EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

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MARC

Henriksen, N. A.Zealand University Hospital (author)

EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

Article/chapterEnglish2020

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2020-01-09
Oxford University Press (OUP),2020
12 s.

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LIBRIS-ID:oai:lup.lub.lu.se:4e0e8136-0ddb-4416-813c-45ea1632435d
https://lup.lub.lu.se/record/4e0e8136-0ddb-4416-813c-45ea1632435dURI
https://doi.org/10.1002/bjs5.50252DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:for swepub-publicationtype
Subject category:ref swepub-contenttype

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BACKGROUND: Rare locations of hernias, as well as primary ventral hernias under certain circumstances (cirrhosis, dialysis, rectus diastasis, subsequent pregnancy), might be technically challenging. The aim was to identify situations where the treatment strategy might deviate from routine management. METHODS: The guideline group consisted of surgeons from the European and Americas Hernia Societies. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used in formulating the recommendations. The Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists were used to evaluate the quality of full-text papers. A systematic literature search was performed on 1 May 2018 and updated 1 February 2019. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was followed. RESULTS: Literature was limited in quantity and quality. A majority of the recommendations were graded as weak, based on low quality of evidence. In patients with cirrhosis or on dialysis, a preperitoneal mesh repair is suggested. Subsequent pregnancy is a risk factor for recurrence. Repair should be postponed until after the last pregnancy. For patients with a concomitant rectus diastasis or those with a Spigelian or lumbar hernia, no recommendation could be made for treatment strategy owing to lack of evidence. CONCLUSION: This is the first European and American guideline on the treatment of umbilical and epigastric hernias in patients with special conditions, including Spigelian and lumbar hernias. All recommendations were weak owing to a lack of evidence. Further studies are needed on patients with rectus diastasis, Spigelian and lumbar hernias.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Kaufmann, R.Erasmus University Medical Center (author)
Simons, M. P.Onze Lieve Vrouwe Gasthuis (author)
Berrevoet, F.Ghent University Hospital (author)
East, B.Charles University in Prague,University Hospital Motol (author)
Fischer, J.Penn Presbyterian Medical Center (author)
Hope, W.New Hanover Regional Medical Center (author)
Klassen, D.Dalhousie University (author)
Lorenz, R.No affiliation available (private) (author)
Renard, Y.Robert Debré University Hospital (author)
Garcia Urena, M. A.Francisco de Vitoria University (author)
Montgomery, A.Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups(Swepub:lu)kir-amo (author)
Zealand University HospitalErasmus University Medical Center (creator_code:org_t)
The European Hernia Society and the Americas Hernia Society

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In:BJS Open: Oxford University Press (OUP)4:2, s. 342-3532474-9842

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By the author/editor: Henriksen, N. A.; Kaufmann, R.; Simons, M. P.; Berrevoet, F.; East, B.; Fischer, J.; show more...; Hope, W.; Klassen, D.; Lorenz, R.; Renard, Y.; Garcia Urena, M. ...; Montgomery, A.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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By the university: Lund University

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