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4. Suture versus open mesh repair for small umbilical hernia: Results of a propensity-matched cohort study

Author

Antor, M., Beck, M., Barrat, C., Berney, C., Binot, D., Bousquet, J., Blazquez, D., Bonan, A., Cas, O., Champault-Fezais, A., Chastan, P., Chollet, J.-M., Cossa, J.-P., Dabrowski, A., Delaunay, T., Démaret, S., Drissi, F., Demian, H., Dubuisson, V., Dugue, T., Fromont, G., Gillion, J.-F., Jacquin, C., Jurczak, F., Khalil, H., Launay-Savary, M., Lepère, M., Lépront, D., Longeville, J.H., Le Toux, N., Loriau, J., Magne, E., Ngo, P., Oberlin, O., Passot, G., Pavis d’Escurac, X., Putinier, J.B., Renard, Y., Romain, B., Soler, M., Roos, S., Thillois, J.-M., Tiry, P., Vu, P., Verhaeghe, R., Warlaumont, M., Zaranis, C., Frey, Samuel, Beauvais, Adrien, Soler, Marc, Beck, Mathieu, Dugué, Timothée, Pavis d’Escurac, Xavier, Dabrowski, André, Jurczak, Florent, and Gillion, Jean-François

Published
2023
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9. Functional outcomes in symptomatic versus asymptomatic patients undergoing incisional hernia repair: Replacing one problem with another? A prospective cohort study in 1312 patients

Author

Abet, E., Ain, J.-F., Arnalsteen, L., Baraket, O., Beck, M., Bellouard, A., Benizri, E., Berney, C., Bilem, D., Binot, D., Blanc, B., Blazquez, D., Bonan, A., Boukortt, T., Brehant, O., Cas, O., Champault-Fezais, A., Chau, A., Chollet, J.-M., Constantin, M., Cossa, J.-P., Dabrowski, A., David, A., Demaret, S., Dubuisson, V., Dugue, T., El Nakadi, I., Faure, J.-P., Frileux, P., Fromont, G., Gadiri, N., Gillion, J.-F., Glehen, O., Hennequin, S., Isambert, M., Jurczak, F., Khalil, H., Lamblin, A., Largenton, C., Lavy, M., Lepère, M., Le Toux, N., Magne, E., Manfredelli, S., Mariette, C., Marion, Y., Mercoli, H.-A., Mesli Smain, N., Moszkowicz, D., Najim, M., Oberlin, O., Odet, E., Ortega Deballon, P., Pavis d’Escurac, X., Pichot Delahaye, V., Putinier, J.B., Regimbeau, J.M., Renard, Y., Romain, B., Rouquie, D., Soler, M., Soufron, J., Roos, S., Thillois, J.-M., Tiry, P., Vauchaussade De Chaumont, A., Vinatier, E., Vu, P., Verhaeghe, R., Zaranis, C., Zeineb, M., de Smet, Gijs H.J., Sneiders, Dimitri, Yurtkap, Yagmur, Menon, Anand G., Jeekel, Johannes, Kleinrensink, Gert-Jan, Lange, Johan F., and Gillion, Jean-François

Published
2020
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10. Recurrence after elective incisional hernia repair is more frequent than you think: An international prospective cohort from the French Society of Surgery

