What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F24%3A10470343" target="_blank" >RIV/00064203:_____/24:10470343 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/24:10470343 RIV/70883521:28140/24:63570959
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=YJQIafHohe" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=YJQIafHohe</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1093/bjs/znad346" target="_blank" >10.1093/bjs/znad346</a>
Alternative languages
Result language
angličtina
Original language name
What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)
Original language description
A 'complex' hernia is often referred to in the published literature, yet has not been clearly defined to date. 'Large' and 'giant' may also be used to describe a complex incisional hernia indirectly. Meanwhile, a 'complex hernia' in reference to the technical surgical challenge of abdominal wall repair is different from a 'complex patient', the latter relating more to a patient's mental or physical health. Several risk scores have been developed and described in the literature2,4-6. Although hernia dimensions and defect characteristics alongside patient co-morbidities have demonstrated some correlation with poor surgical outcomes, postoperative complications alone should not define complexity.Slater et al. subsequently published criteria to define a complex abdominal wall hernia, comprising four categories: size and location, contamination/soft tissue condition, patient history/risk factors, and clinical scenario; three severity classes were defined, namely minor, moderate, and major. Although often referenced in publications, this definition has not been found to be an efficient working definition of a complex incisional hernia. Furthermore, with increasing preoperative adjuncts and operative strategies available to manage incisional hernia, and increased surgical specialization in the field, a revised consensus definition is required.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
British Journal of Surgery
ISSN
0007-1323
e-ISSN
1365-2168
Volume of the periodical
111
Issue of the periodical within the volume
1
Country of publishing house
GB - UNITED KINGDOM
Number of pages
8
Pages from-to
znad346
UT code for WoS article
001096115600001
EID of the result in the Scopus database
2-s2.0-85181760590