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. 2023 Nov 9;110(12):1732-1768.
doi: 10.1093/bjs/znad284.

Midline incisional hernia guidelines: the European Hernia Society

David L Sanders  1   2 , Maciej M Pawlak  1   2 , Maarten P Simons  3 , Theo Aufenacker  4 , Andrea Balla  5 , Cigdem Berger  6 , Frederik Berrevoet  7 , Andrew C de Beaux  8 , Barbora East  9 , Nadia A Henriksen  10 , Miloslav Klugar  11 , Alena Langaufová  12 , Marc Miserez  13 , Salvador Morales-Conde  14 , Agneta Montgomery  15   16 , Patrik K Pettersson  15   16 , Wolfgang Reinpold  6 , Yohann Renard  17 , Simona Slezáková  11 , Thomas Whitehead-Clarke  18 , Cesare Stabilini  19   20
Affiliations

Midline incisional hernia guidelines: the European Hernia Society

David L Sanders et al. Br J Surg. .

Erratum in

No abstract available

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Figures

Fig. 1
Fig. 1
PRISMA flow diagram for Key Question 1
Fig. 2
Fig. 2
Forest plot: diabetes as a risk factor for incisional hernia
Fig. 3
Fig. 3
Forest plot: smoking as a risk factor for incisional hernia
Fig. 4
Fig. 4
Forest plot: immunosuppression as a risk factor for incisional hernia
Fig. 5
Fig. 5
Forest plot: type of incision as a risk factor for incisional hernia
Fig. 6
Fig. 6
Forest plot: single incision laparoscopic surgery as a risk factor for incisional hernia SILS, single incision laparoscopic surgery; CLS, conventional laparoscopic surgery.
Fig. 7
Fig. 7
Forest plot: surgical site infection as a risk factor for incisional hernia SSI, surgical site infection.
Fig. 8
Fig. 8
PRISMA flow diagram for Key Question 2
Fig. 9
Fig. 9
Forest plot: diagnostic accuracy of physical examination compared with ultrasound TP, true positives; FP, false positives; FN, false negatives; TN, true negatives.
Fig. 10
Fig. 10
Forest plot: diagnostic accuracy of physical examination compared with CT TP, true positives; FP, false positives; FN, false negatives; TN, true negatives.
Fig. 11
Fig. 11
Summary receiver operating characteristic plot for different imaging modalities IH, incisional hernia.
Fig. 12
Fig. 12
PRISMA flow diagram for Key Question 3
Fig. 13
Fig. 13
PRISMA flow diagram for Key Question 4(a)
Fig. 14
Fig. 14
PRISMA flow diagram for Key Question 4(b)
Fig. 15
Fig. 15
PRISMA flow diagram for Key Question 5
Fig. 16
Fig. 16
PRISMA flow diagram for Key Question 6
Fig. 17
Fig. 17
Forest plot: mesh versus suture risk of recurrence
Fig. 18
Fig. 18
Forest plot: mesh versus suture risk of infection
Fig. 19
Fig. 19
Forest plot: mesh versus suture risk of haematoma
Fig. 20
Fig. 20
Forest plot: mesh versus suture risk of seroma
Fig. 21
Fig. 21
PRISMA flow diagram for Key Question 7
Fig. 22
Fig. 22
Forest plot: onlay versus retrorectus risk of recurrence
Fig. 23
Fig. 23
Forest plot: onlay versus retrorectus risk of seroma
Fig. 24
Fig. 24
PRISMA flow diagram for Key Question 8
Fig. 25
Fig. 25
Forest plot: retrorectus versus IntraPeritoneal Onlay Mesh (IPOM) risk of recurrence PP, pre-peritoneal; RR, retrorectus.
Fig. 26
Fig. 26
Forest plot: retrorectus versus IntraPeritoneal Onlay Mesh (IPOM) risk of surgical site infection
Fig. 27
Fig. 27
PRISMA flow diagram for Key Question 9
Fig. 28
Fig. 28
Forest plot: fascial closure versus bridging risk of recurrence
Fig. 29
Fig. 29
Forest plot: fascial closure versus bridging risk of seroma and haematoma
Fig. 30
Fig. 30
PRISMA flow diagram for Key Question 10
Fig. 31
Fig. 31
PRISMA flow diagram for Key Question 11
Fig. 32
Fig. 32
PRISMA flow diagram for Key Question 12
Fig. 33
Fig. 33
Forest plot: antibiotic prophylaxis versus no antibiotic prophylaxis risk of infection
Fig. 34
Fig. 34
PRISMA flow diagram for Key Question 13
See this image and copyright information in PMC

References

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    1. Claes K, Beckers R, Heindryckx E, Kyle-Leinhase I, Pletinckx P, Claeys Det al. Retrospective observational study on the incidence of incisional hernias after colorectal carcinoma resection with follow-up CT scan. Hernia 2014;18:797–802 - PubMed
    1. den Hartog D, Dur AHM, Kamphuis AGA, Tuinebreijer WE, Kreis RW. Comparison of ultrasonography with computed tomography in the diagnosis of incisional hernias. Hernia 2009;13:45–48 - PubMed
    1. Diener MK, Voss S, Jensen K, Buchler MW, Seiler CM. Elective midline laparotomy closure: the INLINE systematic review and meta-analysis. Ann Surg 2010;251:843–856 - PubMed
    1. Fink C, Baumann P, Wente MN, Knebel P, Bruckner T, Ulrich Aet al. Incisional hernia rate 3 years after midline laparotomy. Br J Surg 2014;101:51–54 - PubMed