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Guidelines for trea...
Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society
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- Henriksen, N. A. (author)
- Zealand University Hospital
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- Montgomery, A. (author)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital
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- Kaufmann, R. (author)
- Erasmus University Medical Center
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- Berrevoet, F. (author)
- Ghent University Hospital
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- East, B. (author)
- University Hospital Motol
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- Fischer, J. (author)
- Penn Presbyterian Medical Center
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- Hope, W. (author)
- New Hanover Regional Medical Center
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- Klassen, D. (author)
- Dalhousie University
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- Lorenz, R. (author)
- Praxis 3+ Chirurgen
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- Renard, Y. (author)
- Robert Debré University Hospital
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- Garcia Urena, M. A. (author)
- Francisco de Vitoria University
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- Simons, M. P. (author)
- Onze Lieve Vrouwe Gasthuis
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(creator_code:org_t)
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- 2020-01-09
- 2020
- English 20 s.
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In: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 107:3, s. 171-190
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Abstract
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- Background: Umbilical and epigastric hernia repairs are frequently performed surgical procedures with an expected low complication rate. Nevertheless, the optimal method of repair with best short- and long-term outcomes remains debatable. The aim was to develop guidelines for the treatment of umbilical and epigastric hernias. Methods: The guideline group consisted of surgeons from Europe and North America including members from the European Hernia Society and the Americas Hernia Society. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, the Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists, and the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument were used. A systematic literature search was done on 1 May 2018, and updated on 1 February 2019. Results: Literature reporting specifically on umbilical and epigastric hernias was limited in quantity and quality, resulting in a majority of the recommendations being graded as weak, based on low-quality evidence. The main recommendation was to use mesh for repair of umbilical and epigastric hernias to reduce the recurrence rate. Most umbilical and epigastric hernias may be repaired by an open approach with a preperitoneal flat mesh. A laparoscopic approach may be considered if the hernia defect is large, or if the patient has an increased risk of wound morbidity. Conclusion: This is the first European and American guideline on the treatment of umbilical and epigastric hernias. It is recommended that symptomatic umbilical and epigastric hernias are repaired by an open approach with a preperitoneal flat mesh.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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- By the author/editor
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Henriksen, N. A.
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Montgomery, A.
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Kaufmann, R.
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Berrevoet, F.
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East, B.
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Fischer, J.
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show more...
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Hope, W.
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Klassen, D.
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Lorenz, R.
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Renard, Y.
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Garcia Urena, M. ...
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Simons, M. P.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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British Journal ...
- By the university
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Lund University