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An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique

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An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. / Dietz, U A; Hamelmann, W; Winkler, M S; Debus, E S; Malafaia, O; Czeczko, N G; Thiede, A; Kuhfuss, I.

In: J PLAST RECONSTR AES, Vol. 60, No. 4, 2007, p. 383-388.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Dietz, UA, Hamelmann, W, Winkler, MS, Debus, ES, Malafaia, O, Czeczko, NG, Thiede, A & Kuhfuss, I 2007, 'An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique', J PLAST RECONSTR AES, vol. 60, no. 4, pp. 383-388. https://doi.org/10.1016/j.bjps.2006.10.010

APA

Dietz, U. A., Hamelmann, W., Winkler, M. S., Debus, E. S., Malafaia, O., Czeczko, N. G., Thiede, A., & Kuhfuss, I. (2007). An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. J PLAST RECONSTR AES, 60(4), 383-388. https://doi.org/10.1016/j.bjps.2006.10.010

Vancouver

Dietz UA, Hamelmann W, Winkler MS, Debus ES, Malafaia O, Czeczko NG et al. An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. J PLAST RECONSTR AES. 2007;60(4):383-388. https://doi.org/10.1016/j.bjps.2006.10.010

Bibtex

@article{e01dde2669db4d24b968946cf7be15b2,
title = "An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique",
abstract = "Incisional hernias occur in 5-10% of patients who have undergone laparotomy and are associated with a high morbidity and significant socioeconomic costs. Better understanding of the anatomy and improved methods for reinforcement of the abdominal wall with alloplastic meshes have reduced the recurrence rate to 1-10% depending on the type of hernia and the technique employed. A number of surgical repair techniques and mesh types are available. However, precise criteria for incorporating patient body type, risk factors for recurrence, hernia morphology, and the available biomaterials into planning of the surgical approach (open versus laparoscopic) have yet to be established. The elaboration of such criteria would require comparative evaluation of long-term results in a sufficiently large number of patients, e.g. in multicentre trials or meta-analyses of standardised data from different centres. Current classifications have the drawback that they fail to take account of prognostically relevant risk factors for recurrence and are not self-explanatory. The authors present a classification of incisional hernias that is self-explanatory and practicable in routine clinical practice. Based on the cornerstones of morphology (M), hernia size in cm (S), and risk factors for recurrence (RF), the scheme enables easy description and documentation of the hernia, and provides evidence for the indications and limitations of the main surgical repair techniques. Since randomised studies can scarcely be conducted on incisional hernias due to the numerous morphological variables, the classification presented here may offer an alternative means for comparative data analysis.",
keywords = "Abdominal Wall/surgery, Hernia, Ventral/classification, Humans, Risk Factors, Somatotypes, Surgical Mesh",
author = "Dietz, {U A} and W Hamelmann and Winkler, {M S} and Debus, {E S} and O Malafaia and Czeczko, {N G} and A Thiede and I Kuhfuss",
year = "2007",
doi = "10.1016/j.bjps.2006.10.010",
language = "English",
volume = "60",
pages = "383--388",
journal = "J PLAST RECONSTR AES",
issn = "1748-6815",
publisher = "Churchill Livingstone",
number = "4",

}

RIS

TY - JOUR

T1 - An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique

AU - Dietz, U A

AU - Hamelmann, W

AU - Winkler, M S

AU - Debus, E S

AU - Malafaia, O

AU - Czeczko, N G

AU - Thiede, A

AU - Kuhfuss, I

PY - 2007

Y1 - 2007

N2 - Incisional hernias occur in 5-10% of patients who have undergone laparotomy and are associated with a high morbidity and significant socioeconomic costs. Better understanding of the anatomy and improved methods for reinforcement of the abdominal wall with alloplastic meshes have reduced the recurrence rate to 1-10% depending on the type of hernia and the technique employed. A number of surgical repair techniques and mesh types are available. However, precise criteria for incorporating patient body type, risk factors for recurrence, hernia morphology, and the available biomaterials into planning of the surgical approach (open versus laparoscopic) have yet to be established. The elaboration of such criteria would require comparative evaluation of long-term results in a sufficiently large number of patients, e.g. in multicentre trials or meta-analyses of standardised data from different centres. Current classifications have the drawback that they fail to take account of prognostically relevant risk factors for recurrence and are not self-explanatory. The authors present a classification of incisional hernias that is self-explanatory and practicable in routine clinical practice. Based on the cornerstones of morphology (M), hernia size in cm (S), and risk factors for recurrence (RF), the scheme enables easy description and documentation of the hernia, and provides evidence for the indications and limitations of the main surgical repair techniques. Since randomised studies can scarcely be conducted on incisional hernias due to the numerous morphological variables, the classification presented here may offer an alternative means for comparative data analysis.

AB - Incisional hernias occur in 5-10% of patients who have undergone laparotomy and are associated with a high morbidity and significant socioeconomic costs. Better understanding of the anatomy and improved methods for reinforcement of the abdominal wall with alloplastic meshes have reduced the recurrence rate to 1-10% depending on the type of hernia and the technique employed. A number of surgical repair techniques and mesh types are available. However, precise criteria for incorporating patient body type, risk factors for recurrence, hernia morphology, and the available biomaterials into planning of the surgical approach (open versus laparoscopic) have yet to be established. The elaboration of such criteria would require comparative evaluation of long-term results in a sufficiently large number of patients, e.g. in multicentre trials or meta-analyses of standardised data from different centres. Current classifications have the drawback that they fail to take account of prognostically relevant risk factors for recurrence and are not self-explanatory. The authors present a classification of incisional hernias that is self-explanatory and practicable in routine clinical practice. Based on the cornerstones of morphology (M), hernia size in cm (S), and risk factors for recurrence (RF), the scheme enables easy description and documentation of the hernia, and provides evidence for the indications and limitations of the main surgical repair techniques. Since randomised studies can scarcely be conducted on incisional hernias due to the numerous morphological variables, the classification presented here may offer an alternative means for comparative data analysis.

KW - Abdominal Wall/surgery

KW - Hernia, Ventral/classification

KW - Humans

KW - Risk Factors

KW - Somatotypes

KW - Surgical Mesh

U2 - 10.1016/j.bjps.2006.10.010

DO - 10.1016/j.bjps.2006.10.010

M3 - SCORING: Journal article

C2 - 17349593

VL - 60

SP - 383

EP - 388

JO - J PLAST RECONSTR AES

JF - J PLAST RECONSTR AES

SN - 1748-6815

IS - 4

ER -