Author

Gillion, Jean-François, Ortega-Deballon, Pablo, Gadiri, Naziha, Mesli, Smain, Poghosyan, Tigran, Moszkowicz, David, Bouillot, Jean-Luc, Mariette, Christophe, Chau, Amélie, Arvieux, Catherine, Abet, Emeric, Renard, Yohann, Marion, Yohann, Dubuisson, Vincent, David, Anaelle, Mercoli, Henry-Alexis, Manfredelli, Simone, Glehen, Olivier, Passot, Guillaume, Lamblin, Antoine, Arnalsteen, Laurent, Constantin, Maita, Vauchaussade, Arthus, El Nakadi, Issam, Demian, Hassan, Régimbeau, Jean-Marc, Demartines, Nicolas, Romain, Benoit, Chollet, Jean-Michel, Binot, Daniel, Massalou, Damien, Benizri, Emmanuel, Pichot, Virginie, Blanc, Benjamin, Baraket, Oussama, Jurczak, Florent, Rouquié, Delphine, Mzoughi, Zeineb, Soler, Marc, Putinier, Jean-Baptiste, Ain, Jean-François, Bellouard, Arnauld, Mathonnet, Muriel, Najim, Mohammed, Vinatier, Edouard, Lepère, Marc, Cas, Olivier, Cossa, Jean-Pierre, Frileux, Pascal, Tzanis, Dimitri, Hennequin, Sandra, Demaret, Sebastien, Merabet, Mustapha, Bilem, Djaouad, Boukortt, Tayb, Blazquez, Denis, Magne, Eric, Khalil, Haitham, Largenton, Claude, Lavy, Marianne, Isambert, Milène, Bréhant, Olivier, Odet, Emmanuel, Firtion, Olivier, Manouvrier, Jean-Luc, Soufron, Jacques, Letoux, Nathalie, Romain, Benoît, and Binquet, Christine

Published
2020
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14. External Validation of the European Hernia Society Classification for Postoperative Complications after Incisional Hernia Repair: A Cohort Study of 2,191 Patients

Author

Ain, J.-F., Beck, M., Barrat, C., Berney, C., Berrod, J.-L., Binot, D., Boudet, M.-J., Bousquet, J., Blazquez, D., Bonan, A., Cas, O., Champault-Fezais, A., Chastan, P., Cardin, J.-L., Chollet, J.-M., Cossa, J.-P., Dabrowski, A., Démaret, S., Drissi, F., Durou, J., Dugue, T., Faure, J.-P., Framery, D., Fromont, G., Gainant, A., Gauduchon, L., Genser, L., Gillion, J.-F., Guillaud, A., Jacquin, C., Jurczak, F., Khalil, H., Lacroix, A., Ledaguenel, P., Lepère, M., Lépront, D., Letoux, N., Loriau, J., Magne, E., Ngo, P., Oberlin, O., Paterne, D., Pavis d'Escurac, X., Potiron, L., Renard, Y., Soler, M., Rignier, P., Roos, S., Thillois, J.-M., Tiry, P., Verhaeghe, R., Vu, P., Zaranis, C., Kroese, Leonard F., Kleinrensink, Gert-Jan, Lange, Johan F., and Gillion, Jean-Francois

Published
2018
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16. Suture versus open mesh repair for small umbilical hernia: Results of a propensity-matched cohort study

Author

Frey, Samuel, primary, Beauvais, Adrien, additional, Soler, Marc, additional, Beck, Mathieu, additional, Dugué, Timothée, additional, Pavis d’Escurac, Xavier, additional, Dabrowski, André, additional, Jurczak, Florent, additional, Gillion, Jean-François, additional, Antor, M., additional, Beck, M., additional, Barrat, C., additional, Berney, C., additional, Binot, D., additional, Bousquet, J., additional, Blazquez, D., additional, Bonan, A., additional, Cas, O., additional, Champault-Fezais, A., additional, Chastan, P., additional, Chollet, J.-M., additional, Cossa, J.-P., additional, Dabrowski, A., additional, Delaunay, T., additional, Démaret, S., additional, Drissi, F., additional, Demian, H., additional, Dubuisson, V., additional, Dugue, T., additional, Fromont, G., additional, Gillion, J.-F., additional, Jacquin, C., additional, Jurczak, F., additional, Khalil, H., additional, Launay-Savary, M., additional, Lepère, M., additional, Lépront, D., additional, Longeville, J.H., additional, Le Toux, N., additional, Loriau, J., additional, Magne, E., additional, Ngo, P., additional, Oberlin, O., additional, Passot, G., additional, Pavis d’Escurac, X., additional, Putinier, J.B., additional, Renard, Y., additional, Romain, B., additional, Soler, M., additional, Roos, S., additional, Thillois, J.-M., additional, Tiry, P., additional, Vu, P., additional, Verhaeghe, R., additional, Warlaumont, M., additional, and Zaranis, C., additional

Published
2023
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17. Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis.

