| 1. |
- Correa-Marinez, Adiela, et al.
(författare)
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Stoma-Const - the technical aspects of stoma construction: study protocol for a randomised controlled trial.
- 2014
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Ingår i: Trials. - : Springer Science and Business Media LLC. - 1745-6215. ; 15
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Tidskriftsartikel (refereegranskat)abstract
- The construction of a colostomy is a common procedure, but the evidence for the different parts of the construction of the colostomy is lacking. Parastomal hernia is a common complication of colostomy formation. The aim of this study is to standardise the colostomy formation and to compare three types of colostomy formation (one including a mesh) regarding the development of parastomal hernia.
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| 2. |
- Frimand Rønnow, Martin, et al.
(författare)
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Compensation after umbilical hernia repair : prosthesis and non-prosthesis claims
- 2022
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Ingår i: The British journal of surgery. - : Oxford University Press (OUP). - 1365-2168 .- 0007-1323. ; 109:5, s. 408-410
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Tidskriftsartikel (refereegranskat)abstract
- Based on solid evidence, mesh prosthesis reinforcement has reduced the risk of recurrence after umbilical hernia repair1–4, but less is known about the risk of complications or chronic pain4,5. Patients’ claims after surgery may represent a surrogate for poor outcome6. This study examined mesh prosthesis-related complications leading to economic compensation after elective umbilical hernia repair. Before the present study, it was hypothesized that prosthesis-related complications and chronic pain after elective umbilical hernia repair were important claim reasons leading to economic compensation.
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| 3. |
- Lindmark, Mikael, 1980-
(författare)
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Minimising risk and optimising technique in ventral hernia repair
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Abdominal wall hernia is a common pathology and adverse events related to hernia repair is thus a topic of considerable importance. Hernia is a disease that affect both sexes and people of all ages.The thesis is based upon four papers. Study I, II and III are analysing complications related to ventral hernia repair. Study IV is a multicentre trial.Aims:to analyse risk factors in open and minimally invasive ventral hernia repairto improve the technique of laparoscopic ventral hernia repair.Results: Study I: Hernia aperture size was the most important risk factor for serious complication after hernia repair. Study II: Inadvertent enterotomy occurred during 25 repairs and in these cases laparoscopic repair was clearly overrepresented (p<0.001). Study III: A total of 45 676 repairs were analysed. We found that patients 80 years and older had a 2.5 times higher risk for complication leading to reoperation, and a 12-fold higher mortality risk than patients aged 70-79 years. Study IV: Closure of the hernia aperture before mesh application does not decrease hernia site complications in small to medium-sized midline hernias at twelve-month follow-up (p = 0.73).Conclusions: Hernia aperture size is the leading risk factor for serious complication after ventral hernia repair. Accidental enterotomy is more common during laparoscopic repair. Risk of death after ventral hernia repair dramatically increases in the geriatric patient. Time should not be wasted on closure of small to medium-sized hernia apertures in the midline before laparoscopic application of a mesh.
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| 4. |
- Rønnow, Martin Frimand, et al.
(författare)
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MESH-RELATED COMPLICATIONS, CHRONIC PAIN, AND ECONOMIC CLAIM COMPENSATION AFTER UMBILICAL HERNIA REPAIR
- 2021
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 1365-2168 .- 0007-1323. ; 108:Supplement_8, s. 13-14
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Konferensbidrag (refereegranskat)abstract
- AimThe risk of mesh-related surgical complications after umbilical hernia repair is not known and chronic pain has only sparsely been analysed. Economic claims may represent a surrogate for poor postoperative surgical outcomes. Thus, the present study used mesh-related complications and chronic pain as primary and secondary outcomes, respectively.Material and MethodsBlinded assessment of Swedish and Danish nationwide consecutive economic claim data from 2007 –2019. The study variables and outcomes were pre-study defined. Major complications were defined as acutely life-threatening complications requiring emergency surgery, clinically important complications were defined as all complications requiring surgical intervention but not emergency surgery.ResultsDuring the 13-years study period 181 patients were eligible for analysis. There were 96 patients with a surgical complication. In 52 (54%) and 44 (46%) patients the complication was mesh- or non-mesh-related, respectively. In the group of mesh- and non-mesh-related complications, major complications were found in 14 (14,6%) vs 21 (21,9%) patients and clinically important complications were found in 38 (39,5%) vs 23 (23,9%) patients respectively (P < 0.05). Chronic pain was reported in 18%, followed by wound complications (14%) and cosmetic claim reasons (11%). After open repair, claim because of chronic pain was significantly more common after mesh repair (48%) compared with non-mesh repairs (32%), P = 0.05. The economic compensation after a mesh- and non-mesh complication was 3,488€ (291 – 188,186€) and 2,342€ (507€ - 58,437€) (P = 0.55), respectively.ConclusionsMesh-repair was related to postoperative complications and chronic pain after umbilical hernia repair
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