Dr. Fierer's research primarily addresses surgical procedures for paraesophageal hernias, which occur when the stomach bulges into the chest. He investigates the importance of removing the hernia sac during laparoscopic surgery, which can significantly affect recovery outcomes. Additionally, he studies the preservation of canine cartilage grafts, analyzing how storage conditions impact their viability for use in veterinary surgeries. By understanding these processes, he aims to enhance surgical success rates and the healing process for patients.
Key findings
Removing the hernia sac during laparoscopic repair of paraesophageal hernias resulted in zero early recurrences of the hernia.
Canine cartilage grafts stored at 4 degrees Celsius maintained their shape and structural integrity for up to 60 days, although chondrocyte (cartilage cell) health significantly declined over time.
Frequently asked questions
Does Dr. Fierer study hernias?
Yes, Dr. Fierer conducts research on surgical techniques for treating paraesophageal hernias.
What specific treatments has Dr. Fierer researched?
He has researched laparoscopic surgery techniques, particularly the importance of excising the hernia sac during the procedure.
Is Dr. Fierer's work relevant to dog owners?
Yes, his research on canine cartilage grafts is crucial for veterinarians and dog owners considering joint repair surgeries.
What are osteochondral allografts?
Osteochondral allografts are cartilage and bone grafts taken from donors to be used in repairing damaged joints, a key focus in his veterinary research.
Publications in plain English
Sac excision is essential to adequate laparoscopic repair of paraesophageal hernia.
1998
Surgical endoscopy
Edye M, Salky B, Posner A, Fierer A
Plain English This study looked at two groups of patients who had surgery for a type of hernia called paraesophageal hernia. In one group of 25 patients, the surgeons did not remove the hernia sac, while in the second group of 30 patients, the sac was removed. The key finding was that removing the sac helped prevent any early returns of the hernia after surgery, with no recurrences observed in the second group, compared to a higher risk in the first group.
Who this helps: This research benefits patients undergoing surgery for paraesophageal hernia by improving their chances of successful long-term outcomes.
Long-term storage effects on canine osteochondral allografts.
1990
Acta orthopaedica Scandinavica
Wayne JS, Amiel D, Kwan MK, Woo SL, Fierer A +1 more
Plain English This study looked at how storing dog cartilage grafts at 4 degrees Celsius for up to 60 days affects their structure and function. The researchers found that even after 60 days, the cartilage kept its overall shape and strength, but the living cells in the cartilage, called chondrocytes, showed a significant decline in health. This matters because, while the grafts can remain usable for structural support, the dying cells could affect healing and outcomes in surgeries using these grafts.
Who this helps: This helps veterinarians and dog owners considering cartilage grafts for joint repair.