Abdominal wall closure

Beaux, A. C. de

doi:10.1002/bjs.11081

Cited by 11 publications

(9 citation statements)

References 11 publications

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“…Do some senior surgeons consider abdominal closure not worthy of their skill and experience, something to be left for the 'juniors'? [15]. Alternatively, are some surgeons unaware of their high IH rates or unconvinced by the many published reports advocating enhanced wound closure techniques?…”

Section: Discussionmentioning

confidence: 99%

“…Others may be unconvinced of new techniques' benefits, citing weaknesses discussed in recent publications [65]. Finally, inexperienced junior staff may be left to close the wound without supervision [15]. Inadequate auditing of outcomes may prevent the problem being recognised and corrected.…”

Section: Organisational and Attitudinal Factorsmentioning

confidence: 99%

“…While the latter is increasingly popular, concerns about mesh have reached the lay press [14]. Other proposals include dedicated wound closure teams and financial penalties for IH occurrences [15]. Many assume IHs are primarily a complication after digestive surgery, with generalists being called upon to repair the defect.…”

Section: Introductionmentioning

confidence: 99%

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Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review

García-Ureña

Berrevoet²,

Cuccurullo³

et al. 2021

Hernia

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Purpose Incisional ventral hernias (IHs) are a common complication across all surgical specialities requiring access to the abdomen, pelvis, and retroperitoneum. This public health issue continues to be widely ignored, resulting in appreciable morbidity and expenses. In this critical review, the issue is explored by an interdisciplinary group. Methods A group of European surgeons encompassing representatives from abdominal wall, vascular, urological, gynecological, colorectal and hepato-pancreatico-biliarysurgery have reviewed the occurrence of His in these disciplines. Results Incisional hernias are a major public health issue with appreciable morbidity and cost implications. General surgeons are commonly called upon to repair IHs following an initial operation by others. Measures that may collectively reduce the frequency of IH across specialities include better planning and preparation (e.g. a fit patient, no time pressure, an experienced operator). A minimally invasive technique should be employed where appropriate. Our main recommendations in midline incisions include using the 'small bites' suture technique with a ≥ 4:1 suture-to-wound length, and adding prophylactic mesh augmentation in patients more likely to suffer herniation. For off-midline incisions, more research of this problem is essential. Conclusion Meticulous closure of the incision is significant for every patient. Raising awareness of the His is necessary in all surgical disciplines that work withing the abdomen or retroperitoneum. Across all specialties, surgeons should aim for a < 10% IH rate.

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Section: Discussionmentioning

confidence: 99%

Section: Organisational and Attitudinal Factorsmentioning

confidence: 99%

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Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review

García-Ureña

Berrevoet²,

Cuccurullo³

et al. 2021

Hernia

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“…Andrew De Beaux, @sbiondo60 and @ksoreide all posted tweets celebrating the high Altmetric scores of their respective papers. This led to a discussion on the value and accuracy of these metrics.…”

mentioning

confidence: 99%

This month on Twitter

Grossman

2019

British Journal of Surgery

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“…The axiom ‘closing time is not coffee time’ resonated with many BJS followers who shared the March Leading Article by @acdebeaux on abdominal wall closure. The tweetchat on the subject was very informative and Twitter users can still revisit the discussion with the hashtag #bjsconnect.…”

mentioning

confidence: 99%

This month on Twitter

Grossman

2019

British Journal of Surgery

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In February, @bjsurgery generated 212 200 impressions, 424 retweets, and 655 likes. BJS was delighted to welcome Aiswarya Ajith (@ais_ajith), a medical student and aspiring surgeon, as follower number 19 000.There were many popular articles this month. Wu et al.'s RCT of oral versus gastrojejunal feeding for patients with postoperative pancreatic fistula after pancreatectomy was praised as 'destroying dogmas in pancreatic surgery' by Giovanni Marchegiani (@Marcheg83) 1 . @debby_keller shared the Rapid Research Communication she co-authored on patient-reported outcomes following transanal total meso-rectal excision, and together with @DeenaHarji discussed the importance of using institution and registry data for quality of life research in the future 2 . @Sivesh93 reported on @NatalieBlencowe's talk at the Royal College of Surgeons of England Upper GI and HPB Collaborative Research Day on the quality of surgical RCTs, in which she discussed the recent systematic review of RCTs in pancreatic surgery 3 . This BJS article is free to access.The Lancet published an important research letter on the global burden of postoperative death, co-authored by BJS Editor Assistant @aneelbhangu 4 . This sparked multiple Twitter debates about the interpretation of global health mortality data and how to best understand these numbers in the context of low-resource settings, with many Twitter users citing the recent BJS special issue on Global Surgery 5 . On this subject, @carisgrimes had some wise words to share: 'Research has to both benefit the patient, but also seek to build global political priority -working both for the immediate needs of individuals and long term needs of health systems'. For next year's special issue, BJS was pleased to announce a collaboration with Anaesthesia. Authors are invited to submit original papers and reviews that cover the range of perioperative care.The axiom 'closing time is not coffee time' resonated with many BJS followers who shared the March Leading Article by @acdebeaux on abdominal wall closure 6 . The tweetchat on the subject was very informative and Twitter users can still revisit the discussion with the hashtag #bjsconnect. Regarding wound dressings, BJS Editor @robhinchliffe1 tweeted an RCT from the BJS archives, concerning patients with clean and clean/contaminated wounds randomized to dressing removal either on the first postoperative day or on suture removal 7 . A fascinating read! Finally, BJS Editor in Chief @JJEarnshaw posted a viral tweet on the importance of reducing plastic waste in the operating theatre. This is a timely and crucial topic, and a global campaign among surgeons would be most welcome. References1 Wu JM, Kuo TC, Chen HA, Wu CH, Lai SR, Yang CY et al. Randomized trial of oral versus enteral feeding for patients with postoperative pancreatic fistula after pancreatoduodenectomy. Br J Surg 2019; 106: 190-198. 2 Keller DS, Reali C, Spinelli A, Penna M, Di Candido F, Cunningham C et al. Patient-reported functional and quality-of-life outcomes after transanal total mesor...

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Abdominal wall closure

Abstract: Wound closure time is not coffee time

Cited by 11 publications

References 11 publications

Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review

Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review

This month on Twitter

This month on Twitter

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