ArticleHernia : the journal of hernias and abdominal wall surgery2017
Substantial variation among hernia experts in the decision for treatment of patients with incisional hernia: a descriptive study on agreement.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Laparoscopic treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature.Updates in surgery · 2020Pooled it
- Deep learning in ventral hernia imaging: automated multi-structure CT segmentation for surgical planning.Journal of abdominal wall surgery : JAWS · 2026Article
- Mesh exposure after ventral hernia repair with onlay biosynthetic mesh: a retrospective review of associated risk factors and management strategies.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Variation of ventral and incisional hernia repairs in kidney transplant recipients.Surgical endoscopy · 2023Article
- Spigelian hernia: current approaches to surgical treatment-a review.Hernia : the journal of hernias and abdominal wall surgery · 2022Review
- Article
- The "Corset Repair" for Complex Hernia: A Proof-of-concept Report of an Innovative Approach.Plastic and reconstructive surgery. Global open · 2020Article
- Pain management in abdominal surgery.Langenbeck's archives of surgery · 2018Review
- Does coagulopathy, anticoagulant or antithrombotic therapy matter in incisional hernia repair? Data from the Herniamed Registry.Surgical endoscopy · 2018Article
- Long-term follow-up (at 5 years) of midline incisional hernia repairs using a primary closure and prosthetic onlay technique: recurrence and quality of life.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia.Turkish journal of surgery · 2018Article
- What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?Frontiers in surgery · 2018Article
- Risk-adjusted procedure tailoring leads to uniformly low complication rates in ventral and incisional hernia repair: a propensity score analysis and internal validation of classification criteria.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBenign elective procedures give rise to heterogeneity in indication for surgery and surgical technique among specialized surgeons in a variety of surgical fields. The objective was to analyze the extent of agreement in surgical management among expert hernia surgeons when evaluating the same patient in a standardized setting.
methodsFive Danish hernia experts answered questions concerning indication for surgery and surgical technique for 25 video recorded real-life clinical cases. The experts evaluated the patients by answering a standardized questionnaire.
resultsAll surgeons were experienced in incisional hernia repair with a median of 253 repairs (range 164-450 repairs). Perfect overall agreement among all the experts in indication, operation type, component separation, mesh fixation and mesh position was found in only five cases (20%). Agreement in indication for surgery was present in 14 cases (56%). The most common reason for not performing surgery was due to comorbidities. Agreement in operation type (open vs. laparoscopic) was present in 10 cases (40%). Agreement in mesh fixation (absorbable tacks/non-absorbable tacks/suture/other) method was also present in 10 cases (40%). Agreement in mesh position (onlay, sublay or intraperitoneal) was found in 40% of cases. The highest overall agreement among the surgeons was observed with regard to whether patients needed component separation (yes/no), 21 cases, (84%).
conclusionsIn a standardized setting, agreement in choice of treatment strategy for patients with incisional hernias was very low among experienced surgeons. A standardization of surgical decision making is desirable to develop new interventions and improve clinical outcomes.
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