Midline incisional hernia guidelines: the European Hernia Society

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F23%3A10470199" target="_blank" >RIV/00064203:_____/23:10470199 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/23:00132845 RIV/00216208:11110/23:10470199

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=bCtY.U2jlT" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=bCtY.U2jlT</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/bjs/znad284" target="_blank" >10.1093/bjs/znad284</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Midline incisional hernia guidelines: the European Hernia Society

Popis výsledku v původním jazyce

Since the introduction of anaesthesia by Morton in 1846, and as survivable abdominal surgery became more common, so did the incidence of incisional hernias. Since then, more than 4000 peer-reviewed articles have been published on the topic, many of which have tried to reduce the incidence or introduce techniques to improve outcomes from surgical repair. Despite this, the incidence of incisional hernias and the recurrence rates after repair remain high. A wide range of incisional hernia rates are reported. A meta-analysis including over 14 000 patients reported a weighted incidence of 12.8 per cent 2 years after a midline incision, and that one-third of patients with an incisional hernia undergo surgical repair. Recurrence rates after repair of incisional hernia range between 23 and 50 per cent, with increasing rates of complications and re-recurrence after each subsequent failed repair. Arguably, no other benign disease has seen so little improvement in terms of surgical outcome.The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) published guidelines on laparoscopic ventral hernia repair (which included incisional hernia) in 2016. An expert-guided consensus for the management of all types of ventral hernias exists, and the World Society of Emergency Surgery (WSES) addressed emergency repairs of both primary ventral and incisional hernias. Similarly, the International EndoHernia Society (IEHS) published guidelines on the laparoscopic repair of both primary ventral and incisional hernias in 2014 and updated these in 2019. However, to date, no guidelines have been published exclusively focusing on the treatment of incisional hernias.The focus of debate about incisional hernias is often about the more complex end of the spectrum, including large incisional hernias requiring a component separation or hernias occurring in incisions that are close to bony prominences (for example subcostal or flank hernias). Whilst these are important topics and certainly of interest, the authors wanted to focus these guidelines on the assessment and treatment of the most common incisional hernias faced by general surgeons and in primary care, and where the greatest body of evidence was likely to lie to be able to produce robust guideline recommendations. Therefore, these guidelines focus on midline incisional hernias in adult patients where it is anticipated that the fascial defect could be closed without performing an advanced technique such as a component separation, or any other adjunctive technique facilitating myofascial closure.

Název v anglickém jazyce

Midline incisional hernia guidelines: the European Hernia Society

Popis výsledku anglicky

Since the introduction of anaesthesia by Morton in 1846, and as survivable abdominal surgery became more common, so did the incidence of incisional hernias. Since then, more than 4000 peer-reviewed articles have been published on the topic, many of which have tried to reduce the incidence or introduce techniques to improve outcomes from surgical repair. Despite this, the incidence of incisional hernias and the recurrence rates after repair remain high. A wide range of incisional hernia rates are reported. A meta-analysis including over 14 000 patients reported a weighted incidence of 12.8 per cent 2 years after a midline incision, and that one-third of patients with an incisional hernia undergo surgical repair. Recurrence rates after repair of incisional hernia range between 23 and 50 per cent, with increasing rates of complications and re-recurrence after each subsequent failed repair. Arguably, no other benign disease has seen so little improvement in terms of surgical outcome.The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) published guidelines on laparoscopic ventral hernia repair (which included incisional hernia) in 2016. An expert-guided consensus for the management of all types of ventral hernias exists, and the World Society of Emergency Surgery (WSES) addressed emergency repairs of both primary ventral and incisional hernias. Similarly, the International EndoHernia Society (IEHS) published guidelines on the laparoscopic repair of both primary ventral and incisional hernias in 2014 and updated these in 2019. However, to date, no guidelines have been published exclusively focusing on the treatment of incisional hernias.The focus of debate about incisional hernias is often about the more complex end of the spectrum, including large incisional hernias requiring a component separation or hernias occurring in incisions that are close to bony prominences (for example subcostal or flank hernias). Whilst these are important topics and certainly of interest, the authors wanted to focus these guidelines on the assessment and treatment of the most common incisional hernias faced by general surgeons and in primary care, and where the greatest body of evidence was likely to lie to be able to produce robust guideline recommendations. Therefore, these guidelines focus on midline incisional hernias in adult patients where it is anticipated that the fascial defect could be closed without performing an advanced technique such as a component separation, or any other adjunctive technique facilitating myofascial closure.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

British Journal of Surgery

ISSN

0007-1323

e-ISSN

1365-2168

Svazek periodika

110

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

37

Strana od-do

1732-1768

Kód UT WoS článku

001187195200002

EID výsledku v databázi Scopus

2-s2.0-85176508575