Surgical treatment of complex incisional hernia

Gogiya, B Sh; Chertova, A D; Alyautdinov, R R

doi:10.17116/hirurgia2022121117

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…This condition is one of the major complexity criteria during the repair of ventral hernias and the attempt to reduce the contents without preparing the abdominal cavity can cause respiratory and circulatory disorders due to the sudden increase in pressure, called abdominal compartment syndrome 9 - 11 , which can lead to worse outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Rev Col Bras Cir 51:e20243670 This condition is one of the major complexity criteria during the repair of ventral hernias and the attempt to reduce the contents without preparing the abdominal cavity can cause respiratory and circulatory disorders due to the sudden increase in pressure, called abdominal compartment syndrome [9][10][11] , which can lead to worse outcomes. of each cavity, using the largest measurement of all sections, even if these measurements are obtained from different cuts.…”

Section: Loss Of Domainmentioning

confidence: 99%

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Predictive factors for complexity in abdominal wall hernias: a literature scope review

BARBOSA,

FARIA,

MESSIAS

2024

Rev. Col. Bras. Cir.

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Introduction: Abdominal wall hernias encompass both ventral and incisional hernias, often poorly classified regarding complexity in general. This study aims to conduct a review on the primary topics related to defining the complexity of ventral hernias. Methods: this is a scope review conducted following the guidelines recommended by the PRISMA-ScR directive. Searches were carried out in electronic databases including PubMed, LILACS, and EMBASE, using the descriptors: Abdominal Hernia, Hernia, Ventral Hernia, Incisional Hernia, Complex, Classification, Classify, Grade, Scale, and Definition. Combinations of these terms were employed when appropriate. Inclusion criteria encompassed articles with definitions and classifications of complex hernias, as well as those utilizing these classifications to guide treatments and patient allocation. Synonyms and related topics were also considered. Articles outside the scope or lacking the themes in their title or abstract were excluded. The database search was conducted up to July 29, 2023. Results: several hernia classifications were identified as useful in predicting complexity. For this study, we considered six main criteria: size and location, loss of domain, use of abdominal wall relaxation techniques, characteristics of imaging exams, status of the subcutaneous cellular tissue, and likelihood of recurrence. Conclusion: complex abdominal wall hernias can be defined by characteristics analyzed collectively, relating to the patients previous clinical status, size and location of the hernia defect, status of subcutaneous cellular tissue, myofascial release techniques, and other complicating factors.

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Section: Resultsmentioning

confidence: 99%

Section: Loss Of Domainmentioning

confidence: 99%

Predictive factors for complexity in abdominal wall hernias: a literature scope review

BARBOSA,

FARIA,

MESSIAS

2024

Rev. Col. Bras. Cir.

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“…Ainda não há um consenso na literatura sobre a classificação de hérnias complexas, e os diversos critérios preditores disponíveis contribuem para a heterogeneidade do conhecimento (PARKER et al, 2019). O objetivo central de qualquer sistema de classificação é melhorar a comparabilidade entre diferentes estudos e seus resultados, sendo valioso para estabelecer evidências sobre como os profissionais devem abordar situações específicas (GOGIYA et al, 2022). Nos últimos tempos, surgiram vários sistemas de classificação e critérios de estratificação dos pacientes, tornando necessária a formulação de um sistema único (SLATER et al, 2014).…”

Section: Introductionunclassified

Avaliação dos Fatores Determinantes da Complexidade das Hérnias Abdominais: Uma Revisão de Escopo da Literatura

Ialle Seabra Monteiro,

Nunes Moreira,

De Freitas Couto

et al. 2024

Braz. J. Implantol. Health Sci.

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Entre os tipos de hérnias abdominais, estão as hérnias ventrais e incisionais. Em relação à complexidade, essas hérnias são frequentemente classificadas de maneira inadequada. Este estudo visa revisar a literatura atual sobre os principais aspectos relacionados à definição da complexidade das hérnias ventrais. Trata-se de uma revisão de escopo realizada seguindo as diretrizes do PRISMA-ScR. As buscas foram feitas nas bases de dados eletrônicas PubMed, LILACS e EMBASE, utilizando os seguintes descritores: "Abdominal Hernia", "Hernia", "Ventral Hernia", "Incisional Hernia", "Complex", "Classification", "Classify", "Grade", "Scale" e "Definition". Combinações entre esses termos foram usadas conforme necessário. Os critérios de inclusão abrangeram artigos que apresentavam definições e classificações de hérnias complexas, bem como aqueles que utilizavam essas classificações para guiar tratamentos e a alocação de pacientes. Sinônimos e temas relacionados também foram considerados. Artigos que não estavam dentro do escopo ou que não mencionavam os temas no título ou resumo foram excluídos. A busca nas bases de dados foi concluída em 30/06/2024. Diversas classificações de hérnias foram identificadas como úteis para prever a complexidade. Consideramos seis critérios principais para este estudo: tamanho e localização, perda de domicílio, uso de técnicas de relaxamento da parede abdominal, características dos exames de imagem, estado do tecido celular subcutâneo e probabilidade de recorrência. As hérnias abdominais complexas podem ser definidas por características analisadas em conjunto, relacionadas ao estado clínico anterior do paciente, tamanho e localização do defeito herniário, estado do tecido celular subcutâneo, técnicas de liberação miofascial e outros fatores complicadores.

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“…However, recent studies have found that despite the improvement in surgical techniques and accumulation of surgical experience, the incidence of perioperative complications of abdominal wall incisional hernia has not decreased signi cantly [4] . The common perioperative complications in patients with abdominal wall incisional hernia include incision-related complications, pulmonary infection, intestinal obstruction, intestinal leakage, patch infection, urinary system infection, pleural effusion and hemorrhage, abdominal hemorrhage, and acute peritonitis [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Shi,

Feng,

et al. 2024

Preprint

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Aim: The occurrence of perioperative complications in patients with abdominal wall incisional hernia not only affects their postoperative recovery but also increases their financial burden and pain. Therefore, the influencing factors predicting the occurrence of perioperative complications in abdominal wall incisional hernia should be determined, so that clinicians can perform perioperative patient management and early interventions before surgery to reduce the occurrence of complications. Methods: This retrospective analysis included 212 patients with incisional hernia of the abdominal wall in Shaanxi Provincial People’s Hospital from January 2013 to December 2020. The least absolute shrinkage and selection operator regression model was applied to optimize factor selection, and multivariable logistic regression analysis was conducted to construct a predictive model. The performance and clinical utility of the nomogram were determined, and internal validation was conducted. Results: The prediction nomogram showed that abnormal preoperative pulmonary function, defect in the central region of the anterior abdominal wall, hernia size, and intraoperative bleeding were predictors of perioperative complications in abdominal wall incisional hernia. The model showed an area under the receiver operating characteristic curve of 0.771 (95% confidence interval: 0.687–0.767). Decision curve analysis demonstrated that the perioperative complications risk nomogram had a good net clinical benefit. Conclusions: We developed a nomogram to help clinicians identify abdominal wall incisional hernia patients who are at a greater risk of perioperative complications, which may aid in early intervention and reduce the incidence of perioperative complications in them.

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Surgical treatment of complex incisional hernia

Cited by 4 publications

References 19 publications

Predictive factors for complexity in abdominal wall hernias: a literature scope review

Predictive factors for complexity in abdominal wall hernias: a literature scope review

Avaliação dos Fatores Determinantes da Complexidade das Hérnias Abdominais: Uma Revisão de Escopo da Literatura

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

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