Author

de'Angelis, Nicola, Schena, Carlo Alberto, Moszkowicz, David, Kuperas, Cyril, Fara, Régis, Gaujoux, Sébastien, Gillion, Jean-François, Gronnier, Caroline, Loriau, Jérôme, Mathonnet, Muriel, Oberlin, Olivier, Perez, Manuela, Renard, Yohann, Romain, Benoît, Passot, Guillaume, and Pessaux, Patrick

Subjects
HERNIA surgery, SURGICAL robots, LAPAROSCOPIC surgery
Abstract

Background: This systematic review and meta-analysis assessed the effectiveness of robotic surgery compared to laparoscopy or open surgery for inguinal (IHR) and ventral (VHR) hernia repair. Methods: PubMed and EMBASE were searched up to July 2022. Meta-analyses were performed for postoperative complications, surgical site infections (SSI), seroma/hematoma, hernia recurrence, operating time (OT), intraoperative blood loss, intraoperative bowel injury, conversion to open surgery, length of stay (LOS), mortality, reoperation rate, readmission rate, use of opioids, time to return to work and time to return to normal activities. Results: Overall, 64 studies were selected and 58 were used for pooled data analyses: 35 studies (227 242 patients) deal with IHR and 32 (158 384 patients) with VHR. Robotic IHR was associated with lower hernia recurrence (OR 0.54; 95%CI 0.29, 0.99; I2: 0%) compared to laparoscopic IHR, and lower use of opioids compared to open IHR (OR 0.46; 95%CI 0.25, 0.84; I2: 55.8%). Robotic VHR was associated with lower bowel injuries (OR 0.59; 95%CI 0.42, 0.85; I2: 0%) and less conversions to open surgery (OR 0.51; 95%CI 0.43, 0.60; I2: 0%) compared to laparoscopy. Compared to open surgery, robotic VHR was associated with lower postoperative complications (OR 0.61; 95%CI 0.39, 0.96; I2: 68%), less SSI (OR 0.47; 95%CI 0.31, 0.72; I2: 0%), less intraoperative blood loss (− 95 mL), shorter LOS (− 3.4 day), and less hospital readmissions (OR 0.66; 95%CI 0.44, 0.99; I2: 24.7%). However, both robotic IHR and VHR were associated with significantly longer OT compared to laparoscopy and open surgery. Conclusion: These results support robotic surgery as a safe, effective, and viable alternative for IHR and VHR as it can brings several intraoperative and postoperative advantages over laparoscopy and open surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Eventrations postopératoires : Rapport présenté au 121e congrès français de chirurgie 2019 Ed. 1

Author

Gillion, Jean-François, Ortega-Deballon, Pablo, Romain, Benoît, Gillion, Jean-François, Gillion, Jean-François, Ortega-Deballon, Pablo, Romain, Benoît, and Gillion, Jean-François

Abstract

L'Association Française de Chirurgie organise chaque année le congrès qui réunit l'ensemble des praticiens du domaine. Cette collection publie pour l'occasion deux monographies suivant les thématiques proposées par le congrès. Ces ouvrages proposent ainsi une somme parfaitement actualisée des connaissances sur des sujets les plus variés. Ce rapport, issu du 121e Congrès français de chirurgie, aborde l'éventration survenant sur une incision chirurgicale. Il s'adresse aux chirurgiens ayant une pratique généraliste plus qu'aux spécialistes de la paroi abdominale. Il a pour but de dresser un état des lieux des éventrations dans la francophonie. Ce condensé pédagogique de la littérature scientifique s'articule autour des éventrations postopératoires : leur fréquence et caractéristiques, leur histoire naturelle, les moyens de prévention, les indications opératoires et les modalités de prise en charge, les techniques opératoires, la gestion périopératoire, et la prise en charge des complications postopératoires.

