survey was conducted among 43 patients with incisional hernia admitted to Shandong Provincial Hospital Affiliated to Shandong First Medical University from January to December 2025. Data were collected using a general information questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Sense of Coherence Scale (SOC-9). Rank-sum tests, Spearman correlation analysis, and multiple stepwise linear regression were used to identify factors influencing the QoL summary score.

The median QoL summary score was 87.09 (75.00, 94.23) points. Multiple stepwise linear regression analysis showed that education level, frailty, and anxiety were independent influencing factors of QoL in patients with incisional hernia (P<0.05).

QoL in patients with incisional hernia is affected by multiple factors, including physiological, psychological, and social aspects. Healthcare professionals should emphasize frailty screening and psychological assessment, strengthen health education and psychological support, and implement comprehensive interventions such as prehabilitation to enhance physiological reserve and further improve patients' QoL.

To evaluate the clinical efficacy of laparoscopic total extraperitoneal patch repair (TEP) in the treatment of adult umbilical hernia.

A retrospective cohort study was conducted including 76 patients with umbilical hernias admitted to Hanzhong People's Hospital between February 2022 and February 2025. Patients were assigned to a control group (n=33) and an observation group (n=43). The control group underwent laparoscopic intraperitoneal onlay mesh (IPOM), whereas the observation group underwent laparoscopic TEP. The surgery-related indicators, visual analog scale (VAS) pain score, gastrointestinal function recovery, stress factor indicators, peripheral blood inflammatory factor indicators, complications and recurrence were compared between the two groups.

The observation group had a significantly longer operative time (8.16, 95% CI 0.74–15.58 min) and intraoperative blood loss (0.84, 95% CI 0.12–1.56 ml) compared to the control group, while showing shorter postoperative first out-of-bed time (-1.37, 95% CI -2.33–-0.41 h) (P<0.05). Repeated-measures analysis of variance (ANOVA) for pain VAS scores showed significant main effects of time, group, and their interaction (F_time=454.7, F_group=15.22, F_interaction=3.079; all P<0.05). The overall pain level in the observation group was significantly lower than that in the control group, and pain relief was more rapid in the observation group. For simple effects analysis at each time point revealed that the observation group had significantly lower pain VAS scores at postoperative day 1 and postoperative week 1 (P<0.05). All parameters including first anal gas expulsion time (-0.81, 95% CI -1.51–-0.11 h), first bowel movement time (-2.73, 95% CI -4.62–-0.84 h), intestinal sound recovery time (-1.12, 95% CI -2.11–-0.13 h), and resumption of feeding time (-1.34, 95% CI -2.30–-0.38 h) were significantly shorter in the observation group (P<0.05). On postoperative day 1, serum levels of epinephrine (-8.08, 95% CI -14.18–-1.98 pg/ml), cortisol (-10.69, 95% CI -21.05–-0.33 nmol/L), and noradrenaline (-7.07, 95% CI -12.61–-1.53 pg/ml) were elevated in both groups compared to preoperative levels, with the observation group showing lower values than the control group (P<0.05). No cases of incomplete intestinal obstruction or hernia recurrence were observed in either group at 3 months postoperatively, and there was no statistically significant difference in overall complication rates (P>0.05).

Compared with IPOM, laparoscopic TEP in the treatment of adult umbilical hernia offers advantages in promoting early ambulation and reducing early postoperative pain, is associated with reduced stress levels, and demonstrates a favorable safety profile.

To compare operative outcomes, safety, and feasibility between single-incision (SIL-) and three-port totally extraperitoneal(TEP) inguinal hernia repair.

This was a retrospective cohort study. We retrospectively analyzed the clinical data of 160 adult patients who underwent SIL-TEP or TEP inguinal hernia repair in the Hernia Surgery Group of Putuo Hospital Affiliated with Shanghai University of Traditional Chinese Medicine from December 2020 to December 2023. The patients were divided into the SIL-TEP group (n=80) and the TEP group (n=80) according to the surgical approach. The operative time, postoperative hospital stay, Visual Analogue Scale (VAS) pain scores at 24 h and 48 h postoperatively, the incidence of complications (including seroma, subcutaneous hematoma, wound infection, mesh infection, and recurrence), and patient satisfaction were compared between the two groups.

