The development and validation of risk-stratification models for short-term outcomes following contaminated complex abdominal wall reconstruction

Hodgkinson, J. D.; Vries, Fleur E.E. de; Claessen, J. J. M.; Leo, Cosimo Alex; Maeda, Yasuko; Ruler, Oddeke van; Lapid, Oren; Obdeijn, Miryam C.; Tanis, Pieter J.; Bemelman, W. A.; Constantinides, Joannis; Hanna, George B.; Warusavitarne, Janindra; Boermeester, Marja A.; Vaizey, C. J.

doi:10.1007/s10029-019-02120-6

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…This was the first study to demonstrate that the VHWG classification system modified by Kanters et al is a valid tool for stratifying patients according to the chances of recurrence and clearly showed that surgical infection is the factor most responsible for recurrences 33,34 . Statistical graphing with a 15-year follow-up predicted the probability of new hernia surgery in 11% of patients classified as grade 1, 14% in grade 2, and 20% in grade 3.…”

Section: Hodgkinson Et Al (2021)mentioning

confidence: 84%

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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: Hodgkinson Et Al (2021)mentioning

confidence: 84%

“…Several conditions predispose and increase the chances of recurrence, with patients with postoperative infections having recurrence rates that can reach 80%. Other data that influenced the risk of recurrence were patients’ clinical factors and the surgical technique used 31 , 33 .…”

Section: Resultsmentioning

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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“…Diversas condições predispõem e aumentam as chances de recorrência, sendo que pacientes com infecção pós-operatórias apresentavam taxas de recorrência que podem chegar a 80%. Outros dados que influenciaram nos riscos de recorrência foram fatores clínicos dos pacientes e técnica cirúrgica utilizada 31,33 .…”

Section: Quanto Ao Risco De Recidivaunclassified

“…Foi o primeiro estudo a demonstrar que o sistema de classificação VHWG modificado por Kanters et al é uma ferramenta válida para estratificar os pacientes quanto às chances de recorrência e apresenta de forma clara que a infecção cirúrgica é o maior fator responsável para recidivas 33,34 . A realização de gráficos estatísticos com acompanhamento de 15 anos previu probabilidade de nova cirurgia de hérnia em 11% dos pacientes classificados como grau 1, 14% nos de grau 2 e 20% no grau 3.…”

Section: Uso Da Classificação Vhwg Modificada Para Analisar As Taxas ...unclassified

Análise dos fatores preditores de complexidade de hérnias da parede abdominal: uma Revisão de escopo da Literatura

BARBOSA,

FARIA,

MESSIAS

2024

Rev. Col. Bras. Cir.

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RESUMO Introdução: As hérnias da parede abdominal, englobam em seu conceito as hérnias ventrais e incisionais. Essas hérnias são mal classificadas quanto à complexidade de forma geral. Esse estudo tem por objetivo realizar uma revisão sobre os principais tópicos relacionados à definição de complexidade das hérnias ventrais. Métodos: trata-se de revisão de escopo realizada com as orientações preconizadas pela diretriz PRISMA-ScR. Foram realizadas buscas nas bases de dados eletrônicas do PubMed, LILACS e EMBASE, empregando os descritores: “Abdominal Hernia”; Hernia; “Ventral Hernia”; “Incisional Hernia”; Complex; Classification, Classify, Grade, Scale e definition. Combinações entre os termos foram utilizadas quando oportunas. Os critérios de inclusão abrangiam artigos com definições e classificações de hérnias complexas, além daqueles que usavam essas classificações para orientar tratamentos e alocação de pacientes. Sinônimos e tópicos relacionados também foram considerados. Artigos fora do escopo ou sem os temas no título ou resumo foram excluídos. A busca nas bases de dados foi realizada até o dia 29/07/2023. Resultados: diversas classificações de hérnias foram identificadas como sendo úteis para prever complexidade. Consideramos para esse estudo seis critérios principais: tamanho e localização, perda de domicílio, uso de técnicas de relaxamento da parede abdominal, características dos exames de imagem, status do tecido celular subcutâneo e chance de recorrência. Conclusão: as hérnias complexas da parede abdominal podem ser definidas por características analisadas conjuntamente e que estão relacionadas ao estado clínico prévio do paciente, tamanho e localização do defeito herniário, status do tecido celular subcutâneo, técnicas de liberação miofascial e outros fatores complicadores..

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“…Были разработаны модели оценки раневых и интраабдоминальных послеоперационных осложнений в соответствии с наличием кишечной недостаточности, длительностью операции, иммуносупрессией перед операцией, энтеральной недостаточности, увеличением числа анастомозов и количеством предыдущих операций на брюшной полости. По результатам исследования эти модели могут помочь различать пациентов, однако неточны при оценке больших данных и больших когорт пациентов [22].…”

Section: №3(43) 2020unclassified

Methods for Assessing the Risks of Complications in Patients With Hernias of the Anterior Abdominal Wall. Review

Самарцев¹,

Гаврилов²,

Parshakov³

et al. 2020

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The work is based on the analysis of literature data devoted to the problem of assessing postoperative complications in patients with primary and incisional hernias of the anterior abdominal wall. The main purpose of this review is identifying existing methods for assessing local, general perioperative complications and determining of the most reliable prognostic scales and methods for assessing risk factors among the existing ones.The first part of the article is devoted to the assessment of the general condition of patients with hernias of the anterior abdominal wall. The existing scales for assessing modifiable risk factors (MFR), methods of preventing complications, including abdominal bandage, are considered. The main risk factors were determined: CDC wound class, patient age, hernia size, smoking, diabetes, risk 3 and higher according to ASA.In the second part, the assessment of risk factors for complications from the surgical site is considered. The problem of terminology standardization, the difference between surgical site infection (SSI), adverse surgical events (SSO) and surgical site occurrences requiring procedural interventions (SSOPI) is described. Scales for assessing the risks of perioperative complications are presented. The evolution of SSO assessment methods from a four level to a three level scale is described. The Russian experience in assessing the combination of MFR is presented.The third part describes the importance of evaluating post traumatic stress disorder in patients as a risk factor for an unfavorable course of the postoperative period. The European EuraHS QoL Questionnaire, recommended for use in the European Hernia Registry, is presented. The section also highlights the relevance of the selection of patients with hernias in outpatient surgery and one day hospitals.The main idea of developing modern methods for assessing complications after hernioplasty is a comprehensive assessment of the patient's individual profile before operations for primary and incisional hernias in different risk groups. Priority should be given to tailored specific electronic questionnaires.

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The development and validation of risk-stratification models for short-term outcomes following contaminated complex abdominal wall reconstruction

Cited by 4 publications

References 15 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

Análise dos fatores preditores de complexidade de hérnias da parede abdominal: uma Revisão de escopo da Literatura

Methods for Assessing the Risks of Complications in Patients With Hernias of the Anterior Abdominal Wall. Review

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