Hernia最新文献

{"title":"Subxiphoid hernia, definition and repair: an international delphi consensus.","authors":"Alix Donadieu, Sarfaraz Jalil Baig, Beny Charbit, David Lourié, Miguel Angel Garcia Urena, Yohann Renard","doi":"10.1007/s10029-025-03289-9","DOIUrl":"https://doi.org/10.1007/s10029-025-03289-9","url":null,"abstract":"<p><strong>Purpose: </strong>Subxiphoid incisional hernias (SIH) are rare and challenging to repair, often occurring post- cardiac surgery after sternotomy and pericardial drainage. The literature on SIH is limited, with small patient cohorts and no established consensus on optimal repair strategies published yet. This present study aimed at proposing the definition and the surgical management and decision-making processes for SIH repair through an international Delphi consensus among expert surgeons.</p><p><strong>Methods: </strong>Using a modified Delphi technique, 69 international abdominal wall surgeons were invited. Three rounds were conducted to reach consensus on the definition, characteristics, classification, preoperative imaging and surgical approaches for SIH. Consensus was defined as more than 70% of agreement on 32 statements across 12 topics.</p><p><strong>Results: </strong>Sixty-nine experts were enrolled from 5 continents. Concerning definition of SIH, consensus was reached: a defect where the M1 part represents the most challenging and representative part. According to the expert panel, a mesh should be used in an extraperitoneal position. Both open and minimal invasive surgical (MIS) approach (E-TEP and/or ventral TAPP) are viable for W1 (< 4 cm) SIH repair. Achieving sufficient mesh overlap (> 5 cm) and defect closure are the 2 primary goals during SIH repair, whatever the approach and the technique. Expert panel agreed that a solid understanding of the anatomy is crucial and difficult in this area, due to the proximity of bony structures. For cranial overlap, exposing the central tendon of the diaphragm after cutting the posterior rectus sheath horizontally reached consensus. Concerning lateral overlap, the panel agreed on a retro rectus repair with TAR for ≥W2 hernia, while total preperitoneal repair is not. Mesh fixation is deemed unnecessary if adequate overlap is achieved. In case of difficulties of closure, only TAR might be helpful, with bridging as a last resort. They agreed that SIH ≥W2 should be referred to an expert hernia center.</p><p><strong>Conclusion: </strong>This Delphi consensus defined SIH and was an opportunity to emphasize the anatomy of the subxiphoid region. It opens the way for future strong studies on the subject, leading for recommendations.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"108"},"PeriodicalIF":2.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the recurrence rate higher in obese patients undergoing inguinal hernia surgery?","authors":"Zi-Wei Li, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Xin Zheng","doi":"10.1007/s10029-025-03301-2","DOIUrl":"https://doi.org/10.1007/s10029-025-03301-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate whether obese patients undergoing inguinal hernia repair surgery have a higher recurrence rate and compare the clinical outcomes of obese and non-obese patients.</p><p><strong>Materials and methods: </strong>The databases of PubMed, EMBASE, and Cochrane Library were used to search for eligible studies from inception to November 1, 2024. Mean difference (MD), Odds ratios (OR) and 95% confidence intervals (Cl) were pooled up to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.16.0) software.</p><p><strong>Results: </strong>A total of nine studies involving 56,833 patients were included in this study. By comparing the baseline information, we found that the obese group had Fewer older (MD=-0.08, I²=62.41%, 95%CI=-0.16 to -0.00, P = 0.04), higher BMI (MD = 2.45, I²=93.67%, 95%CI = 2.08 to 2.81, P < 0.01), more hypertension patients (OR = 1.32, I²=32.96%, 95%CI = 1.02 to 1.67, P = 0.04), more BPH (OR = 0.68, I²=0.00%, 95%CI = 0.49 to 0.94, P = 0.02) and more local anesthesia (OR = 0.82, I²=14.73%, 95%CI = 0.79 to 0.86, P < 0.01) than the none-obese group. In terms of postoperative outcomes, We found that the obese group had higher recurrence rate (OR = 1.27, I²=21.89%, 95%CI = 1.10 to 1.47, P < 0.01), more wound infection (OR = 1.43, I²=0.00%, 95%CI = 1.20 to 1.69, P < 0.01), and more overall complications (OR = 1.12, I²=28.20%, 95%CI = 1.05 to 1.20, P < 0.01).</p><p><strong>Conclusion: </strong>Compared with the non-obese group, the obese group has a higher recurrence rate, more wound infections, and overall more complications.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"107"},"PeriodicalIF":2.