-
F E Muysoms,
E B Deerenberg,
E Peeters,
F Agresta,
F Berrevoet,
G Campanelli,
W Ceelen,
G G Champault,
F Corcione,
D Cuccurullo, [......],
I Kyle-Leinhase,
F Köckerling,
V Mandala,
A Montgomery,
S Morales-Conde, R K J Simmermacher,
V Schumpelick,
M Smietański,
M Walgenbach,
M Miserez
[show abstract]
[hide abstract]
ABSTRACT: BACKGROUND: The literature dealing with abdominal wall surgery is often flawed due to lack of adherence to accepted reporting standards and statistical methodology. MATERIALS AND METHODS: The EuraHS Working Group (European Registry of Abdominal Wall Hernias) organised a consensus meeting of surgical experts and researchers with an interest in abdominal wall surgery, including a statistician, the editors of the journal Hernia and scientists experienced in meta-analysis. Detailed discussions took place to identify the basic ground rules necessary to improve the quality of research reports related to abdominal wall reconstruction. RESULTS: A list of recommendations was formulated including more general issues on the scientific methodology and statistical approach. Standards and statements are available, each depending on the type of study that is being reported: the CONSORT statement for the Randomised Controlled Trials, the TREND statement for non randomised interventional studies, the STROBE statement for observational studies, the STARLITE statement for literature searches, the MOOSE statement for metaanalyses of observational studies and the PRISMA statement for systematic reviews and meta-analyses. A number of recommendations were made, including the use of previously published standard definitions and classifications relating to hernia variables and treatment; the use of the validated Clavien-Dindo classification to report complications in hernia surgery; the use of "time-to-event analysis" to report data on "freedom-of-recurrence" rather than the use of recurrence rates, because it is more sensitive and accounts for the patients that are lost to follow-up compared with other reporting methods. CONCLUSION: A set of recommendations for reporting outcome results of abdominal wall surgery was formulated as guidance for researchers. It is anticipated that the use of these recommendations will increase the quality and meaning of abdominal wall surgery research.
Hernia 05/2013; · 1.84 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: - The European best practice guidelines on the treatment of inguinal hernia were published in 2009. Publications on this subject in international journals were updated in 2012.- In patients with asymptomatic inguinal hernia or with minimal symptoms, conservative treatment is safe, but they do need to be informed that the risk for undergoing surgery increases by nearly 10% a year. Conservative treatment is less useful in younger patients.- All adult men with symptomatic inguinal hernia need to undergo surgery. They should be treated with a technique in which a synthetic prosthesis (mesh) is used.- The Lichtenstein technique is advised for the open treatment of inguinal hernia, since this is the most thoroughly evaluated technique.- For endoscopic treatment, the European best practice guidelines advise the total extra-peritoneal technique.- Nowadays the focus in complications is on the prevention of postoperative chronic pain.
Nederlands tijdschrift voor geneeskunde 01/2013; 157(20):A5903.
-
F. E. Muysoms,
M. Miserez,
F. Berrevoet,
G. Campanelli,
G. G. Champault,
E. Chelala,
U. A. Dietz,
H. H. Eker,
I. El Nakadi,
P. Hauters, [......],
A. Hoeferlin,
U. Klinge,
A. Montgomery, R. K. J. Simmermacher,
M. P. Simons,
M. Śmietański,
C. Sommeling,
T. Tollens,
T. Vierendeels,
A. Kingsnorth
[show abstract]
[hide abstract]
ABSTRACT: PurposeA classification for primary and incisional abdominal wall hernias is needed to allow comparison of publications and future
studies on these hernias. It is important to know whether the populations described in different studies are comparable.
MethodsSeveral members of the EHS board and some invitees gathered for 2days to discuss the development of an EHS classification
for primary and incisional abdominal wall hernias.
ResultsTo distinguish primary and incisional abdominal wall hernias, a separate classification based on localisation and size as
the major risk factors was proposed. Further data are needed to define the optimal size variable for classification of incisional
hernias in order to distinguish subgroups with differences in outcome.
ConclusionsA classification for primary abdominal wall hernias and a division into subgroups for incisional abdominal wall hernias, concerning
the localisation of the hernia, was formulated.
Hernia 04/2012; 13(4):407-414. · 1.84 Impact Factor
-
F Muysoms,
G Campanelli,
G G Champault,
A C DeBeaux,
U A Dietz,
J Jeekel,
U Klinge,
F Köckerling,
V Mandala,
A Montgomery,
S Morales Conde,
F Puppe, R K J Simmermacher,
M Śmietański,
M Miserez
[show abstract]
[hide abstract]
ABSTRACT: Although the repair of ventral abdominal wall hernias is one of the most commonly performed operations, many aspects of their treatment are still under debate or poorly studied. In addition, there is a lack of good definitions and classifications that make the evaluation of studies and meta-analyses in this field of surgery difficult.
Under the auspices of the board of the European Hernia Society and following the previously published classifications on inguinal and on ventral hernias, a working group was formed to create an online platform for registration and outcome measurement of operations for ventral abdominal wall hernias. Development of such a registry involved reaching agreement about clear definitions and classifications on patient variables, surgical procedures and mesh materials used, as well as outcome parameters. The EuraHS working group (European registry for abdominal wall hernias) comprised of a multinational European expert panel with specific interest in abdominal wall hernias. Over five working group meetings, consensus was reached on definitions for the data to be recorded in the registry.