Published
2019

21. Outcomes of Incisional Hernia Repair Surgery After Multiple Re-recurrences:A Propensity Score Matched Analysis

Author

Sneiders, Dimitri, de Smet, Gijs H.J., Hartog, Floris den, Yurtkap, Yagmur, Menon, Anand G., Jeekel, Johannes, Kleinrensink, Gert Jan, Lange, Johan F., Gillion, Jean François, Sneiders, Dimitri, de Smet, Gijs H.J., Hartog, Floris den, Yurtkap, Yagmur, Menon, Anand G., Jeekel, Johannes, Kleinrensink, Gert Jan, Lange, Johan F., and Gillion, Jean François

Abstract

Background: Patients with a re-recurrent hernia may account for up to 20% of all incisional hernia (IH) patients. IH repair in this population may be complex due to an altered anatomical and biological situation as a result of previous procedures and outcomes of IH repair in this population have not been thoroughly assessed. This study aims to assess outcomes of IH repair by dedicated hernia surgeons in patients who have already had two or more re-recurrences. Methods: A propensity score matched analysis was performed using a registry-based, prospective cohort. Patients who underwent IH repair after ≥ 2 re-recurrences operated between 2011 and 2018 and who fulfilled 1 year follow-up visit were included. Patients with similar follow-up who underwent primary IH repair were propensity score matched (1:3) and served as control group. Patient baseline characteristics, surgical and functional outcomes were analyzed and compared between both groups. Results: Seventy-three patients operated on after ≥ 2 IH re-recurrences were matched to 219 patients undergoing primary IH repair. After propensity score matching, no significant differences in patient baseline characteristics were present between groups. The incidence of re-recurrence was similar between groups (≥ 2 re-recurrences: 25% versus control 24%, p = 0.811). The incidence of complications, as well as long-term pain, was similar between both groups. Conclusion: IH repair in patients who have experienced multiple re-recurrences results in outcomes comparable to patients operated for a primary IH with a similar risk profile. Further surgery in patients who have already experienced multiple hernia re-recurrences is justifiable when performed by a dedicated hernia surgeon.

Published
2021

24. Functional outcomes in symptomatic versus asymptomatic patients undergoing incisional hernia repair: Replacing one problem with another? A prospective cohort study in 1312 patients

Author

de Smet, Gijs H.J., primary, Sneiders, Dimitri, additional, Yurtkap, Yagmur, additional, Menon, Anand G., additional, Jeekel, Johannes, additional, Kleinrensink, Gert-Jan, additional, Lange, Johan F., additional, Gillion, Jean-François, additional, Abet, E., additional, Ain, J.-F., additional, Arnalsteen, L., additional, Baraket, O., additional, Beck, M., additional, Bellouard, A., additional, Benizri, E., additional, Berney, C., additional, Bilem, D., additional, Binot, D., additional, Blanc, B., additional, Blazquez, D., additional, Bonan, A., additional, Boukortt, T., additional, Brehant, O., additional, Cas, O., additional, Champault-Fezais, A., additional, Chau, A., additional, Chollet, J.-M., additional, Constantin, M., additional, Cossa, J.-P., additional, Dabrowski, A., additional, David, A., additional, Demaret, S., additional, Dubuisson, V., additional, Dugue, T., additional, El Nakadi, I., additional, Faure, J.-P., additional, Frileux, P., additional, Fromont, G., additional, Gadiri, N., additional, Gillion, J.-F., additional, Glehen, O., additional, Hennequin, S., additional, Isambert, M., additional, Jurczak, F., additional, Khalil, H., additional, Lamblin, A., additional, Largenton, C., additional, Lavy, M., additional, Lepère, M., additional, Le Toux, N., additional, Magne, E., additional, Manfredelli, S., additional, Mariette, C., additional, Marion, Y., additional, Mercoli, H.-A., additional, Mesli Smain, N., additional, Moszkowicz, D., additional, Najim, M., additional, Oberlin, O., additional, Odet, E., additional, Ortega Deballon, P., additional, Pavis d’Escurac, X., additional, Pichot Delahaye, V., additional, Putinier, J.B., additional, Regimbeau, J.M., additional, Renard, Y., additional, Romain, B., additional, Rouquie, D., additional, Soler, M., additional, Soufron, J., additional, Roos, S., additional, Thillois, J.-M., additional, Tiry, P., additional, Vauchaussade De Chaumont, A., additional, Vinatier, E., additional, Vu, P., additional, Verhaeghe, R., additional, Zaranis, C., additional, and Zeineb, M., additional

Published
2020
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25. Recurrence after elective incisional hernia repair is more frequent than you think: An international prospective cohort from the French Society of Surgery

