Gaëtan-Romain Joliat, Jean-François Gillion, Grégory Baud, Benoît Romain, Yohann Renard, Pablo Ortega-Deballon, Vincent Dubuisson, Haitham Khalil, David Moszkowicz, Guillaume Passot
{"title":"法国全国每月在线咨询会议复杂腹壁修复：创新协作决策工具的4年评估。","authors":"Gaëtan-Romain Joliat, Jean-François Gillion, Grégory Baud, Benoît Romain, Yohann Renard, Pablo Ortega-Deballon, Vincent Dubuisson, Haitham Khalil, David Moszkowicz, Guillaume Passot","doi":"10.1007/s10029-025-03483-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Treatment of complex cases of abdominal wall reconstruction (AWR) has become more frequent, and management options are diverse. Treatment decision could be improved using a multicentric consultation meeting. The aim of this study was to assess quantitatively and qualitatively the outcomes of the French national online consultation meeting (OCM).</p><p><strong>Methods: </strong>The OCM was implemented in January 2021. This is an OCM where all surgeons working in France can present their cases of complex AWR for opinion. Descriptive statistics on this OCM were collected from implementation to March 2025. Moreover, a survey on how participating surgeons perceived this OCM was performed.</p><p><strong>Results: </strong>During the study period, a total of 436 cases were presented at the OCM (384 ventral hernias, 88% and 52 groin hernias, 12%). Overall, 127 surgeons participated in the OCM. The majority of presented patients originated from university hospitals (n = 294, 68%). Thirty-one surgeons (31/127 = 24%) who participated in the OCM answered the survey. Most surgeons found that the OCM had a very high pedagogical interest (median 9/10, IQR 8-10). In total, 30/31 surgeons (97%) would recommend to a colleague to take part in this OCM. Among surgeons who presented a case and answered the survey (n = 24), 1 (4%), 10 (42%), and 13 (54%) surgeons found the OCM useful, very useful, and indispensable, respectively. All surgeons who responded were satisfied with the OCM (21 were very satisfied, 87%).</p><p><strong>Conclusions: </strong>Implementation of a nationwide OCM for complex AWR is feasible and sustainable. Feedbacks from participants emphasized the usefulness of this meeting designed to help surgeons to better tailor treatment to patients with complex hernias. However, as patient outcomes were not available, precluding any analyses on the impact of the OCM on patient postoperative evolution, further follow-up results will be needed.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"288"},"PeriodicalIF":2.4000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"French nationwide monthly online consultation meeting on complex abdominal wall repairs: 4-year assessment of an innovative collaborative decision-making tool.\",\"authors\":\"Gaëtan-Romain Joliat, Jean-François Gillion, Grégory Baud, Benoît Romain, Yohann Renard, Pablo Ortega-Deballon, Vincent Dubuisson, Haitham Khalil, David Moszkowicz, Guillaume Passot\",\"doi\":\"10.1007/s10029-025-03483-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Treatment of complex cases of abdominal wall reconstruction (AWR) has become more frequent, and management options are diverse. Treatment decision could be improved using a multicentric consultation meeting. The aim of this study was to assess quantitatively and qualitatively the outcomes of the French national online consultation meeting (OCM).</p><p><strong>Methods: </strong>The OCM was implemented in January 2021. This is an OCM where all surgeons working in France can present their cases of complex AWR for opinion. Descriptive statistics on this OCM were collected from implementation to March 2025. Moreover, a survey on how participating surgeons perceived this OCM was performed.</p><p><strong>Results: </strong>During the study period, a total of 436 cases were presented at the OCM (384 ventral hernias, 88% and 52 groin hernias, 12%). Overall, 127 surgeons participated in the OCM. The majority of presented patients originated from university hospitals (n = 294, 68%). Thirty-one surgeons (31/127 = 24%) who participated in the OCM answered the survey. Most surgeons found that the OCM had a very high pedagogical interest (median 9/10, IQR 8-10). In total, 30/31 surgeons (97%) would recommend to a colleague to take part in this OCM. Among surgeons who presented a case and answered the survey (n = 24), 1 (4%), 10 (42%), and 13 (54%) surgeons found the OCM useful, very useful, and indispensable, respectively. All surgeons who responded were satisfied with the OCM (21 were very satisfied, 87%).</p><p><strong>Conclusions: </strong>Implementation of a nationwide OCM for complex AWR is feasible and sustainable. Feedbacks from participants emphasized the usefulness of this meeting designed to help surgeons to better tailor treatment to patients with complex hernias. 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French nationwide monthly online consultation meeting on complex abdominal wall repairs: 4-year assessment of an innovative collaborative decision-making tool.
Purpose: Treatment of complex cases of abdominal wall reconstruction (AWR) has become more frequent, and management options are diverse. Treatment decision could be improved using a multicentric consultation meeting. The aim of this study was to assess quantitatively and qualitatively the outcomes of the French national online consultation meeting (OCM).
Methods: The OCM was implemented in January 2021. This is an OCM where all surgeons working in France can present their cases of complex AWR for opinion. Descriptive statistics on this OCM were collected from implementation to March 2025. Moreover, a survey on how participating surgeons perceived this OCM was performed.
Results: During the study period, a total of 436 cases were presented at the OCM (384 ventral hernias, 88% and 52 groin hernias, 12%). Overall, 127 surgeons participated in the OCM. The majority of presented patients originated from university hospitals (n = 294, 68%). Thirty-one surgeons (31/127 = 24%) who participated in the OCM answered the survey. Most surgeons found that the OCM had a very high pedagogical interest (median 9/10, IQR 8-10). In total, 30/31 surgeons (97%) would recommend to a colleague to take part in this OCM. Among surgeons who presented a case and answered the survey (n = 24), 1 (4%), 10 (42%), and 13 (54%) surgeons found the OCM useful, very useful, and indispensable, respectively. All surgeons who responded were satisfied with the OCM (21 were very satisfied, 87%).
Conclusions: Implementation of a nationwide OCM for complex AWR is feasible and sustainable. Feedbacks from participants emphasized the usefulness of this meeting designed to help surgeons to better tailor treatment to patients with complex hernias. However, as patient outcomes were not available, precluding any analyses on the impact of the OCM on patient postoperative evolution, further follow-up results will be needed.
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.
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