There were no statistically significant differences between the two groups in terms of postoperative hospital stay, VAS pain scores at 48 hours postoperatively, or the overall incidence of postoperative complications (P>0.05). Compared with the TEP group, the SIL-TEP group had a longer operative time and lower VAS pain scores at 24 hours postoperatively, with both differences being statistically significant (P<0.05). The surgical satisfaction and incision satisfaction scores in the SIL-TEP group were higher than those in the three-port TEP group, and the difference in incision satisfaction scores between the two groups was statistically significant (P<0.05).

SIL-TEP and TEP demonstrate comparable efficacy and safety; however, SIL-TEP is associated with lower VAS pain scores at 24 hours postoperatively and higher patient satisfaction.

To discuss the safety and effectiveness of retrograde puncture following laparoscopic localization to create operative space in totally extra-peritoneal hernia repair (TEP).

A total of 81 adult patients with inguinal hernia who underwent TEP at People's Hospital of Dehong from April 2020 to September 2022 were selected. All patients underwent retrograde puncture following laparoscopic localization to create operative space. The time of creating the preperitoneal space, postoperative complications and recurrence of the patients were observed.

All 81 cases completed TEP surgery, including two cases with low abdominal surgery history. The mean time for creating preperitoneal space was (7.5±2.2) min. There was no case of conversion to laparoscopic trans-abdominal preperitoneal hernia repair. No peritoneum tear and inferior epigastric vessels injury caused by puncture. There were no postoperative bleeding and no hernia recurrence.

Retrograde puncture following laparoscopic localization to create operative space for TEP repair is safe, simple and effective, and can be widely applied.

To investigate the efficacy and safety of domestic biological mesh during laparoscopic transabdominal preperitoneal hernioplasty (TAPP).

Clinical data from 171 patients who underwent TAPP in the Department of General Surgery of Yantai Yuhuangding Hospital between March 2021 and March 2025 were retrospectively analyzed. According to the type of mesh used, the patients were divided into the domestic biological mesh group(adopted BIOSIS HEALING mesh), the imported biological mesh group(adopted COOK mesh), and the polypropylene synthetic mesh group (adopted polypropylene synthetic mesh). Baseline characteristics, operative outcomes, and postoperative complications were compared among the three groups to evaluate the safety and short-term efficacy of the different meshes used in TAPP.

Compared with the polypropylene synthetic mesh group, the biological mesh groups had significantly lower incidences of postoperative pain and local foreign body sensation (P<0.05). However, there were no significant differences in the incidences of postoperative pain or local foreign body sensation between the domestic biological mesh group and the imported biological mesh group (P>0.05). Compared with the polypropylene synthetic mesh group, the biological mesh groups had significantly higher incidences of seroma and fever (P<0.05). However, no significant differences were found in the incidences of seroma or fever between the domestic biological mesh group and the imported biological mesh group (P>0.05). No short-term postoperative complications such as recurrence or mesh infection were observed in any of the three groups.

Domestic BIOSIS HEALING biological mesh is safe and reliable for use in TAPP. Its safety and short-term efficacy are comparable to those of similar imported products. Postoperative seroma and fever are common complications associated with biological mesh, but they are self-limiting and do not lead to adverse outcomes after symptomatic treatment.

To investigate the efficacy of low-frequency electrical stimulation (LFES) of the bladder and its combination with acupuncture in the treatment of postoperative urinary retention (POUR) following pelvic organ prolapse(POP) surgery.

This was a single-center retrospective cohort study. A total of 817 patients who underwent pelvic floor reconstructive surgery or colpocleisis in the Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, from January 2018 to December 2025 were enrolled. Among them, 90 patients were selected as study subjects who developed POUR after indwelling catheterization for 48-72 hours postoperatively, characterized by dysuria, poor urinary flow, post-void residual urine volume (PVR)≥100 ml, or inability to void spontaneously requiring re-catheterization. Treatment modalities were selected by physicians based on disease conditions and patient preferences. According to the treatment methods, patients were divided into four groups: indwelling catheterization group (n=34), LFES+indwelling catheterization group (n=31), acupuncture+LFES+indwelling catheterization group (n=21), and indwelling catheterization+acupuncture group (n=4). Successful initial treatment was defined as PVR<100 ml after catheter removal 48 hours post-treatment. The general characteristics of POUR patients, influencing factors of initial treatment efficacy, and treatment outcomes among groups were analyzed.

