Hernia Repair: Current Advances and Challenges

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 285

Special Issue Editors


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Guest Editor
General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Forli, Italy
Interests: colo-rectal surgery; CRS plus HIPEC; peritoneal surface malignancy; ICG fluorescence; HPB surgery
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Guest Editor Assistant
General and Oncologic Surgery, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy
Interests: hernia surgery; CRS plus HIPEC; peritoneal surface malignancy; cholecystectomy

Special Issue Information

Dear Colleagues,

Inguinal and abdominal wall hernia surgery is among the most frequently performed surgical procedures by general surgeons in both elective and emergency settings, with a sustained drive for innovation.

Repair strategies (TAPP, TREPP, TEP, IPOM, TARUP, and component separation) have received a major boost from the introduction of both new types of prostheses and the use of the laparoscopic approach and, more recently, robotic platforms.

Over the last 15 years, the ability to use botulinum toxin in prehabilitation has made it possible to simplify the reconstruction of very large hernias.

Strategies for situations that cause a high risk of developing an incisional hernia (morbid obesity; closure of ostomies; repeated surgeries; extensive parietal peritonectomies either associated or not associated with intraperitoneal chemotherapy—HIPEC, EPIC, etc.) have also been implemented.

In this Special Issue, studies are welcome focusing on the above but also topics related to the use of AI to identify anatomical landmarks in minimally invasive approaches; techniques for the treatment of complex abdominal hernias; the treatment of peristomal hernias and uncommon hernias (Spigelian, etc.); the treatment of prosthetic infections; and strategies to be applied, particularly in emergencies, when the surgical field is not ideal for a mesh repair.

We welcome original articles on pre-clinical and clinical research, as well as systematic reviews, cohort studies, and case reports adhering to the aforementioned themes.

Dr. Fabrizio D'Acapito
Guest Editor

Dr. Daniela Di Pietrantonio
Guest Editor Assistant

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Keywords

  • hernia mesh repair
  • TAPP
  • IPOM
  • TARUP
  • component separation
  • artificial intelligence
  • robotic surgery
  • laparoscopy
  • mesh infection

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Published Papers (1 paper)

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Research

11 pages, 282 KiB  
Article
Predictors of Incisional Hernia After Cytoreductive Surgery and HIPEC: A Retrospective Analysis
by Daniela Di Pietrantonio, Fabrizio D’Acapito, Massimo Framarini and Giorgio Ercolani
Medicina 2025, 61(8), 1356; https://doi.org/10.3390/medicina61081356 (registering DOI) - 26 Jul 2025
Abstract
Background and Objectives: Incisional hernia is a common complication following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). This study aimed to identify patient and surgical factors associated with its occurrence. Materials and Methods: We conducted a retrospective analysis of 122 [...] Read more.
Background and Objectives: Incisional hernia is a common complication following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). This study aimed to identify patient and surgical factors associated with its occurrence. Materials and Methods: We conducted a retrospective analysis of 122 patients undergoing CRS and HIPEC. Logistic regression models were applied to identify predictors of incisional hernia development. Results: Incisional hernia occurred in 23.8% of patients. Hypertension was identified as an independent factor associated with increased risk. Peritoneal Cancer Index (PCI), operative time, and abdominal wall closure technique were not found to be significantly associated with hernia development. Conclusions: Preoperative identification of high-risk patients may support the adoption of targeted preventive strategies, including prophylactic mesh placement and enhanced postoperative surveillance. Full article
(This article belongs to the Special Issue Hernia Repair: Current Advances and Challenges)
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