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and outcome of elective synthetic mesh repair for incisional ventral hernias in immunosuppressed patients - a retrospective propensity-score-matched analysis.","authors":"Ramin Raul Ossami Saidy, Yvonne May Callister, Luca Dittrich, Dennis Eurich, Christian Denecke, Johann Pratschke, Jonas Raakow","doi":"10.1007/s10029-025-03273-3","DOIUrl":"10.1007/s10029-025-03273-3","url":null,"abstract":"<p><strong>Introduction: </strong>Incisional hernia remain an important complication after abdominal surgery. Repair often includes use of synthetic mesh, but certain risk factors for complication after mesh hernia repair have been described. Among these, immunosuppression due to co-existing conditions is hypothesized to increase postoperative complications, but data is scarce and contradicting. Therefore, the aim was to assess outcome after mesh hernia repair in immunosuppressed patients.</p><p><strong>Material & methods: </strong>Patients with and without immunosuppression undergoing elective incisional hernia repair at our clinic between 2010 and 2019 were analyzed in this retrospective study. Pre-existing conditions, details of immunosuppression, postoperative course and outpatient follow-up for hernia recurrence were collected and impact of clinical variables on outcome was analyzed. Propensity score matching was performed for comparison of cohorts.</p><p><strong>Results: </strong>Immunosuppression was associated with increased postoperative complications in the overall cohort of 732 patients undergoing incisional ventral hernia repair in univariate but not multivariate analysis (p = 0.036 and p = 0.25, respectively). Overall postoperative complications did not differ between patients with immunosuppression compared to the matched collective. However, use of > 2 immune suppressive agents and immunosuppression history > 48 months showed significant impact on postoperative complications in univariate and multivariate analysis (p = 0.003/p = 0.023 and p = 0.018/p = 0.03, respectively). Age (< 60 years), duration of surgery (> 120 min), midline hernia according to EHS classification and number of immunosuppressive agents administered were identified as important risk factors for recurrence in immunocompromised patients (p = 0.045, p = 0.023, p = 0.012 and 0.049, respectively).</p><p><strong>Conclusion: </strong>In this study, overall safety with desirable outcome of mesh implantation in immunosuppressed patients was documented. Furthermore, data suggested significant impact of number of immunosuppressive agents as a predicator of postoperative complications in this collective, possibly enabling risk stratification within this subgroup.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"106"},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mesh fixation in laparoscopic groin hernia repair: a comprehensive review of techniques and devices.","authors":"Patricia Rancke-Madsen, Stina Öberg, Jacob Rosenberg","doi":"10.1007/s10029-025-03276-0","DOIUrl":"https://doi.org/10.1007/s10029-025-03276-0","url":null,"abstract":"<p><strong>Purpose: </strong>Laparoscopic groin hernia repair has increased in popularity in recent years. Many laparoscopic mesh fixation techniques and devices are available, but there is a lack of high-certainty evidence favoring one fixation technique over another. This narrative review aimed to provide a comprehensive summary detailing the available mesh fixation techniques and devices used in laparoscopic groin hernia repair.</p><p><strong>Methods: </strong>Information about mesh fixation techniques and devices was searched in PubMed, groin hernia guidelines, and medical technology companies webpages.</p><p><strong>Results: </strong>This review outlines various mesh fixation techniques, materials, and their features in laparoscopic groin hernia repair. We have summarized and presented in detail the available information on both penetrating and non-penetrating mesh fixation techniques, including the option of not fixating the mesh. Penetrating mesh fixation includes tacks, staples, and sutures. Tacks vary in size, absorption time, and shape and can be further categorized into absorbable and permanent materials. Additionally, this review describes two types of permanent titanium staples and the use of permanent and absorbable sutures as mesh fixation. Non-penetrating mesh fixation includes self-fixating mesh and glue. The types of glue are cyanoacrylate glue and fibrin sealant. While fibrin sealant requires careful thawing from a frozen state before use, cyanoacrylate glue offers easier storage but poses a risk of exothermic reaction with the surrounding tissue. Self-fixating meshes have an adhesive side made of microgrips or adhesive material, and a permanent side.