The mean age of the 90 POUR patients was (68.7±7.9) years. All patients had pelvic organ prolapse quantification (POP-Q) of stage Ⅲ-Ⅳ, including 83 cases (92.2%) of anterior pelvic prolapse; 84 cases (93.0%) had preoperative urinary retention. The acupuncture + indwelling catheterization group included only 4 completed cases and discontinued study without comparative analysis. Among the remaining three groups, the acupuncture+ LFES+ indwelling catheterization group had significantly higher proportions of patients with longer preoperative urinary retention duration, POP-Q stage Ⅳ, vaginal closure surgery, concurrent hysterectomy, or tension-free vaginal tape (TVT) procedure than the indwelling catheterization group and LFES+indwelling catheterization group (P<0.05). The overall initial treatment success rate of the three groups was 80.2% (69/86). Compared with the initial treatment success group, the failure group had a higher median PVR and longer catheter indwelling time, with statistically significant differences (P<0.05). All patients in the failure group had the most severe prolapse at the anterior pelvic compartment, which was higher than 89.9% in the success group, but the difference was not statistically significant (P>0.05). All patients with initial treatment failure recovered after subsequent LFES combined with acupuncture treatment. The initial treatment success rates of the indwelling catheterization group, LFES+indwelling catheterization group, and acupuncture+LFES+indwelling catheterization group were 88.2% (30/34), 77.4% (24/31), and 71.4% (15/21), respectively, with no statistically significant difference (P=0.279).

Severe anterior pelvic prolapse (POP-Q stage Ⅲ-Ⅳ) with long-term urinary retention, advanced age and poor physical condition, and complex pelvic floor surgery may be high-risk factors for POUR. High PVR and prolonged catheter indwelling time may affect treatment efficacy. The combined therapy of LFES, acupuncture and indwelling catheterization achieves comparable efficacy in patients with severe POUR to that of simple catheterization and LFES plus catheterization in patients with mild POUR. However, this conclusion still needs to be further verified by multicenter prospective randomized controlled trials.

To explore the anesthetic effect and safety of remimazolam combined with dexmedetomidine nasal drops in pediatric laparoscopic high ligation of hernia sac surgery.

This study was a retrospective cohort study. We retrospectively analyzed the clinical data of 201 children with indirect inguinal hernia who underwent laparoscopic high ligation of the hernial sac at Xi'an Children's Hospital from March to December 2025. The patients were divided into an experimental group (n=101) and a control group (n=100) according to the anesthesia regimen. The experimental group received remimazolam combined with dexmedetomidine nasal drops for anesthesia, while the control group received propofol combined with dexmedetomidine nasal drops for anesthesia. The heart rate, mean arterial pressure (MAP), oxygen saturation (SpO₂), anesthesia induction time, recovery time, length of stay in the post-anesthesia care unit (PACU), and anesthesia-related adverse reactions were compared between the two groups at four time points: before anesthesia induction (T₀), 5 minutes after induction (T₁), 5 minutes after the start of surgery (T₂), and at the end of surgery (T₃).

Repeated-measures analysis of variance showed that there were statistically significant differences in the fluctuation ranges of heart rate and MAP between the two groups of children at different time points in terms of inter-group effect (F_group=5.824, 3.837; P_group=0.005, 0.015), time effect (F_time=2.975, 7.387; P_time=0.018, 0.006), and interaction effect (F_interaction=3.718, 3.539; P_interaction=0.002, 0.025). Further pairwise comparisons with Bonferroni correction in simple effect analysis revealed that, compared with T0, heart rate and MAP decreased at T1 and increased at T2 and T3 in both groups. However, the fluctuation ranges of heart rate and MAP at all time points in the experimental group were significantly smaller than those in the control group (P<0.05). For SpO₂, there were no statistically significant differences in the inter-group effect (F_group=2.141, P_group=0.061), time effect (F_time=6.264, P_time=0.089), and interaction effect (F_interaction=2.911, P_interaction=0.117) (all P>0.05). The anesthesia induction time, awakening time, and PACU stay time in the experimental group were shorter than those in the control group (t=2.362, 19.634, 2.259; all P<0.05). There was no statistically significant difference in the total incidence of anesthesia-related adverse reactions between the experimental group and the control group (7.92% vs 10.00%; χ²=0.266, P=0.606).

