Background: Postoperative ventral hernia (POVH) remains a significant complication following laparoscopic colectomy despite minimally invasive approaches. Extraction site selection may influence POVH incidence, yet optimal location remains controversial. Methods: This retrospective cohort study analyzed 550 patients undergoing elective laparoscopic right colectomy (2009–2024) at a single center. After exclusions for anastomotic leak and loss to follow-up, 266 patients were propensity-matched 1:1 comparing paramedian (n = 133) versus midline (n = 133) extraction sites. The primary outcome was POVH incidence at 36 months. Secondary outcomes included risk factor identification using multivariate logistic regression and Firth penalized methods. Results: POVH occurred in 3/133 (2.3%) paramedian versus 15/133 (11.3%) midline patients (p = 0.007). Multivariate analysis identified midline extraction (aOR 30.3, 95% CI: 3.34–969, p < 0.001), chronic cough (aOR 25.6, 95% CI: 3.56–287, p = 0.001), and constipation (aOR 10.1, 95% CI: 1.60–70.7, p = 0.015) as independent POVH predictors. Patient comorbidities showed stronger associations than surgical factors in univariate analysis. The number needed to treat with paramedian extraction to prevent one POVH was 11.1. Conclusions: Paramedian extraction sites significantly reduce POVH incidence compared to midline approaches in laparoscopic right colectomy. The identification of modifiable physiological risk factors, particularly conditions causing increased intra-abdominal pressure (chronic cough, constipation), suggests that comprehensive perioperative optimization targeting these specific factors may further reduce POVH risk.

Objective: On 7 October 2023, Hamas-led militants attacked Israeli communities bordering the Gaza Strip, abducting 251 people, including 201 civilians. Wolfson Medical Center was chosen by Israel’s Ministry of Health to care for repatriated civilians following a hostage release deal. We describe the development and implementation of a multidisciplinary care framework and report the clinical characteristics and short-term hospital outcomes of the repatriated civilians treated within it. Methods: A multidisciplinary framework was developed and implemented to address acute and chronic medical conditions, physical trauma, sexual assault, psychosocial support, and nutritional rehabilitation. Clinical characteristics and short-term hospital outcomes were retrospectively extracted from the electronic medical records. Results: Between 24 November and 1 December 2023, we treated 10 repatriated female hostages (median age 67 years, range 29–85 years) held captive for 48–55 days. They suffered physical trauma and loss of family members during the 7 October events. Captivity was associated with inadequate nutrition, poor hygiene, physical injuries, psychological distress, and insufficient management of chronic medical conditions. Acute conditions on arrival included rapid atrial fibrillation, heart failure, deep vein thrombosis, endocrine abnormalities, gastrointestinal symptoms and dermatologic conditions. Care required individualized planning, flexibility, and close coordination with national authorities, community health providers, and social services. Conclusions: Our experience highlights the need for comprehensive, coordinated care frameworks that not only address the medical, psychological, and social complexities of early recovery and reintegration but also ensure effective oversight and training of the medical teams involved.