Publication details

Midline incisional hernia guidelines: the European Hernia Society

Authors

SANDERS David L PAWLAK Maciej M SIMONS Maarten P AUFENACKER Theo BALLA Andrea BERGER Cigdem BERREVOET Frederik BEAUX Andrew C de EAST Barbora HENRIKSEN Nadia A KLUGAR Miloslav LANGAUFOVÁ Alena MISEREZ Marc MORALES-CONDE Salvador MONTGOMERY Agneta PETTERSSON Patrik K REINPOLD Wolfgang RENARD Yohann SLEZÁKOVÁ Simona WHITEHEAD-CLARKE Thomas STABILINI Cesare

Year of publication 2023
Type Article in Periodical
Magazine / Source The British journal of surgery
MU Faculty or unit

Faculty of Medicine

Citation
Web https://academic.oup.com/bjs/article/110/12/1732/7277564
Doi http://dx.doi.org/10.1093/bjs/znad284
Keywords midline incisional hernia; guidelines
Description Since the introduction of anaesthesia by Morton in 1846, and as survivable abdominal surgery became more common, so did the incidence of incisional hernias. Since then, more than 4000 peer-reviewed articles have been published on the topic, many of which have tried to reduce the incidence or introduce techniques to improve outcomes from surgical repair. Despite this, the incidence of incisional hernias and the recurrence rates after repair remain high. A wide range of incisional hernia rates are reporte. A meta-analysis including over 14 000 patients reported a weighted incidence of 12.8 per cent 2 years after a midline incision, and that one-third of patients with an incisional hernia undergo surgical repair. Recurrence rates after repair of incisional hernia range between 23 and 50 per cent, with increasing rates of complications and re-recurrence after each subsequent failed repair. Arguably, no other benign disease has seen so little improvement in terms of surgical outcome.

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