Remimazolam combined with dexmedetomidine nasal drops is used for pediatric laparoscopic high ligation of hernia sacs. The anesthetic effect is rapid, the recovery is swift, it can stabilize the perioperative hemodynamics, the incidence of adverse reactions is low, and the safety is high.

To compare the efficacy, rehabilitation and cost-effectiveness of Lichtenstein hernia repair versus laparoscopic trans-abdominal preperitoneal repair (TAPP) for inguinal hernia treatment.

In this retrospective controlled study, clinical data of 260 patients with inguinal hernia who were admitted to Suining Hospital of Traditional Chinese Medicine and Suining Central Hospital between June 2022 and June 2024 were analyzed. According to the different surgical methods, they were divided into the Lichtenstein group (n=132) and the TAPP group (n=128). Surgical outcomes, postoperative recovery metrics, and costs of the two groups of patients were compared.

Baseline characteristics were comparable between the two groups. Both techniques demonstrated equivalent surgical success rates and comparable rates of overall complications and 1-year recurrence (all P>0.05). Compared with the TAPP group, the Lichtenstein group had a shorter operation time [(55.8±11.0) vs. (74.9±12.4) minutes, P<0.001], lower incidence of postoperative gastrointestinal dysfunction (0.8% vs. 6.3%, P<0.05), and superior early recovery evidenced by shorter time to oral intake and ambulation, reduced urinary catheterization rate (all P<0.05), and higher patient satisfaction scores [(8.9±0.8) vs. (7.2±1.1), P<0.05]. Health economic analysis showed significantly lower median total costs for the Lichtenstein group (5510.4 Yuan vs. 9261.3 Yuan, P<0.01), driven predominantly by savings in anesthesia and material expenses.

Lichtenstein and TAPP repairs have comparable success rates, overall complications, and recurrence rates for inguinal hernia. The Lichtenstein approach offers distinct advantages in operative efficiency, enhanced early recovery, and significant cost savings. From a multi-dimensional perspective, the Lichtenstein procedure remains a practical option.

To compare the effect of laparoscopic trans-abdominal preperitoneal repair (TAPP) and traditional tension-free repair in the treatment of inguinal hernia, with emphasis on the effects on postoperative pain, seroma and recurrence.

This was a retrospective cohort study. A total of 81 patients with inguinal hernia admitted to the Second People's Hospital of Bengbu between January 2019 and June 2022 were included. The patients were divided into a laparoscopic group (TAPP, n=43) and an open group (traditional tension-free repair, n=38) according to the different surgical methods. The surgical-related indicators, pain degree, changes in inflammatory factor levels before and after surgery, and the incidence of complications 1-year after surgery were compared between the two groups of patients.

The surgeries were successful in both groups. The surgical time in laparoscopic group was longer than that in open group [(61.59±10.42) min vs (40.31±9.65) min, P<0.05], and the postoperative blood loss was less than that in open group [(12.18±2.59) ml vs (29.04±4.75) ml, P<0.05], and the postoperative ambulation time, postoperative exhaust time and postoperative hospital stay were all shorter than those in open group [(6.75±1.18) h, (16.82±3.75) h, (4.16±0.98) d vs (9.16±1.52) h, (22.04±4.17) h, (4.69±1.21) d, all P<0.05]. The visual analogue scale (VAS) pain scores in laparoscopic group at 6 h, 1 d, 3 d, and 7 d after surgery were (4.53±0.61) points, (3.19±0.35) points, (2.46±0.31) points and (1.81±0.29) points, which were lower than those in open group [(5.27±0.68) points, (3.52±0.39) points, (2.73±0.30) points, (2.14±0.34) points, all P<0.001]. The levels of CRP, IL-6 and MMP-9 in laparoscopic group were lower than those in open group (all P<0.001). In laparoscopic group, there were 3 cases of Morales type Ⅰ and 1 case of type Ⅱ seroma. In open group, there were 7 cases of type Ⅰ, 2 cases of type Ⅱ, 1 case of type Ⅲ and 1 case of type Ⅳ seroma. The degree of seroma in laparoscopic group was milder than that in open group (Z=5.269, P=0.022). Recurrence occurred in 1 case (2.33%) in laparoscopic group and 2 cases (5.26%) in open group within 1 year after surgery. There was no significant difference in recurrence rate between the two groups (χ²=0.488, P>0.05). The total incidence of other complications in the laparoscopic group was lower than that in the open group (4.65% vs 21.05%; χ²=5.015, P=0.025).

