A nationwide study on readmission, morbidity, and mortality after umbilical and epigastric hernia repair

Bisgaard, Thue; Kehlet, Henrik; Bay‐Nielsen, Morten; Iversen, Maria Gerding; Rosenberg, Jacob; Jørgensen, Lars Nannestad

doi:10.1007/s10029-011-0823-z

Cited by 52 publications

(44 citation statements)

References 17 publications

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“…The literature cited in these 35 articles was also reviewed searching for additional relevant articles resulting in the addition of 4 articles. (10–13) The final yield was a total of 39 articles included in this review. (10–48) The resulting articles were then categorized by surgical specialty: vascular surgery (n=10), (10,11,14–21) general surgery (n=8), (12,13,22–27) bariatric surgery (n=5) (28–32) and colorectal surgery (n=16).…”

Section: Resultsmentioning

confidence: 99%

“…Readmission rates were reported at 28-days,(39) 30-days,(11,13–24,27–38,40,42–47) 6-weeks,(26) 60-days,(30,48) 90-days,(12,18,25,30,34) 6-months,(10) 1-year,(18,33) 2-years(26) and >2-years. (26) In one article interval to readmission was not defined.…”

Section: Resultsmentioning

confidence: 99%

“…Within general surgery, the readmission rates were variable, even for like procedures. For example, patients undergoing ventral hernia repair had rates of 5.3%,(13) 5.6%,(27) and 12.1%. (22).…”

Section: Resultsmentioning

confidence: 99%

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General and Vascular Surgery Readmissions: A Systematic Review

Wiseman

Guzman

Fernandes‐Taylor

et al. 2014

Journal of the American College of Surgeons

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

General and Vascular Surgery Readmissions: A Systematic Review

Wiseman

Guzman

Fernandes‐Taylor

et al. 2014

Journal of the American College of Surgeons

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“…This allows the detection of poor and good results, if they appear more frequently than expected. National Scandinavian registries, like the Swedish Hernia Database and the Danish Hernia Database on hernia surgery, have demonstrated this [1–4]. Also multicentre databases like the Veterans Affairs Medical Centers database and the National Surgical Quality Improvement Program database have been able to detect poor outcome results in hernia surgery [5–7].…”

Section: Introductionmentioning

confidence: 99%

EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair

Muysoms

Campanelli

Champault

et al. 2012

Hernia

243

132

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BackgroundAlthough the repair of ventral abdominal wall hernias is one of the most commonly performed operations, many aspects of their treatment are still under debate or poorly studied. In addition, there is a lack of good definitions and classifications that make the evaluation of studies and meta-analyses in this field of surgery difficult.Materials and methodsUnder the auspices of the board of the European Hernia Society and following the previously published classifications on inguinal and on ventral hernias, a working group was formed to create an online platform for registration and outcome measurement of operations for ventral abdominal wall hernias. Development of such a registry involved reaching agreement about clear definitions and classifications on patient variables, surgical procedures and mesh materials used, as well as outcome parameters. The EuraHS working group (European registry for abdominal wall hernias) comprised of a multinational European expert panel with specific interest in abdominal wall hernias. Over five working group meetings, consensus was reached on definitions for the data to be recorded in the registry.ResultsA set of well-described definitions was made. The previously reported EHS classifications of hernias will be used. Risk factors for recurrences and co-morbidities of patients were listed. A new severity of comorbidity score was defined. Post-operative complications were classified according to existing classifications as described for other fields of surgery. A new 3-dimensional numerical quality-of-life score, EuraHS-QoL score, was defined. An online platform is created based on the definitions and classifications, which can be used by individual surgeons, surgical teams or for multicentre studies. A EuraHS website is constructed with easy access to all the definitions, classifications and results from the database.ConclusionAn online platform for registration and outcome measurement of abdominal wall hernia repairs with clear definitions and classifications is offered to the surgical community. It is hoped that this registry could lead to better evidence-based guidelines for treatment of abdominal wall hernias based on hernia variables, patient variables, available hernia repair materials and techniques.

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“…Most problems are wound related, including seromas, hematomas, superficial or deep surgical site infections, and mesh infections. 58,[81][82][83][84][85][86] Patients also may experience chronic pain at the site of the repair. 87 Many of these complications do not require specialized treatment, but are often associated with multiple visits to the surgeon's office, medical therapy, hospital admission, or additional operative procedures.…”

Section: Complicationsmentioning

confidence: 99%