What defines an incisional hernia as ‘complex’: results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Capoccia Giovannini, Sara; Podda, Mauro; Ribas, Sonia; Montori, Giulia; Botteri, Emanuele; Agresta, Ferdinando; Sartori, Alberto; Chàrvàtova, Hana; Aiolfi, Alberto; Antoniou, Stavros A; Arvieux, Catherine; Berrevoet, Frederik; Boermeester, Marja A; Campanelli, Giampiero; Chintapatla, Srinivas; Christoffersen, Mette Willaume; Dahlstrand, Ursula; De la Croix, Hanna; Dietz, Ulrich A; Ferreira, Antonio; Fortenly, Renè H; Gaarder, Christine; Garcia Urena, Miguel Angel; Gok, Hakan; Hernández-Granados, Pilar; Jisova, Barbora; Laver, Orest; Lerchuk, Orest; Lopez-Cano, Manuel; Mega, Manuel; Mitura, Kryspin; Muysoms, Filip; Oliva, Andrè; Ortenzi, Monica; Petersson, Ulf; Piccoli, Micaela; Radu, Victor G; Renard, Yohann; Rogmark, Peder; Rosin, Danny; Senent-Boza, Ana; Simons, Maarten; Slade, Dominic; Smart, Neil; Smith, Stella R; Stabilini, Cesare; Theodorou, Alexis; Torkington, Jared; Vironen, Jaanna; Woeste, Guido; De Beaux, Andrew; East, Barbora

doi:10.1093/bjs/znad346

Cited by 7 publications

(1 citation statement)

References 29 publications

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“…The most common type of hernia observed was incisional hernia (62%, n = 122), with the median site of the abdomen being the most frequent location (80.18%) ( Figure 1 ). Out of all the cases, 41 (19.3%) were considered complex incisional hernias, defined as hernias larger than 10 cm in width, with multiple recurrences or multiple site defects [ 7 ]. The specific characteristics of the hernias can be found in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

The eTEP/eTEP-TAR Repair of Ventral Hernias a Study From One Center/ One Surgeon—The First Five Years of Experience

Radu,

Cucu

2024

J. Abdom. Wall Surg.

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Objective: The objective of this study is analyze the outcomes of retro-muscular repair techniques for ventral hernias performed by a single surgeon in a renowned hernia surgery center.Method: This study involved 197 patients who underwent surgery between May 2016 and December 2021 under the care of a single surgeon (VR). Respecting the indication/contraindications of the eTEP procedure, 197 of 212 patients with ventral hernias underwent eTEP/eTEP-TAR surgery during this period. The cohort consisted of diverse hernia types, including median, lateral, and multiple-site defects. The safety of this approach was evaluated based on postoperative occurrences, where the number of complications accounted for 5% of the cases.Results of the study indicated that there was a significant improvement in the quality of life of patients following the procedure. The assessment, which measured postoperative pain, normal activity, and aesthetics on a 0–10 scale, showed improvement at 2 weeks and 3 months after surgery compared to the preoperative level. However, after a mean of 51.11 months, only one case of recurrence was reported. This recurrence occurred on top of the mesh, 18 months after the initial operation. The follow-up period lasted between 24 and 90 months. Patient monitoring was conducted either in person or over the phone, focusing on quality of life, postoperative pain, and the occurrence of recurrence. In conclusion, the laparo-endoscopic retro-muscular repair of ventral hernias, whether primary or incisional, has shown to yield excellent results in medium and long-term follow-up. The eTEP technique combines the benefits of the Rives-Stoppa technique (considered the gold standard in open ventral hernia repair) with the advantages of minimally invasive surgery.

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Section: Methodsmentioning

confidence: 99%