The management of abdominal wall hernias – in search of consensus

Maciej Pawlak; Kamil Bury; Maciej Śmietański

doi:10.5114/wiitm.2015.49512

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2015
vol. 10

Send email

Copy url:

abstract:

Original paper

The management of abdominal wall hernias – in search of consensus

Maciej Pawlak

,

Kamil Bury

,

Maciej Śmietański

Videosurgery Miniinv 2015; 10 (1): 49–56

DOI: https://doi.org/10.5114/wiitm.2015.49512

Online publish date: 2015/02/27

View full text Get citation

PlumX metrics:

Introduction: Laparoscopic repair is becoming an increasingly popular alternative in the treatment of abdominal wall hernias. In spite of numerous studies evaluating this technique, indications for laparoscopic surgery have not been established. Similarly, implant selection and fixation techniques have not been unified and are the subject of scientific discussion.

Aim: To assess whether there is a consensus on the management of the most common ventral abdominal wall hernias among recognised experts.

Material and methods: Fourteen specialists representing the boards of European surgical societies were surveyed to determine their choice of surgical technique for nine typical primary ventral and incisional hernias. The access method, type of operation, mesh prosthesis and fixation method were evaluated. In addition to the laparoscopic procedures, the number of tackers and their arrangement were assessed.

Results: In none of the cases presented was a consensus of experts obtained. Laparoscopic and open techniques were used equally often. Especially in the group of large hernias, decisions on repair methods were characterised by high variability. The technique of laparoscopic mesh fixation was a subject of great variability in terms of both method selection and the numbers of tackers and sutures used.

Conclusions: Recognised experts have not reached a consensus on the management of abdominal wall hernias. Our survey results indicate the need for further research and the inclusion of large cohorts of patients in the dedicated registries to evaluate the results of different surgical methods, which would help in the development of treatment algorithms for surgical education in the future.

keywords:

The management of abdominal wall hernias – in search of consensus

Maciej Pawlak , Kamil Bury , Maciej Śmietański

abdominal wall hernia, laparoscopic ventral hernia repair, consensus, experts opinion

Maciej Pawlak

,

Kamil Bury

,

Maciej Śmietański