</p><p><strong>Conclusion: </strong>This review provided a comprehensive overview of the various mesh fixation techniques and devices in laparoscopic groin hernia repair.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"105"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term follow-up and operative performance metrics of inguinal hernioplasty training in the Dominican Republic.","authors":"Quilvio Colon Diaz, Jose Morel, Cesar Castillo, Alvaro Torres Velasquez, Taty Gisselle Medina Novas, Ryan W Walters, Corey Lawson, Sardis Sosa, Cynthia Nunez, Jorge Rodriguez, Giampiero Campanelli, David Chen, Charles J Filipi","doi":"10.1007/s10029-025-03286-y","DOIUrl":"10.1007/s10029-025-03286-y","url":null,"abstract":"<p><strong>Purpose: </strong>The long-term outcomes of inguinal hernioplasty are crucial for evaluating patient benefits, though follow-up can be challenging, especially in low and middle-income countries (LMICs).</p><p><strong>Methods: </strong>Program coordinators in the Dominican Republic reached out to 288 patients operated on between 2014 and 2019 under a Hernia Repair for the Underserved (HRFU) training initiative. Each patient underwent an anterior Lichtenstein procedure performed by either an international HRFU expert surgeon (128 patients) or two local Dominican surgeons (160 patients) certified using the Operative Performance Rating Scale (OPRS).</p><p><strong>Results: </strong>Long-term outcomes were obtained from 30% (86/288) of patients. Follow-up data were obtained from 12% (35/288) of patients by a history and physical examination by independent Dominican surgeons. 18% (51/288) completed telephone follow-up using a four-question survey tailored for standard inguinal hernia outcomes. The phone questionnaire follow-up method (18%) was more effective than the H & P. One patient required reoperation for a mesh granuloma and one had a reoperation for a recurrent hernia. The average length of follow-up was 52 months.</p><p><strong>Conclusion: </strong>This study reports the longest durations of follow-up after inguinal hernia repair performed in a LMIC and the longest clinical outcomes follow-up of operations performed using the OPRS training method.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"99"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the therapeutic landscape in emergency incisional hernia: a scoping review.","authors":"Andrea Carolina Quiroga-Centeno, Sebastian Schaaf, Ana Pilar Morante-Perea, Stavros A Antoniou, Heather Bougard, Umberto Bracale, Sara Capoccia Giovannini, Eva Deerenberg, René H Fortelny, Christine Gaarder, Miguel Ángel García-Ureña, Katie Gilmore, Sergio Alejandro Gomez-Ochoa, Ferdinand Köckerling, Maciej Pawlak, Francesca Pecchini, José A Pereira-Rodriguez, Yohann Renard, Benoît Romain, Elena Schembari, Alexis Theodorou, Cesare Stabilini","doi":"10.1007/s10029-025-03278-y","DOIUrl":"10.1007/s10029-025-03278-y","url":null,"abstract":"<p><strong>Purpose: </strong>Incisional hernias (IH) represent common complications following abdominal surgeries, with emergency repair associated with increased morbidity and mortality. This scoping review aimed to map the existing literature on emergency incisional hernia repair, identify research gaps, and inform future guideline development.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in PubMed MEDLINE and SCOPUS for studies published between January 2000 and August 2024. Articles addressing any aspect of emergency incisional hernia repair in adults were included. Data extraction focused on study characteristics, patient demographics, surgical approaches, and outcomes.</p><p><strong>Results: </strong>Of 801 unique articles identified, 73 met the inclusion criteria. Most were cohort studies (73.97%), with only one randomized trial. The primary areas of interest were repair methods (47.95%), operative outcomes (31.51%), risk assessment (16.44%), and diagnosis (5.48%). Pooled analysis revealed a predominantly female (63%), elderly (mean age 62.3 years), and comorbid patient population. The most frequent study endpoints were readmission (18%), surgical site infection (12%), reoperation (8%), and mortality (4%). Significant heterogeneity was observed in defect characterization and surgical techniques.</p><p><strong>Conclusion: </strong>This review highlights a paucity of randomized studies guiding emergency incisional hernia management. Key issues identified include inconsistent definitions of emergency presentation, limited data on hernia characteristics, and a lack of standardized outcome reporting. Future research should focus on developing a unified classification system for emergency incisional hernias, evaluating the role of imaging in decision-making, and conducting comparative studies on various treatment strategies across different clinical scenarios.