Show simple item record

dc.contributor.authorGarcía Ureña, Miguel Ángel 
dc.contributor.authorBerrevoet, F.
dc.contributor.authorCuccurullo, D.
dc.contributor.authorDecaestecker, K.
dc.contributor.authorLópez Cano, J.
dc.contributor.authorMolina Villar, Manuel
dc.contributor.authorDe Santiago García, J.
dc.contributor.authorSeternes, A.
dc.contributor.authorStabilini, C.
dc.date.accessioned2022-01-24T08:37:55Z
dc.date.available2022-01-24T08:37:55Z
dc.date.issued2021
dc.identifier.issn1265-4906spa
dc.identifier.urihttp://hdl.handle.net/10641/2703
dc.description.abstractPurpose Incisional ventral hernias (IHs) are a common complication across all surgical specialities requiring access to the abdomen, pelvis, and retroperitoneum. This public health issue continues to be widely ignored, resulting in appreciable morbidity and expenses. In this critical review, the issue is explored by an interdisciplinary group. Methods A group of European surgeons encompassing representatives from abdominal wall, vascular, urological, gynecological, colorectal and hepato-pancreatico-biliary surgery have reviewed the occurrence of His in these disciplines. Results Incisional hernias are a major public health issue with appreciable morbidity and cost implications. General surgeons are commonly called upon to repair IHs following an initial operation by others. Measures that may collectively reduce the frequency of IH across specialities include better planning and preparation (e.g. a fit patient, no time pressure, an experienced operator). A minimally invasive technique should be employed where appropriate. Our main recommendations in midline incisions include using the ‘small bites’ suture technique with a ≥ 4:1 suture-to-wound length, and adding prophylactic mesh augmentation in patients more likely to suffer herniation. For off-midline incisions, more research of this problem is essential. Conclusion Meticulous closure of the incision is significant for every patient. Raising awareness of the His is necessary in all surgical disciplines that work withing the abdomen or retroperitoneum. Across all specialties, surgeons should aim for a < 10% IH rate.spa
dc.language.isoengspa
dc.publisherHerniaspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.titlePreventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent146 KBspa
dc.identifier.doi10.1007/s10029-020-02348-7spa
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s10029-020-02348-7spa


Files in this item

FilesSizeFormatView
4.- Preventing incisional ventral ...145.0KbPDFView/Open

This item appears in the following Collection(s)

Show simple item record

Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España