Opening Pandora's Box: Understanding the Nature, Patterns, and 30-day Outcomes of Intraoperative Adverse Events

Mavros, Michael N.; Velmahos, George C.; Larentzakis, Andreas; Naraghi, Leily; Yeh, D. Dante; Fagenholz, Peter J.; DeMoya, Marc; King, David R.; Lee, J.; Kaafarani, Haytham M.A.

doi:10.1016/j.jss.2013.11.088

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…These results appear to be similar compared with laparoscopic IPOM and seems to improve those derived from sublay OVHR [ 32 ]. Not entering the abdominal cavity is a favorable characteristic of this technique, avoiding adhesiolyisis and its associated complications [ 33 , 34 ]. In fact, eTEP seems to improve one of the problems associated with IPOM and IPOM + , avoiding mesh fixation with tacks or transabdominal sutures and thus decreasing postoperative pain [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Aliseda

Sánchez-Justicia

Zozaya

et al. 2022

Hernia

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Background The enhanced view totally extraperitoneal (eTEP) approach is becoming increasingly more widely accepted as a promising technique in the treatment of ventral hernia. However, evidence is still lacking regarding the perioperative, postoperative and long-term outcomes of this technique. The aim of this meta-analysis is to summarize the current available evidence regarding the perioperative and short-term outcomes of ventral hernia repair using eTEP. Study design A systematic search was performed of PubMed, EMBASE, Cochrane Library and Web of Science electronic databases to identify studies on the laparoscopic or robotic-enhanced view totally extraperitoneal (eTEP) approach for the treatment of ventral hernia. A pooled meta-analysis was performed. The primary end point was focused on short-term outcomes regarding perioperative characteristics and postoperative parameters. Results A total of 13 studies were identified involving 918 patients. Minimally invasive eTEP resulted in a rate of surgical site infection of 0% [95% CI 0.0–1.0%], a rate of seroma of 5% [95% CI 2.0–8.0%] and a rate of major complications (Clavien–Dindo III–IV) of 1% [95% CI 0.0–3.0%]. The rate of intraoperative complications was 2% [95% CI 0.0–4.0%] with a conversion rate of 1.0% [95% CI 0.0–3.0%]. Mean hospital length of stay was 1.77 days [95% CI 1.21–2.24]. After a median follow-up of 6.6 months (1–24), the rate of recurrence was 1% [95% CI 0.0–1.0%]. Conclusion Minimally invasive eTEP is a safe and effective approach for ventral hernia repair, with low reported intraoperative complications and good outcomes.

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Section: Discussionmentioning

confidence: 99%

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Aliseda

Sánchez-Justicia

Zozaya

et al. 2022

Hernia

View full text Add to dashboard Cite

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“…In comparison, we have already validated our classification by testing the correlation between the severity of iAEs and 30-day postoperative outcomes, and demonstrated that iAEs with severity class C3 were correlated with worse 30-day morbidity and mortality. In addition, we have since described the nature, patterns, predictors, and clinical/financial outcomes of iAEs in several published or in press manuscripts, and presented our results in national and international meetings [3][4][5][6][7]. In summary, we would like to emphasize three points: First, a novel classification of intraoperative adverse events has been published by our group at the Massachusetts General Hospital and Harvard Medical School.…”

mentioning

confidence: 93%