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What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Identifikátory výsledku

  • Kód výsledku v 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>

  • Nalezeny alternativní kódy

    RIV/00216208:11110/24:10470343 RIV/70883521:28140/24:63570959

  • Výsledek na webu

    <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>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

  • Popis výsledku v původním jazyce

    A &apos;complex&apos; hernia is often referred to in the published literature, yet has not been clearly defined to date. &apos;Large&apos; and &apos;giant&apos; may also be used to describe a complex incisional hernia indirectly. Meanwhile, a &apos;complex hernia&apos; in reference to the technical surgical challenge of abdominal wall repair is different from a &apos;complex patient&apos;, the latter relating more to a patient&apos;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.

  • Název v anglickém jazyce

    What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

  • Popis výsledku anglicky

    A &apos;complex&apos; hernia is often referred to in the published literature, yet has not been clearly defined to date. &apos;Large&apos; and &apos;giant&apos; may also be used to describe a complex incisional hernia indirectly. Meanwhile, a &apos;complex hernia&apos; in reference to the technical surgical challenge of abdominal wall repair is different from a &apos;complex patient&apos;, the latter relating more to a patient&apos;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.

Klasifikace

  • Druh

    J<sub>imp</sub> - Článek v periodiku v databázi Web of Science

  • CEP obor

  • OECD FORD obor

    30212 - Surgery

Návaznosti výsledku

  • Projekt

  • Návaznosti

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Ostatní

  • Rok uplatnění

    2024

  • Kód důvěrnosti údajů

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

Údaje specifické pro druh výsledku

  • Název periodika

    British Journal of Surgery

  • ISSN

    0007-1323

  • e-ISSN

    1365-2168

  • Svazek periodika

    111

  • Číslo periodika v rámci svazku

    1

  • Stát vydavatele periodika

    GB - Spojené království Velké Británie a Severního Irska

  • Počet stran výsledku

    8

  • Strana od-do

    znad346

  • Kód UT WoS článku

    001096115600001

  • EID výsledku v databázi Scopus

    2-s2.0-85181760590