Ventral hernia and obesity: is there a consensus?

Maia, Raquel; Salgaonkar, Hrishikesh; Lomanto, Davide; Shabbir, Asim

doi:10.21037/ales.2019.01.07

Cited by 14 publications

(9 citation statements)

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“…A randomised controlled trial investigating the watchful waiting approach in incisional and ventral hernias is ongoing [ 12 ]. As such, consensus guidelines for the treatment of asymptomatic incisional and ventral hernias are not available and there remains significant variability between surgeons in operative management [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Gillies¹,

Anthony²,

Al-Roubaie³

et al. 2023

Cureus

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Background Incisional and ventral hernias are highly prevalent, with primary ventral hernias occurring in approximately 20% of adults and incisional hernias developing in up to 30% of midline abdominal incisions. Recent data from the United States have shown an increasing incidence of elective incisional and ventral hernia repair (IVHR) and emergency repair of complicated hernias. This study examines Australian population trends in IVHR over a two-decade study period. Methods This retrospective study was performed using procedure data from the Australian Institute of Health and Welfare and population data from the Australian Bureau of Statistics captured between 2000 and 2021 to calculate incidence rates per 100,000 population by age and sex for selected subcategories of IVHR operations. Trends over time were evaluated using simple linear regression. Results There were 809,308 IVHR operations performed in Australia during the study period. The cumulative incidence adjusted for population was 182 per 100,000; this increased by 9.578 per year during the study period (95%CI = 8.431-10.726, p<.001). IVHR for primary umbilical hernias experienced the most significant increase in population-adjusted incidence, 1.177 per year (95%CI = 0.654-1.701, p<.001). Emergency IVHR for incarcerated, obstructed, and strangulated hernias increased by 0.576 per year (95%CI = 0.510-0.642, p<.001). Only 20.2% of IVHR procedures were performed as day surgery. Conclusions Australia has seen a significant increase in IVHR operations performed in the last 20 years, particularly those for primary ventral hernias. IVHR for hernias complicated by incarceration, obstruction, and strangulation also increased significantly. The proportion of IVHR operations performed as day surgery is well below the target set by the Royal Australasian College of Surgeons. With the increasing incidence of IVHR operations and an increasing proportion of these being emergent, elective IVHR should be performed as day surgery when it is safe.

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Section: Discussionmentioning

confidence: 99%

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Gillies¹,

Anthony²,

Al-Roubaie³

et al. 2023

Cureus

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“…Additionally, abnormalities in the development of abdominal wall structures might lead to weaknesses that make a person more susceptible to herniation. Extrinsic factors refer to circumstances that apply additional pressure to the abdominal cavity [ 13 ]. Outside factors such as chronic coughing, obesity, pregnancy, and severe physical activity can lead to the debilitation of the abdominal wall.…”

Section: Reviewmentioning

confidence: 99%

Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery

Olanrewaju,

Saleem,

Ansah Owusu

et al. 2023

Cureus

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This narrative review offers a thorough and inclusive examination of modern techniques for hernia repair in general surgery. This exploration spans the development of new methods, substances, and technology, providing insight into the significant changes in hernia treatment in recent years. An extensive examination of peer-reviewed literature, encompassing historical advancements, conventional approaches, and the rise of contemporary surgical tactics, was undertaken. Key focus areas include integrating mesh technology, minimally invasive procedures, biological meshes, and 3D printing improvements. The overview explains the historical development from traditional open surgeries to the introduction of laparoscopic procedures, providing detailed information on several modern approaches. The presentation includes information on the utilization of mesh, concerns particular to individual patients, and the increasing importance of robots. An extensive analysis examines complications, obstacles, and current trends, thoroughly assessing safety profiles and patient outcomes. This review aims to consolidate existing information, highlight areas lacking research, and provide future paths to enhance outcomes for patients undergoing general surgery. At the same time, the field of hernia repair experiences significant changes. The integration of classic and contemporary approaches illustrates the changing character of hernia repair, enabling a nuanced understanding among physicians and academics alike.

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“…Abdominal wall hernias are common and hernia repair is one of the most commonly performed operations in the world, generating huge health care costs. Indeed, the incidence of inguinal hernias, primary ventral hernias and incisional hernias are rising due to an aging population and the world obesity crisis [1,2]. However, despite this phenomenon there is a persistent lack of high-quality evidence regarding the management of abdominal wall hernias.…”

Section: Introductionmentioning

confidence: 99%

A modified Delphi process to establish research priorities in hernia surgery

Scrimgeour

Allan

Knight

et al. 2021

Hernia

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Background Abdominal wall hernia repair is one of the most commonly performed surgical procedures worldwide, yet despite this, there remains a lack of high-quality evidence to support best management. The aim of the study was to use a modified Delphi process to determine future research priorities in this field. Methods Stakeholders were invited by email, using British Hernia Society membership details or Twitter, to submit individual research questions via an online survey. In addition, questions obtained from a patient focus group (PFG) were collated to form Phase I. Two rounds of prioritization by stakeholders (phases II and III) were then completed to determine a final list of research questions. All questions were analyzed on an anonymized basis. Results A total of 266 questions, 19 from the PFG, were submitted by 113 stakeholders in Phase I. Of these, 64 questions were taken forward for prioritization in Phase II, which was completed by 107 stakeholders. Following Phase II analysis, 97 stakeholders prioritized 36 questions in Phase III. This resulted in a final list of 14 research questions, 3 of which were from the PFG. Stakeholders included patients and healthcare professionals (consultant surgeons, trainee surgeons and other multidisciplinary members) from over 27 countries during the 3 phases. Conclusion The study has identified 14 key research priorities pertaining to abdominal wall hernia surgery. Uniquely, these priorities have been determined from participation by both healthcare professionals and patients. These priorities should now be addressed by well-designed, high-quality international collaborative research.

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Ventral hernia and obesity: is there a consensus?

Cited by 14 publications

References 0 publications

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery

A modified Delphi process to establish research priorities in hernia surgery

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