Compared with open tension-free repair, TAPP can better relieve the postoperative pain and reduce the incidence of seroma, but the recurrence rates of the two types of surgery are comparable.

To analyze the distribution of comorbidities in elderly female patients aged ≥65 years undergoing surgery for pelvic organ prolapse (POP), and to explore the role of multidisciplinary team (MDT) participation in perioperative management in ensuring medical safety.

A single-center retrospective cohort study was conducted to analyze the clinical data of 237 patients who underwent POP surgery at the Department of Obstetrics and Gynecology, Beijing Chao-Yang Hospital, Capital Medical University, from January 2021 to December 2025. The patients were divided into the MDT group (n=185) and the non-MDT group (n=52) based on whether MDT was implemented. To analyze the overall distribution of multidisciplinary comorbidities in patients undergoing POP surgery, and to compare perioperative comorbidity-related complications between the two groups of patients.

Among the 237 patients, the median age was 70 (68.0-73.5) years. The comorbidities included hypertension (62.9%), coronary artery stenosis (47.3%), diabetes (29.1%), old cerebral infarction (21.9%), cerebrovascular stenosis (21.1%), taking drugs for hyperlipidemia (16.5%), osteoarthritis (11.4%), and thrombotic diseases (6.8%). Among them, 185 patients (78.1%) were managed by MDT after initial assessment by attending gynecologists specializing in pelvic floor disorders, who identified severe multidisciplinary comorbidities in these patients. Postoperatively, 81 cases (34.2%) of 237 POP surgery patients developed complications, among which 42 cases (17.7%) were new thrombotic diseases. The proportion of patients transferred to the SICU postoperatively, the incidence of postoperative complications, postoperative urinary retention, and the length of postoperative hospital stay were all higher in the MDT group than in the non-MDT group (20.0% vs 3.8%; 38.9% vs 17.3%; 21.1% vs 7.7%; 7(6-9) days vs 6(5-7) days, and the differences were statistically significant (P<0.05). However, no statistically significant differences were observed in surgical time, postoperative changes in hemoglobin levels, venous thromboembolism scores, or the incidence of new thrombotic diseases between two groups (P>0.05).

Elderly women over 65 years old with POP often have multiple comorbidities. Conducting a preoperative MDT assessment for these patients and involving experts from relevant fields in perioperative management are critical to ensuring their surgical safety.

To analyze China's inguinal, femoral, and abdominal hernia disease burden (incidence, prevalence, mortality, disability-adjusted life years (DALYs) from 1990-2021, assess changing trends and age-period-cohort effects, and predict disease burden for 2025-2050.

Compile the disease burden indicators of inguinal, femoral, and abdominal hernia in China from 1990 to 2021, as recorded in the 2021 Global Burden of Disease Study Database (GBD 2021 data). The trend of disease burden changes was analyzed using the Joinpoint software. The age-period-cohort (APC) model was used for the analysis of age, period, and cohort effects. The disease burden situation from 2025 to 2050 was predicted through time series analysis using the SPSS software.

Joinpoint regression analysis showed that from 1990 to 2021, the age-standardized incidence rates (ASIRs) of inguinal, femoral and abdominal hernia for overall, male, and female populations in China exhibited an upward trend. The disease burden was higher in males than in females. Infants, children, and the elderly experienced a higher disease burden. The APC model revealed that incidence rate first declined rapidly with age, then increased slowly, followed by another decline from 1990 to 2021. Incidence risk showed an initial increase followed by a decrease over time periods, and an initial decrease followed by an increase across birth cohorts. Mortality rate first declined rapidly and then increased slowly. Mortality risk decreased over both time periods and birth cohorts. Predictions for 2025-2050 indicate that overall ASIR and age-standardized prevalence rates (ASPR) will show an upward trend.