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"102"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term outcomes in mesh versus suture-only treatment of burst abdomen: a case-series from a university hospital.","authors":"Thomas Korgaard Jensen, Madeline Kvist, Merete Berthu Damkjær, Jakob Burcharth","doi":"10.1007/s10029-025-03279-x","DOIUrl":"10.1007/s10029-025-03279-x","url":null,"abstract":"<p><strong>Purpose: </strong>Surgery for a burst abdomen after midline laparotomy is associated with later incisional hernia formation. Accommodating prophylactic measures, notably mesh augmentation, are of interest. However, data regarding safety and outcomes are scarce. This study aimed to evaluate the short-term risk profile of mesh prophylaxis in the context of a burst abdomen.</p><p><strong>Methods: </strong>This is a single-center prospective study of patients suffering from burst abdomen from 2021 to 2023. A treatment protocol for the management of burst abdomen was introduced, including the synthetic, partially absorbable onlay mesh. Adult patients (≥ 18 years) with a life expectancy of > 1 year with no plans of future pregnancies were recommended to be treated with a prophylactic mesh. In this analysis, adult patients were included if they suffered from a burst abdomen after elective or emergency laparotomy. The study evaluates short-term outcomes, including 90-day wound complications, length of stay, and mortality.</p><p><strong>Results: </strong>Sixty-seven patients fulfilled the inclusion criteria and underwent treatment for a burst abdomen during the study period. Thirty-eight patients were treated with a suture-only technique, and 29 patients were supplemented with a mesh. 13 of 14 observed wound complications in the mesh group were of mild degree (Clavien Dindo 1-3b), while one patient (3%) needed mesh-explantation. The 90-day mortality rate was 21% and comparable between suture-only and mesh techniques.</p><p><strong>Conclusion: </strong>Mesh augmentation in surgery for a burst abdomen seems safe in well-selected patients at 90 days follow-up. Long-term data on the prophylactic effect on hernia development is needed.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"100"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative botulinum toxin for complex abdominal wall reconstruction: a meta-analysis of propensity-score matched studies with trial sequential analysis.","authors":"Cynthia Florencio de Mesquita, Enrico Prajiante Bertolino, Amanda Godoi, Augusto Graziani E Sousa, Stalin Isaias Canizares Quisiguina, Sergio Mazzola Poli de Figueiredo","doi":"10.1007/s10029-025-03287-x","DOIUrl":"https://doi.org/10.1007/s10029-025-03287-x","url":null,"abstract":"<p><strong>Purpose: </strong>Large ventral hernias can be associated with significant loss of domain, and preoperative Botulinum Toxin A (BTA) has been suggested as an adjunct therapy to minimize the effects of ventral hernia repair and facilitate fascial closure. However, there is often bias in studies involving BTA and its use is associated with significant cost and its efficacy remains unclear.</p><p><strong>Methods: </strong>We systematically searched Medline, Embase, Cochrane, and ClinicalTrial.gov for propensity-score matched (PSM) studies comparing preoperative BTA and AWR with standard AWR for complex hernias. We pooled odds ratios (ORs) and mean differences with 95% confidence intervals (CIs) to assess outcomes, applying a random-effects model. We used R studio version 4.3.1 for statistical analyses.</p><p><strong>Results: </strong>We included six studies with PSM comprising 851 patients undergoing AWR. The mean age was 60.5 years, mean BMI was 31.8 kg/m², and 46.5% of patients were male. There were no significant differences between groups regarding fascial closure rate (OR 1.54; 95% CI 0.78 to 3.05; p = 0.21), hernia recurrence (OR 0.81; 95% CI 0.33 to 2.01; p = 0.65), component separation (OR 1.50; 95% CI 0.54 to 4.14 p = 0.4), surgical site infections and occurrences (OR 1.31; 95% CI 0.34 to 5.00; p = 0.70), length of hospital stay, or operation time. The Trial Sequential Analysis (TSA) indicated that none of the outcomes reached the necessary sample size for a definitive conclusion.</p><p><strong>Conclusions: </strong>Preoperative BTA did not offer significant benefits in AWR of complex incisional hernia repairs. However, TSA showed that the required sample size was not achieved.