A set of well-described definitions was made. The previously reported EHS classifications of hernias will be used. Risk factors for recurrences and co-morbidities of patients were listed. A new severity of comorbidity score was defined. Post-operative complications were classified according to existing classifications as described for other fields of surgery. A new 3-dimensional numerical quality-of-life score, EuraHS-QoL score, was defined. An online platform is created based on the definitions and classifications, which can be used by individual surgeons, surgical teams or for multicentre studies. A EuraHS website is constructed with easy access to all the definitions, classifications and results from the database.
An online platform for registration and outcome measurement of abdominal wall hernia repairs with clear definitions and classifications is offered to the surgical community. It is hoped that this registry could lead to better evidence-based guidelines for treatment of abdominal wall hernias based on hernia variables, patient variables, available hernia repair materials and techniques.
Hernia 04/2012; 16(3):239-50. · 1.84 Impact Factor
-
M. Miserez,
J. H. Alexandre,
G. Campanelli,
F. Corcione,
D. Cuccurullo,
M. Hidalgo Pascual,
A. Hoeferlin,
A. N. Kingsnorth,
V. Mandala,
J. P. Palot,
V. Schumpelick, R. K. J. Simmermacher,
R. Stoppa,
J. B. Flament
[show abstract]
[hide abstract]
ABSTRACT: After reviewing the available classifications for groin hernias, the European Hernia Society (EHS) proposes an easy and simple
classification based on the Aachen classification. The EHS will promote the general and systematic use of this classification
for intraoperative description of the type of hernia and to increase the comparison of results in the literature.
Hernia 04/2012; 11(2):113-116. · 1.84 Impact Factor
-
F. E. Muysoms,
M Miserez,
F Berrevoet,
G Campanelli,
G. G. Champault,
E. Chelala,
U. A. Dietz,
H. H. Eker,
I. El Nakadi,
P Hauters, [......],
A. Hoeferlin,
U. Klinge,
A. Montgomery, R.K.J. Simmermacher,
M P Simons,
M. Smietanski,
C. Sommeling,
T. Tollens,
T. Vierendeels,
A Kingsnorth
[show abstract]
[hide abstract]
ABSTRACT: A classification for primary and incisional abdominal wall hernias is needed to allow comparison of publications and future studies on these hernias. It is important to know whether the populations described in different studies are comparable.
Several members of the EHS board and some invitees gathered for 2 days to discuss the development of an EHS classification for primary and incisional abdominal wall hernias.
To distinguish primary and incisional abdominal wall hernias, a separate classification based on localisation and size as the major risk factors was proposed. Further data are needed to define the optimal size variable for classification of incisional hernias in order to distinguish subgroups with differences in outcome.
A classification for primary abdominal wall hernias and a division into subgroups for incisional abdominal wall hernias, concerning the localisation of the hernia, was formulated.
Hernia 07/2009; · 1.84 Impact Factor
-
M Miserez,
J H Alexandre,
G Campanelli,
F Corcione,
D Cuccurullo,
M Hidalgo Pascual,
A Hoeferlin,
A N Kingsnorth,
V Mandala,
J P Palot,
V Schumpelick, R K J Simmermacher,
R Stoppa,
J B Flament
[show abstract]
[hide abstract]
ABSTRACT: After reviewing the available classifications for groin hernias, the European Hernia Society (EHS) proposes an easy and simple classification based on the Aachen classification. The EHS will promote the general and systematic use of this classification for intraoperative description of the type of hernia and to increase the comparison of results in the literature.
Hernia 05/2007; 11(2):113-6. · 1.84 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: In 2003 the Dutch Guidelines for treatment of inguinal hernia (IH) were published. For treatment of IH in adults, the evidence-based guidelines recommend the use of a mesh repair technique. In order to be able to evaluate the effects of these guidelines, a baseline analysis of inguinal hernia surgery before the introduction of these guidelines had to be performed. The second analysis will be performed two years (January-March 2005) after the publication of the Guidelines.
To make an inventory of IH surgery in the Netherlands, before the introduction of guidelines for IH treatment, to serve as a baseline for future evaluation of the impact of the implementation of these guidelines.
A retrospective descriptive study was performed in 2003 using patient and operation charts including IH repairs performed in The Netherlands over a three-month period (January-March 2001).
97/133 (73%) hospitals cooperated with the study, generating data from a total of 4386 IH in 3979 patients (3284 adults, 695 children). Mesh techniques were used in 2839 (78%) adult inguinal hernias while 800 (22%) patients were treated with non-mesh techniques. 484 (14.7%) adult patients were operated on during the study period for a recurrent hernia from previous years. Early recurrence (<1 year) occurred in 2.2% of all patients. Wound infection was documented in 0.8% of all IH. The mortality rate was 0.1%. 1257 of the 3284 (38.3%) adults, and 566 of the 695 children (81.4%), were operated on in ambulatory care.
In the episode prior to implementation of the Dutch evidence-based Guidelines for treatment of inguinal hernia, 2839 (78%) adult patients were treated with mesh repair and 484 (13.3%) patients were treated for a recurrent hernia.
Hernia 06/2005; 9(2):172-7. · 1.84 Impact Factor
-
-
H A Heij,
M.S.L. Liem,
M P Simons,
G L Beets,
H ten Cate,
D van Geldere,
P.M.N.Y.H. Go, R.K.J. Simmermacher,
C J van Steensel,
F.W.J. Hazelbroek,
N.M.A. Bax
-
-
-
