Lateral incisional hernia. EVEREG registry analysis.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI:10.1007/s10029-024-03073-1

P Martínez-López, V Rodrigues-Gonçalves, M Verdaguer-Tremolosa, J A Pereira, P Hernández-Granados, M López-Cano

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引用次数: 0

Abstract

Background: The aim of this study is to analyze the data collected on lateral incisional hernias (LIH) in the National Incisional Hernia Registry (EVEREG) and assess current practices and outcomes in LIH repair.

Methods: A retrospective cohort study was conducted using LIH data recorded over 10 years (2012-2022). Comorbidities, hernia characteristics, short-term complications, and recurrences were studied, along with their association with the type of approach used, either open or laparoscopic, in elective surgery.

Results: 1742 LIH cases were studied. According to the EHS classification, these included L1 409 (23.5%), L2 388 (22.3%), L3 565 (32.4%), L4 150 (8.6%) and combined 230 (13.2%). An open approach was performed in 1528 (87.7%) cases and laparoscopic in 214 (12.3%). The median age was 66 ± 12.45 years, with a majority of males, 934 (53.6%). The median body mass index was 29 ± 5.18 kg/m². The most observed comorbidity was arterial hypertension (957 patients, 55%). A specialist was present in 638 interventions (56%). The 24-month follow-up was 17.9%, and recurrence in those cases was 27.2%, with a higher incidence when there was no specialist present during the intervention, onlay mesh position, and larger defect size.

Conclusions: Surgery for LIH is common, although laparoscopic approach remains infrequent. Furthermore, it is associated with a high percentage of recurrences that increases when there is no specialist in abdominal wall surgery present.

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侧切口疝。EVEREG 登记分析。

背景：本研究旨在分析国家切口疝注册中心（EVEREG）收集的侧切口疝（LIH）数据，并评估当前的侧切口疝修复方法和结果：利用 10 年（2012-2022 年）内记录的 LIH 数据进行了一项回顾性队列研究。研究了合并症、疝气特征、短期并发症和复发情况，以及它们与择期手术中采用的开腹或腹腔镜手术方式的关系：共研究了1742例LIH病例。根据 EHS 分类，这些病例包括 L1 409 例（23.5%）、L2 388 例（22.3%）、L3 565 例（32.4%）、L4 150 例（8.6%）和合并 230 例（13.2%）。1528例（87.7%）采用开腹手术，214例（12.3%）采用腹腔镜手术。中位年龄为 66 ± 12.45 岁，男性占大多数，有 934 例（53.6%）。体重指数中位数为 29 ± 5.18 kg/m2。最常见的合并症是动脉高血压（957 名患者，占 55%）。638名干预者（56%）有专科医生在场。24个月的随访率为17.9%，这些病例的复发率为27.2%，在干预过程中没有专科医生在场、网片位置和缺损面积较大的情况下，复发率较高：结论：LIH手术很常见，但腹腔镜手术仍不常见。此外，腹壁手术的复发率也很高，如果没有腹壁手术专家在场，复发率会更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.