Talk:Hernia

Imporvement

- Adding a larger section on robotics

- Mesh and regards to anatomy

- Common complications of repair Hussein941 (talk) 17:37, 24 October 2023 (UTC)

Wiki Education assignment: WikiProject Medicine Fall 2023 UCF COM

This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 October 2023 and 19 November 2023. Further details are available on the course page. Student editor(s): Hussein941 (article contribs).

— Assignment last updated by Hussein941 (talk) 13:10, 27 October 2023 (UTC)

Peer Review Comments:

Just my thoughts, feel free to agree and consider or discard as you please...

General Comments

There may be additional opportunities for citations throughout, although I recognize you may not be able to provide all of them during this course. For what is already available, may benefit from ordering of citations (If multiple citations are used in a row after a single sentence, it would seem logical to start with smallest and proceed in order going up from there; instead of 2,3,4,1 put 1,2,3,4). Simple copy/paste to move.

Opening

There is a lot of information provided in the opening section that may make more sense in each of the respective sections available throughout the article. For example, “Symptoms are present in about 66% of people with groin hernias.” may be better in the section on groin hernias. The commentary on what causes worsening of symptoms may be better placed in the signs and symptoms section. There is also some information in this section about the symptoms themselves.

I will note that I also understand the perspective of this information giving an overview of all the article’s content up front, which is also reasonable to me. I might just suggest that with this approach, I would avoid giving too much specific information and instead focus on broad information. Examples of specific information might be the groin hernia statement above, also “Groin hernias occur more often on the right than left side.”, “Hiatus, or hiatal hernias often result in heartburn but may also cause chest pain or pain while eating.”, “Groin hernias that do not cause symptoms in males do not need to be repaired.”, “A hiatus hernia may be treated with lifestyle changes such as raising the head of the bed, weight loss and adjusting eating habits.”, and the last paragraph starting with “About 27% of males…”. For each of these examples, it would make the most sense to me to move these to their respective sections instead of listing them in the opening section. The rest of the opening is broader regarding hernias, and I support keeping that information in the opening paragraph.

Signs and Symptoms

Opening the paragraph with “signs and symptoms depend on the type of hernia, which then would make me want to see information presented in an organized manner based on the type of hernia. Sub-headings here may improve the readability of this section. You could open with additional ‘general’ information, then go into sub-sections that are more specific to each of the individual hernia types.

Causes

Early in the article, it is stated that lifting weight has not been clearly found to be a cause of herniation. In this section it is stated that weightlifting does cause it. I think a lot of people would want to know the answer regarding this specific point, so I’d encourage clarification here.

Diagnosis

Good use of sub-headings to organize the information here.

Treatment

I would move the ‘Truss’ section lower in the treatment section given that there is little information surrounding it and it isn’t clear if it is beneficial. Many people will probably be thinking about surgery for the treatment of their hernia, so I would lead with that part.

In regard to goals outlined at the start of the course:

- Adding a larger section on robotics

I note the section on robotic hernia surgery. There may be an opportunity to expand upon why this surgical method would be chosen over traditional non robotic surgery.  Enhanced precision, minimally invasive, shorter recovery, reduced pain and scarring, improved visualization for surgeons, increased maneuverability of the surgical arms. Could expand upon the higher initial cost of robotic surgery, but the potentially lower total cost one considering complications and revision surgery.

https://pubmed.ncbi.nlm.nih.gov/34609697/

https://jamanetwork.com/journals/jamasurgery/fullarticle/2763027

https://pubmed.ncbi.nlm.nih.gov/31571036/

https://my.clevelandclinic.org/health/treatments/17968-robotic-surgery-for-hernia-repair#:~:text=Other%20benefits%20of%20robotic%20hernia,Medically%20Reviewed

- Mesh and regards to anatomy

Noted.

- Common complications of repair

Strong section on complications and postoperative repair.

In summary,

There are probably opportunities for additional citations throughout.

Workplan accomplished, and I've offered some additional articles to continue expanding on robotic hernia repair.

Organization of article to improve flow as noted in above.

Readability seems acceptable, although this is a difficult topic to try and not to use medical terminology to describe. I don't see many opportunities to improve here so good job.

Cheers mate. Kmsmola (talk) 04:45, 14 November 2023 (UTC)