Classification of primary and incisional abdominal wall hernias

Muysoms, Filip; Miserez, Marc; Berrevoet, Frederik; Campanelli, G.; Champault, G; Chelala, E.; Dietz, Ulrich; Eker, Hasan Hüseyin; Nakadi, Issam El; Hauters, P.; Pascual, María Sancho; Hoeferlin, A.; Klinge, U.; Montgomery, Agneta; Simmermacher, R. K. J.; Simons, M. P.; Śmietański, Maciej; Sommeling, C.; Tollens, Tim; Vierendeels, T.; Kingsnorth, Andrew

doi:10.1007/s10029-009-0518-x

Cited by 942 publications

(538 citation statements)

References 6 publications

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“…For further analysis, the maximum distance was used. The European Hernia Society definition of incisional hernia was used: ‘any abdominal wall gap with or without bulge in the area of a postoperative scar perceptible or palpable by clinical examination or imaging’11.…”

Section: Methodsmentioning

confidence: 99%

Development of incisional herniation after midline laparotomy

Harlaar

Deerenberg

Dwarkasing³

et al. 2017

BJS Open

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BackgroundIncisional herniation is a common complication after abdominal surgery associated with considerable morbidity. The aim of this study was to determine whether incisional hernia is an early complication, in order to understand better the aetiology of incisional hernia formation.MethodsThis study involved the secondary analysis of a subset of patients included in a large RCT comparing small and large tissue bites (5 mm every 5 mm, or 1 cm every 1 cm) in patients scheduled to undergo elective abdominal surgery by midline laparotomy. The distance between the rectus abdominis muscles (RAM distance) was measured by standardized ultrasound imaging 1 month and 1 year after surgery. The relationship between the 1‐year incidence of incisional hernia and the RAM distance at 1 month was investigated.ResultsSome 219 patients were investigated, 113 in the small‐bites and 106 in the large‐bites group. At 1 month after surgery the RAM distance was smaller for small bites than for large bites (mean(s.d.) 1·90(1·18) versus 2·39(1·34) cm respectively; P = 0·005). At 1 year, patients with incisional hernia had a longer RAM distance at 1 month than those with no incisional hernia (mean(s.d.) 2·43(1·48) versus 2·03(1·19) cm respectively; relative risk 1·14, 95 per cent c.i. 1·03 to 1·26, P = 0·015).ConclusionA RAM distance greater than 2 cm at 1 month after midline laparotomy is associated with incisional hernia. Closure with small bites results in a smaller distance between the muscles.

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Section: Methodsmentioning

confidence: 99%

Development of incisional herniation after midline laparotomy

Harlaar

Deerenberg

Dwarkasing³

et al. 2017

BJS Open

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“…The European Hernia Society has previously published classifications for inguinal and ventral hernias [20,21]. Moreover, during the development of the EuraHS platform for registration of ventral hernias many definitions and recommendations for describing variables of interest were proposed by consensus amongst the EuraHS working group members [1].…”

Section: Dropouts and Lost To Follow-upmentioning

confidence: 99%

Recommendations for reporting outcome results in abdominal wall repair

Muysoms

Deerenberg

Peeters

et al. 2013

Hernia

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Background The literature dealing with abdominal wall surgery is often flawed due to lack of adherence to accepted reporting standards and statistical methodology. Materials and methods The EuraHS Working Group (European Registry of Abdominal Wall Hernias) organised a consensus meeting of surgical experts and researchers with an interest in abdominal wall surgery, including a statistician, the editors of the journal Hernia and scientists experienced in meta-analysis. Detailed discussions took place to identify the basic ground rules necessary to improve the quality of research reports related to abdominal wall reconstruction. Hernia (2013) 17:423-433 DOI 10.1007/s10029-013-1108 Results A list of recommendations was formulated including more general issues on the scientific methodology and statistical approach. Standards and statements are available, each depending on the type of study that is being reported: the CONSORT statement for the Randomised Controlled Trials, the TREND statement for non randomised interventional studies, the STROBE statement for observational studies, the STARLITE statement for literature searches, the MOOSE statement for metaanalyses of observational studies and the PRISMA statement for systematic reviews and meta-analyses. A number of recommendations were made, including the use of previously published standard definitions and classifications relating to hernia variables and treatment; the use of the validated Clavien-Dindo classification to report complications in hernia surgery; the use of ''time-to-event analysis'' to report data on ''freedom-of-recurrence'' rather than the use of recurrence rates, because it is more sensitive and accounts for the patients that are lost to follow-up compared with other reporting methods. Conclusion A set of recommendations for reporting outcome results of abdominal wall surgery was formulated as guidance for researchers. It is anticipated that the use of these recommendations will increase the quality and meaning of abdominal wall surgery research.

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“…Ventral hernia can also be categorized according to their characteristics into reducible, irreducible or incarcerated, strangulated and recurrent ventral hernia. 2 separation occurs early in the postoperative period, leading to the delayed clinical development of abdominal wall incisional hernias. Clinical data show that 52% of incisional hernias occur within 6 months postoperatively as a result of excessive tension and inadequate healing of a previous incision.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of retro muscular mesh repair technique for treatment of ventral hernia

et al. 2018

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Ventral hernias commonly encountered in surgical practice account for 15-20% of all abdominal wall hernias. Results of tissue repair have been disappointing. The optimal approach for abdominal incisional hernias is still under discussion. The aim of the study was to evaluate the retro muscular mesh repair technique in the treatment of ventral hernia as one of the standard techniques for treatment of such cases. This prospective study on 50 consecutive patients was performed from July 2016 to July 2017. Patients were prepared to be operated by the retro muscular mesh repair technique. All patients were evaluated with respect to operative time and postoperative complications. Results were documented and statistically analysed. In this study on 50 patients, there were 30 female patients (60%) and 20 male patients (40%). The age of the studied patients ranged between 26 and 65 years with mean age of 49.8 years. The mean operative time was 88.5±15.3 min. The mean period of drainage was 2.3±1.3 days. Seroma was encountered in one case only 2%. No recurrence was reported in the studied patients during the period of follow-up (12months). On the basis of this study, we conclude that retro muscular (sublay) mesh repair is the ideal technique for incisional hernia repair.

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Classification of primary and incisional abdominal wall hernias

Cited by 942 publications

References 6 publications

Development of incisional herniation after midline laparotomy

Development of incisional herniation after midline laparotomy

Recommendations for reporting outcome results in abdominal wall repair

Evaluation of retro muscular mesh repair technique for treatment of ventral hernia

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