What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Sara Capoccia Giovannini¹, Mauro Podda², Sonia Ribas³, Giulia Montori⁴, Emanuele Botteri⁵, Ferdinando Agresta⁴, Alberto Sartori⁶, Hana Chàrvàtova⁷, Alberto Aiolfi⁸, Stavros A Antoniou⁹, Catherine Arvieux¹⁰, Frederik Berrevoet¹¹, Marja A Boermeester¹², Giampiero Campanelli¹³, Srinivas Chintapatla¹⁴, Mette Willaume Christoffersen¹⁵, Ursula Dahlstrand^{16

17}, Hanna De la Croix¹⁸, Ulrich A Dietz¹⁹, Antonio Ferreira²⁰, Renè H Fortenly²¹, Christine Gaarder²², Miguel Angel Garcia Urena²³, Hakan Gok²⁴, Pilar Hernández-Granados²⁵, Barbora Jisova²⁶, Orest Laver²⁷, Orest Lerchuk²⁸, Manuel Lopez-Cano^{29

30}, Manuel Mega³¹, Kryspin Mitura³², Filip Muysoms³³, Andrè Oliva³⁴, Monica Ortenzi³⁵, Ulf Petersson^{36

37}, Micaela Piccoli³⁸, Victor G Radu³⁹, Yohann Renard⁴⁰, Peder Rogmark⁴¹, Danny Rosin⁴², Ana Senent-Boza⁴³, Maarten Simons⁴⁴, Dominic Slade⁴⁵, Neil Smart⁴⁶, Stella R Smith⁴⁷, Cesare Stabilini¹, Alexis Theodorou^{48

49}, Jared Torkington⁵⁰, Jaanna Vironen⁵¹, Guido Woeste⁵², Andrew De Beaux⁵³, Barbora East²⁶

Affiliations

¹ Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
² Department of Surgical Science, University of Cagliari, Cagliari, Italy.
³ Department of General Surgery, Centro Hospitalar Póvoa de Varzim-Vila do Conde, Póvoa de Varzim, Portugal.
⁴ General Surgery Department, Azienda ULSS2 'Trevigiana', Hospital Vittorio Veneto, Treviso, Italy.
⁵ Department of General Surgery, ASST Spedali Civili Brescia PO, Montichiari, Brescia, Italy.
⁶ Department of General Surgery, San Valentino Hospital, Montebelluna, Treviso, Italy.
⁷ Faculty of Applied Informatics, Tomas Bata University in Zlín, Zlín, Czech Republic.
⁸ Department of General Surgery, RCCS Ospedale Galeazzi-Sant'Ambrogio, University of Milan, Milan, Italy.
⁹ Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece.
¹⁰ Department of Surgery, University Hospital Grenoble-Alpes, France.
¹¹ Department of General and Hepatobiliary Surgery and Liver Transplantation Service, University Hospital Medical School, Ghent, Belgium.
¹² Amsterdam UMC, University of Amsterdam, Department of Surgery, Amsterdam, the Netherlands.
¹³ Department of Abdominal Wall Surgery, University of Insubria, Ospedale Galeazzi Sant' Ambrogio, Milan, Italy.
¹⁴ Department of Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
¹⁵ Digestive Disease Centre, Bispebjerg University Hospital, Copenhagen, Denmark.
¹⁶ Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
¹⁷ Department of Surgery, Enköping Hospital, Enköping, Sweden.
¹⁸ Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
¹⁹ Department of Visceral, Vascular and Thoracic Surgery, Cantonal Hospital Olten, Olten, Switzerland.
²⁰ General Surgery Unit, Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal.
²¹ General Surgery Unit, Medical Faculty Sigmund Freud Private University, Vienna, Austria.
²² Department of Traumatology, University Hospital, Oslo University Hospital Ullevål, Oslo, Norway.
²³ Grupo de Investigación de Pared Abdominal Compleja, Universidad Francisco de Vitoria Hospital Universitario del Henares Carretera Pozuelo-Majadahonda, Madrid, Spain.
²⁴ Hernia Istanbul®, Comprehensive Hernia Centre, Istanbul, Turkey.
²⁵ General Surgery Unit, Hospital Universitario Fundación Alcorcón, Rey Juan Carlos University, Alcorcón, Spain.
²⁶ Third Department of Surgery, First Medical Faculty of Charles University, Motol University Hospital, Prague, Czech Republic.
²⁷ General Surgery Department, Uzhhorod City Central Clinical Hospital, Uzhhorod, National University Uzhhorod, Ukraine.
²⁸ Department of General and Endocrine Surgery, Lviv Regional Clinical Hospital, Lviv Danylo Halytsky National Medical University, Lviv, Ukraine.
²⁹ Abdominal Wall Surgery Unit, University Hospital Vall d´Hebrón, Barcelona, Spain.
³⁰ Universidad Autónoma de Barcelona (UAB), Barcelona, Spain.
³¹ Abdominal Wall Unit, Department of General Surgery, Local Health Unit of Castel Branco, Castel Branco, Portugal.
³² University of Natural Sciences and Humanities in Siedlce, Siedlce, Masovian Voivodeship, Poland.
³³ Department of Abdominal Wall Surgery, AZ Maria Middelares, Ghent, Belgium.
³⁴ Department of General Surgery, Coimbra University Hospital, Coimbra, Portugal.
³⁵ Department of General and Emergency Surgery, Università Politecnica delle Marche, Ancona, Italy.
³⁶ Department of Surgery, Skane University Hospital, Malmö, Sweden.
³⁷ Department for Clinical Sciences Malmö, Lund University, Malmö, Sweden.
³⁸ General Surgery Unit, Civil Hospital of Baggiovara Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
³⁹ Department of General Surgery, Life Memorial Hospital-Medlife Bucharest, Romania.
⁴⁰ University of Reims Champagne Ardenne, France, Unit of Visceral Surgery, Robert Debre University Hospital, Reims, France.
⁴¹ Department of Clinical Sciences, Lund University, Malmö, Sweden.
⁴² Sheba Medical Centre, University of Tel Aviv, Tel Aviv, Israel.
⁴³ Department of General and Digestive Surgery, Virgen del Rocío University Hospital, Seville, Spain.
⁴⁴ Department of Surgery, OLVG Hospital Amsterdam, Amsterdam, the Netherlands.
⁴⁵ Department of General Surgery, Salford Royal Hospital, Salford, UK.
⁴⁶ Department of Gastrointestinal Surgery, Royal Devon and Exeter Hospital, Exeter, UK.
⁴⁷ General and Colorectal Surgery, Manchester Royal Infirmary, Manchester Foundation Trust, Manchester, UK.
⁴⁸ First Surgical Unit, Hygeia Hospital, Athens, Greece.
⁴⁹ Department of Surgery, Aretaieio University Hospital, Athens, Greece.
⁵⁰ Department of General Surgery, University Hospital of Wales, Cardiff, UK.
⁵¹ Abdominal Centre, Helsinki University Hospital, Helsinki University, Helsinki, Finland.
⁵² Department of General and Visceral Surgery, Agaplesion Elisabethenstift, Darmstadt, Germany.
⁵³ Department of General Surgery, Spire Murrayfield Hospital, Edinburgh, UK.