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"101"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic perineal hernia repair after abdominoperineal resection.","authors":"Xin Yuan, Yi Lin Zhu, Xue Fei Zhao, Jie Chen","doi":"10.1007/s10029-025-03288-w","DOIUrl":"https://doi.org/10.1007/s10029-025-03288-w","url":null,"abstract":"<p><strong>Purpose: </strong>Perineal hernia(PH) is a complication after abdominoperineal resection(APR), which is a special kind of incisional hernia, lacking consensus about treatment. This study is aimed at the effect of laparoscopic repair with mesh.</p><p><strong>Methods: </strong>A retrospective study was conducted from Januarary 1st 2015 to December 31st 2023 for the patients undergoing laparoscopic perineal hernia repair after abdominoperineal resection(APR). The data of characteristics, surgery details and follow-up were collected and analysed to evaluate the effect and complications.</p><p><strong>Results: </strong>41 cases were included altogether and all patients received laparoscopy approach, 14 males and 27 females, median age was 70 years(range 45-80years), the mean BMI was 25.04 ± 3.38 kg/m². Operations were completed under laparoscopy in 22 cases, combined with open surgery in 19 cases. 40 cases were treated with synthetic mesh and 1 case with biological mesh. The median operative time was 145 min(range 55-270 min), and the post operative hospital day was 13 days(range 4-47 days). The median follow-up time was 30 months(range 6-103months). There were 2 cases of wound infection and 1 case of intestinal obstruction after operation during in hospital days. 1 cases of recurrence and 2 cases of abnormal sensation in the operation area were observed during the follow-up period. The total incidence of complications was 14.6%.</p><p><strong>Conclusion: </strong>Laparoscopic perineal hernia repair with mesh shows low rates of complications, which is a safe and effective method to perineal hernia after APR. For large defects, hybrid technique helps to close the defect and eliminate dead spaces. The appropriate kind and adequate mesh overlap are critical. Short-term follow up shows positive outcomes in this retrospective study and the controlled trial and long-term follow-up is needed in the future.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"103"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional survey investigating surgeon perceptions of pre-operative risk prediction models incorporating radiomic features.","authors":"Jane N Ewing, Zachary Gala, Malia Voytik, Robyn B Broach, Jayaram K Udupa, Drew A Torigian, Yubing Tong, John P Fischer","doi":"10.1007/s10029-025-03292-0","DOIUrl":"https://doi.org/10.1007/s10029-025-03292-0","url":null,"abstract":"<p><strong>Purpose: </strong>Incisional hernias are a significant source of morbidity in the United States that impact quality of life and can cause life-threatening complications. Complex patient factors, collected as structured and unstructured data, contribute to the risk of developing an incisional hernia following abdominal surgery. It is unknown how risk prediction models derived from imaging data, or radiomic features, can enhance pre-operative surgical planning. This study investigates surgeons' perspectives regarding risk prediction models derived from radiomic features and assesses the model's impact on surgeon behavior.</p><p><strong>Methods: </strong>An online cross-sectional survey assessing perceptions of a pre-operative risk prediction model was administered to surgeons across the US from April 23, 2024- May 30, 2024. Surgeons' beliefs of the risk model's impact on surgeon behavior and its applicability in the clinical setting were assessed.</p><p><strong>Results: </strong>A total of 166 completed surveys were analyzed. Mean age was 52.3 (SD 10.1), 71.1% were male, 78.9% were White, and 90.4% were not Hispanic or Latino. The majority of the respondents were general surgeons (58%), colorectal surgeons (14%), thoracic surgeons (12%), and urologists (7%). The mean level of accuracy predicted from radiomic features needed to prompt a change in management was 74.5% (SD 15.1%). The mean at which FPR and FNR were unacceptable was 25.9% (SD 16.9%) and 26.1% (SD 21.7%), respectively. Most believed a risk prediction model tool would improve their peri-operative management.</p><p><strong>Conclusion: </strong>A majority of surgeons were positively supportive of incorporating a hernia risk-prediction clinical decision tool incorporating radiomic features in their clinical practice.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"97"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}