The overall disease burden of inguinal, femoral, and abdominal hernia in China remained substantial from 1990 to 2021. Predictions suggest rising ASIR and ASPR from 2025 to 2050, highlighting the critical importance of formulating targeted medical policies and implementing necessary interventions.

The long-term recurrence rate after parastomal hernia repair remains high, and its influencing factors are still controversial. To provide evidence-based support for optimizing clinical decision-making, we systematically searched databases such as PubMed, Embase, Cochrane Library, and CNKI for relevant clinical studies from the establishment of the databases to February 2026. The quality of the literature was assessed using the Newcastle-Ottawa Scale (NOS), and Meta-analysis alongside qualitative systematic review was performed using R software. Four high-quality studies comprising 542 patients were included. Meta-analysis demonstrated that compared with the Keyhole technique, the Sugarbaker technique showed a significant clinical advantage in reducing long-term recurrence risk (OR=0.58, 95% CI 0.26-1.27). Further analysis indicated that patient systemic metabolic status (such as obesity with body mass index ≥30 kg/m², diabetes, and advanced age) and inflammatory bowel disease were core independent risk factors for postoperative recurrence. Furthermore, severe short-term complications like surgical site infection and seroma significantly increased the long-term recurrence rate. In conclusion, selecting a biomechanically superior repair technique (e.g., Sugarbaker) and strictly managing perioperative weight, glycemic control, and infection prevention are crucial strategies to minimize the risk of parastomal hernia recurrence.

Parastomal hernia is one of the most common long-term complications following stoma creation. The reported incidence varies widely due to the lack of standardized classification systems, diagnostic criteria, and variations in follow-up duration. The occurrence of parastomal hernia is influenced by multiple factors, including patient-related factors, surgical techniques, and alterations in abdominal wall structure. CT is the preferred diagnostic method in imaging examinations, but ultrasound and MRI are also valuable in specific scenarios. Various surgical approaches are available, with differences in recurrence rates, complication profiles, and long-term outcomes among procedures. In recent years, preventive mesh placement has shown certain advantages in reducing the incidence of paraostomaly hernia. In the future, high-quality prospective research is needed to further establish standardized diagnostic and treatment criteria and optimize individualized treatment strategies. This article provides a review of recent advances in the diagnosis and treatment of parastomal hernia.

Pelvic organ prolapse (POP), as a common gynecological pelvic floor disorder, has been increasing in prevalence year by year with population aging. Vaginal colpocleisis, as one of the effective surgical approaches for treating severe POP in elderly women, is characterized by a short operative time, a high surgical success rate, a relatively low incidence of complications, and a high level of patient satisfaction. However, after vaginal colpocleisis, patients lose vaginal coital function; therefore, this procedure is only suitable for women who do not need to preserve sexual function. Accordingly, adequate preoperative assessment and postoperative follow-up are required. This review aims to evaluate the effects of vaginal colpocleisis on patients’ quality of life, body image, and sexual life, as well as to summarize the postoperative regret rate and postoperative complications. A review of the literature indicates that vaginal colpocleisis can improve patients’ quality of life and body image, but patient selection should be strictly controlled, with particular attention to bladder and bowel symptoms.

Esophagopleural fistula (EPF) following laparoscopic hiatal hernia repair is a rare clinical complication, characterized by difficulty in early diagnosis and a high mortality rate. This article reports the diagnostic and therapeutic course of a 76-year-old female patient who developed EPF after undergoing laparoscopic hiatal hernia repair combined with Nissen fundoplication. The etiology, diagnosis, and management strategies are further analyzed in conjunction with the existing literature. This case suggests that early postoperative symptoms such as high fever and dyspnea should raise a high index of suspicion for this complication. Prompt diagnostic evaluation, including thoracic drainage or oral contrast-enhanced computed tomography, is essential for establishing the diagnosis. Comprehensive conservative management—including fasting, gastrointestinal decompression, thoracic drainage, anti-infective therapy, and nutritional support—can facilitate fistula healing and represents an effective treatment approach.