Hostile Abdomen Index Risk Stratification and Laparoscopic Complications

Abstract

A hostile abdomen index presents a way to stratify risk and help track laparoscopic surgical complications.

Robot‐assisted laparoscopic partial nephrectomy in patients with previous abdominal surgery: single center experience

“…Recently, Goldfarb et al . coined the term Hostile Abdomen Index (HAI) as a stratifying factor for predicting complications in patients undergoing laparoscopic general surgical procedures. This index ascribes two HAI scores (ranging 1–4) preoperatively and after camera insertion intraoperatively.…”

Laparoscopic versus open rectal resection: a 1:2 propensity score–matched analysis of oncological adequateness, short- and long-term outcomes

“…No formal protocol for the allocation of patients to either group was established. The exclusion criteria for the LRR g r o u p w e r e m e d i c a l c o n t r a i n d i c a t i o n t o t h e pneumoperitoneum, hostile abdomen preoperative predictive score ≥ 3, [18] previous surgery for endometriosis, previous gastric bypass for obesity, and patient's choice.…”

Insufflation via a peritoneal dialysis catheter is a safe way to achieve pneumoperitoneum: a case report

“…Although RAPN is now emerging as the gold standard for partial nephrectomies, it has a notable complication rate of up to 35% and is subject to the same limitations of laparoscopic techniques [ 1 , 5 ]. The loss of perception, camera limitations, and difficulty controlling bleeding already make these procedures more technically demanding than other NSS methods [ 5 ].…”

“…Although RAPN is now emerging as the gold standard for partial nephrectomies, it has a notable complication rate of up to 35% and is subject to the same limitations of laparoscopic techniques [ 1 , 5 ]. The loss of perception, camera limitations, and difficulty controlling bleeding already make these procedures more technically demanding than other NSS methods [ 5 ]. RAPN and laparoscopic surgery may also be further limited due to contraindications in cases where patients have a high preoperative score of 3 or 4 on the Hostile Abdomen Index (HAI) for Laparoscopic Surgery [ 5 ].…”

“…The loss of perception, camera limitations, and difficulty controlling bleeding already make these procedures more technically demanding than other NSS methods [ 5 ]. RAPN and laparoscopic surgery may also be further limited due to contraindications in cases where patients have a high preoperative score of 3 or 4 on the Hostile Abdomen Index (HAI) for Laparoscopic Surgery [ 5 ]. Patients with higher index scores due to severe comorbidities or prior laparotomies are more likely to possess severe adhesions requiring conversion to further laparotomies [ 5 ].…”