Author

Romain, Benoît, primary, Renard, Yohann, additional, Binquet, Christine, additional, Poghosyan, Tigran, additional, Moszkowicz, David, additional, Gillion, Jean-François, additional, Ortega-Deballon, Pablo, additional, Gadiri, Naziha, additional, Mesli, Smain, additional, Bouillot, Jean-Luc, additional, Mariette, Christophe, additional, Chau, Amélie, additional, Arvieux, Catherine, additional, Abet, Emeric, additional, Marion, Yohann, additional, Dubuisson, Vincent, additional, David, Anaelle, additional, Mercoli, Henry-Alexis, additional, Manfredelli, Simone, additional, Glehen, Olivier, additional, Passot, Guillaume, additional, Lamblin, Antoine, additional, Arnalsteen, Laurent, additional, Constantin, Maita, additional, Vauchaussade, Arthus, additional, El Nakadi, Issam, additional, Demian, Hassan, additional, Régimbeau, Jean-Marc, additional, Demartines, Nicolas, additional, Romain, Benoit, additional, Chollet, Jean-Michel, additional, Binot, Daniel, additional, Massalou, Damien, additional, Benizri, Emmanuel, additional, Pichot, Virginie, additional, Blanc, Benjamin, additional, Baraket, Oussama, additional, Jurczak, Florent, additional, Rouquié, Delphine, additional, Mzoughi, Zeineb, additional, Soler, Marc, additional, Putinier, Jean-Baptiste, additional, Ain, Jean-François, additional, Bellouard, Arnauld, additional, Mathonnet, Muriel, additional, Najim, Mohammed, additional, Vinatier, Edouard, additional, Lepère, Marc, additional, Cas, Olivier, additional, Cossa, Jean-Pierre, additional, Frileux, Pascal, additional, Tzanis, Dimitri, additional, Hennequin, Sandra, additional, Demaret, Sebastien, additional, Merabet, Mustapha, additional, Bilem, Djaouad, additional, Boukortt, Tayb, additional, Blazquez, Denis, additional, Magne, Eric, additional, Khalil, Haitham, additional, Largenton, Claude, additional, Lavy, Marianne, additional, Isambert, Milène, additional, Bréhant, Olivier, additional, Odet, Emmanuel, additional, Firtion, Olivier, additional, Manouvrier, Jean-Luc, additional, Soufron, Jacques, additional, and Letoux, Nathalie, additional

Published
2020
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27. Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry.

Author

Drissi, Farouk, Gillion, Jean-François, Roquilly, Antoine, Luyckx, François, and Duchalais, Emilie

Subjects
*INGUINAL hernia, *RETENTION of urine, *LENGTH of stay in hospitals, *HERNIA, *SPINAL anesthesia, *AMBULATORY surgery, *URINARY catheterization
Abstract

Background: Urinary retention is one of the most common early postoperative complications following inguinal hernia repair (IHR). The aim of this study was to assess the incidence of postoperative urinary retention (POUR) and to identify associated risk factors. Method: Data of consecutive patients undergoing IHR from 2011 to 2017 were collected from a national multicenter cohort. POUR was defined as the inability to void requiring urinary catheterization. A multivariate analysis was conducted to identify independent risk factors for POUR. Results: Of 13,736 patients, 109 (0.8%) developed POUR. Patients with POUR had longer hospital length of stay (p < 0.001). IHR was performed by a laparoscopic or an open approach in 7012 (51.3%) and 6655 (48.7%) patients, respectively, and spinal anesthesia was realized in 591 (4.3%) patients. Ambulatory surgery was performed in 10,466 (76.6%) patients. Multivariate analysis identified preoperative dysuria (0R 3.73, p < 0.001), diabetes mellitus (OR 1.98, p = 0.029) and spinal anesthesia (OR 7.56, p < 0.001) as independent preoperative risk factors associated with POUR. POUR was the cause of ambulatory failure in 35 (10.2%) patients who required unanticipated admission. Conclusion: The incidence of POUR following IHR remains low but impacts hospitalization settings. Preoperative risk factors for POUR should be considered for the choice of the anesthetic technique. [ABSTRACT FROM AUTHOR]

Published
2020
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