ArticleHernia : the journal of hernias and abdominal wall surgery2021
A structured pathway for developing your complex abdominal hernia service: our York pathway.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Predictive factors for complexity in abdominal wall hernias: a literature scope review.Revista do Colegio Brasileiro de Cirurgioes · 2024Pooled it
- The volume-outcome relationship for incisional hernia repair: analysis of an administrative dataset for England.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Socioeconomic inequalities in patients undergoing abdominal wall reconstruction in the North-West of England, UK: a three-centre retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Component separation repair of incisional hernia: evolution of practice and review of long-term outcomes in a single center.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Separating the components of an abdominal wall fellowship.Annals of the Royal College of Surgeons of England · 2024Article
- The Impact of a Specialized Hernia Center and Standardized Practices on Surgical Outcomes in Hernia Surgery: A Systematic Review and Meta-Analysis.Journal of abdominal wall surgery : JAWS · 2024Review
- Article
- Impact of a multidisciplinary team discussion on planned ICU admissions after complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Gastrointestinal procedures and anastomoses can be safely performed during complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeClinical pathways are widely prevalent in health care and may be associated with increased clinical efficacy, improved patient care, streamlining of services, while providing clarity on patient management. Such pathways are well established in several branches of healthcare services but, to the authors' knowledge, not in complex abdominal wall reconstruction (CAWR). A stepwise, structured and comprehensive approach to managing complex abdominal wall hernia (CAWH) patients, which has been successfully implemented in our practice, is presented.
methodsA literature search of common databases including Embase® and MEDLINE® for CAWH pathways identified no comprehensive pathway. We therefore undertook a reiterative process to develop the York Abdominal Wall Unit (YAWU) through examination of current evidence and logic to produce a pragmatic redesign of our own pathway. Having introduced our pathway, we then performed a retrospective analysis of the complexity and number of abdominal wall cases performed in our trust over time.
resultsWe describe our pathway and demonstrate that the percentage of cases and their complexity, as defined by the VHWG classification, have increased over time in York Abdominal Wall Unit.
conclusionA structured pathway for complex abdominal wall hernia service is one way to improve patient experience and streamline services. The relevance of pathways for the hernia surgeon is discussed alongside this pathway. This may provide a useful guide to those wishing to establish similar personalised pathways within their own units and allow them to expand their service.
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