Evaluating EHS parastomal hernia classification for surgical planning: a retrospective analysis of 160 consecutive cases in a single center.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2024-10-01 Epub Date: 2024-08-10 DOI:10.1007/s10029-024-03121-w

Marek Szczepkowski, Mateusz Zamkowski, Suwała Alicja, Witkowski Piotr, Maciej Śmietański

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引用次数: 0

Abstract

Introduction: Parastomal hernia (PH) is a prevalent complication following ostomy formation, presenting significant challenges in surgical management. This study aims to validate the European Hernia Society classification for PH through the application of the Hybrid Parastomal Endoscopic Repair (HyPER) method. The study focuses on establishing the practical utility of the European Hernia Society classification in a clinical setting, particularly in guiding surgical approaches and improving patient outcomes.

Materials and methods: This retrospective observational study aimed to assess the utility of the European Hernia Society classification in planning surgical strategies for parastomal hernias. The validation of the classification of PH was based on the experience involving 160 patients in single center. Patients were classified according to the European Hernia Society criteria, and data were collected on patient demographics, clinical presentations, and surgical outcomes. Main goal was to assess the consistency and applicability of the European Hernia Society classification in predicting surgical challenges and outcomes.

Results: The study found a predominance of complex Type III and IV hernias. The European Hernia Society classification was effective in categorizing PH, aiding in surgical planning and highlighting the increased complication rates associated with more complex hernia types. This study represents the largest single-center cohort treated for PH by a single team, providing a controlled evaluation of the HyPER technique's effectiveness.

Conclusions: The validation of the European Hernia Society classification in this study is a significant advancement in the standardization of PH management. The findings demonstrate the classification's utility in enhancing surgical planning and patient-centered care. The study also opens avenues for further research into standardized approaches and techniques in PH treatment.

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评估用于手术规划的 EHS 腹膜旁疝分类：对一家中心 160 例连续病例的回顾性分析。

简介：腹股沟旁疝（PH）是造口术后的一种常见并发症，给手术治疗带来了巨大挑战。本研究旨在通过应用混合型吻合口内窥镜修补术（HyPER）方法，验证欧洲疝气协会对 PH 的分类。研究的重点是确定欧洲疝气协会分类在临床环境中的实用性，尤其是在指导手术方法和改善患者预后方面：这项回顾性观察研究旨在评估欧洲疝气协会分类法在规划吻合口旁疝手术策略方面的实用性。PH分类的验证基于单个中心160名患者的经验。根据欧洲疝气协会的标准对患者进行分类，并收集患者的人口统计学、临床表现和手术结果等数据。主要目的是评估欧洲疝气学会分类在预测手术难度和结果方面的一致性和适用性：研究发现，复杂的 III 型和 IV 型疝气占多数。欧洲疝气协会的分类方法能有效地对 PH 进行分类，有助于制定手术计划，并强调了与更复杂疝气类型相关的并发症发生率的增加。这项研究是由一个团队治疗 PH 的最大单中心群组，对 HyPER 技术的有效性进行了对照评估：结论：本研究对欧洲疝气协会分类的验证是 PH 管理标准化的一大进步。研究结果表明，该分类在加强手术规划和以患者为中心的护理方面非常有用。这项研究还为进一步研究 PH 治疗的标准化方法和技术开辟了道路。

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.