Cancer Survivorship: Defining the Incidence of Incisional Hernia After Resection for Intra-Abdominal Malignancy

Baucom, Rebeccah B.; Ousley, Jenny; Beveridge, Gloria B.; Phillips, Sharon; Pierce, Richard A.; Holzman, Michael D.; Sharp, Kenneth W.; Nealon, William H.; Poulose, Benjamin K.

doi:10.1245/s10434-016-5546-z

Cited by 44 publications

(34 citation statements)

References 20 publications

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“…A clear definition for IH was reported in seven of the included studies (Appendix 3 ) [ 2 , 4 , 7 , 11 , 12 , 20 , 22 ]. IH was defined as any ‘abdominal wall gap’ or ‘defect’ in the proximity of the post-operative scar, by five out of seven studies [ 2 , 4 , 7 , 12 , 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study defined IH as a ‘palpable protrusion’ under the laparotomy scar [ 11 ]. One study defined IH as ‘fascial defect’ in the proximity of the scar [ 20 ]. Three studies referred to a proposed universal definition [ 2 , 4 , 12 ].…”

Section: Resultsmentioning

confidence: 99%

“…Inter-observer variation was reported in five of the included studies concerning a total of 698 patients [ 8 , 12 , 18 , 20 , 23 ]. Four out of five studies included in this comparison had one or more methodological concerns [ 12 , 18 , 19 , 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study comparing the inter-observer variation in a group of six radiologists and three surgeons reported disagreement rates of 69 and 27%, respectively (kappa: 0.38 and 0.62; n = 100) [ 23 ]. One other study used a panel of five independent surgeons and reported an intra-class correlation coefficient of 0.85 ( n = 20) [ 20 ]. The inter-observer variation of ultrasound was assessed in one study that used a panel of three independent surgeons, and an intra-class correlation coefficient of 0.79 ( n = 17) was reported [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

“…Compared to per-operative diagnosis CT-scan seems to be reasonably accurate in one study presenting a small sample of patients [ 6 ]. However, considerable inter-observer variability has been reported [ 8 , 12 , 18 , 20 , 23 ]. Moreover, multiple studies report considerable discrepancy between CT-scan and physical examination and between CT-scan and ultrasonography results [ 2 , 4 – 7 , 11 , 12 , 14 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Comparing different modalities for the diagnosis of incisional hernia: a systematic review

Kroese

Sneiders

Kleinrensink

et al. 2018

Hernia

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PurposeIncisional hernia (IH) is the most frequent complication after abdominal surgery. The diagnostic modality, observer, definition, and diagnostic protocol used for the diagnosis of IH potentially influence the reported prevalence. The objective of this systematic review is to evaluate the diagnostic accuracy of different modalities used to identify IH.MethodsEmbase, MEDLINE OvidSP, Web of Science, Google Scholar, and Cochrane databases were searched to identify studies diagnosing IH. Studies comparing the IH detection rate of two different diagnostic modalities or inter-observer variability of one modality were included. Quality assessment of studies was done by Cochrane Collaboration’s tool. Article selection and data collection were performed independently by two researchers. PROSPERO registration: CRD42017062307.ResultsFifteen studies representing a total of 2986 patients were included. Inter-observer variation for CT-scan ranged from 11.2 to 69% (n = 678). Disagreement between ultrasound and CT-scan ranged between 6.6 and 17% (n = 221). Ten studies compared physical examination to CT-scan or ultrasound. Disagreement between physical examination and imaging ranged between 7.6 and 39% (n = 1602). Between 15 and 58% of IHs were solely detected by imaging (n = 483). Relative increase in IH prevalence for imaging compared to physical examination ranged from 0.92 to 2.4 (n = 1922).ConclusionsUltrasound or CT-scan will result in substantial additional IH diagnosis. Lack of consensus regarding the definition of IH might contribute to the disagreement rates. Both the observer and diagnostic modality used could be additional factors explaining variability in IH prevalence and should be reported in IH research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparing different modalities for the diagnosis of incisional hernia: a systematic review

Kroese

Sneiders

Kleinrensink

et al. 2018

Hernia

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Abdominal Core Health—A Needed Field in Surgery

2020

Self Cite

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Most members of the board of governors at the Americas Hernia Society aim to redefine the field of hernia care as abdominal core health, the discipline as abdominal core surgery, and the identity of associated clinicians as abdominal core surgeons. The abdominal core is defined as the circumferential soft tissues of the diaphragm superiorly, the pelvic floor inferiorly, and the abdominal wall and flank anterolaterally, excluding the abdominopelvic viscera (Figure). This concept has been described before, as outlined by Wood et al. 1 The field of abdominal core health encompasses the stability and function of the abdominal core and associated quality of life. Maintenance of abdominal core health may include exercise, physical therapy, medical therapy (including compression garment or truss use), alternative medical therapies (including acupuncture or yoga), surgical intervention, and measures to prevent disease (eg, hernia prophylaxis). Disease processes involving abdominal core health include intrinsic diseases of the abdominal wall (eg, hernia, diastasis, athletic pubalgia or core muscle injury, benign tumors, malignant tumors) and extrinsic diseases of the abdominal wall (eg, prosthetic or intervention-associated complications, benign tumors, malignant tumors).Establishing abdominal core health as a new field would have the potential for sweeping change. The anticipated benefits of this change include (1) reinventing the field to be reflective of the actual care physicians provide to patients; (2) providing a fresh, new, and innovative brand for a discipline of surgery that has historically appealed only to a narrow clinician demographic; (3) increasing the multidisciplinary scope of practitioners who would help care for patients, including general surgeons (and associated subspecialists), plastic surgeons, physical medicine and rehabilitation specialists, exercise physiologists, physical therapists, and those focused on disorders of the pelvic floor; (4) giving clinicians a renewed identity as specialists in abdominal core health and abdominal core surgery, focusing on what unites them for a comprehensive approach to health promotion and not simply disease management; (5) enabling research collaboration focusing on the abdominal core as a holistic entity and integral part of patients' lives; (6) redefining medical education by creating a comprehensive didactic approach to one of the most dynamic and complex areas of the body, the abdominal wall, and not just a focus on hernia; and (7) improving opportunities for philanthropy, research, quality improvement, and device surveillance by taking an area with largely negative connotations of disease (hernia) and transforming it into a field with a positive connotation of health (abdominal core health).As a professional organization, the Americas Hernia Society will (1) encourage the adoption of the concept of abdominal core health for surgeons, allied health

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Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery

Calcerrada Alises,

Antón Rodríguez,

Medina Pedrique

et al. 2024

Langenbecks Arch Surg

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Cancer Survivorship: Defining the Incidence of Incisional Hernia After Resection for Intra-Abdominal Malignancy

Abstract: The rate of VIH after abdominal cancer operations is high. VIH may impact cancer survivorship with pain and need for additional operations. Further studies assessing the impact on QOL and prevention efforts are needed.

Cited by 44 publications

References 20 publications

Comparing different modalities for the diagnosis of incisional hernia: a systematic review

Comparing different modalities for the diagnosis of incisional hernia: a systematic review

Abdominal Core Health—A Needed Field in Surgery

Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery

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