PMID: 37897716
DOI: 10.1093/bjs/znad346

Comment

What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Sara Capoccia Giovannini et al. Br J Surg. 2024.

. 2024 Jan 3;111(1):znad346.

doi: 10.1093/bjs/znad346.

Authors

Affiliations

¹ Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
² Department of Surgical Science, University of Cagliari, Cagliari, Italy.
³ Department of General Surgery, Centro Hospitalar Póvoa de Varzim-Vila do Conde, Póvoa de Varzim, Portugal.
⁴ General Surgery Department, Azienda ULSS2 'Trevigiana', Hospital Vittorio Veneto, Treviso, Italy.
⁵ Department of General Surgery, ASST Spedali Civili Brescia PO, Montichiari, Brescia, Italy.
⁶ Department of General Surgery, San Valentino Hospital, Montebelluna, Treviso, Italy.
⁷ Faculty of Applied Informatics, Tomas Bata University in Zlín, Zlín, Czech Republic.
⁸ Department of General Surgery, RCCS Ospedale Galeazzi-Sant'Ambrogio, University of Milan, Milan, Italy.
⁹ Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece.
¹⁰ Department of Surgery, University Hospital Grenoble-Alpes, France.
¹¹ Department of General and Hepatobiliary Surgery and Liver Transplantation Service, University Hospital Medical School, Ghent, Belgium.
¹² Amsterdam UMC, University of Amsterdam, Department of Surgery, Amsterdam, the Netherlands.
¹³ Department of Abdominal Wall Surgery, University of Insubria, Ospedale Galeazzi Sant' Ambrogio, Milan, Italy.
¹⁴ Department of Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
¹⁵ Digestive Disease Centre, Bispebjerg University Hospital, Copenhagen, Denmark.
¹⁶ Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
¹⁷ Department of Surgery, Enköping Hospital, Enköping, Sweden.
¹⁸ Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
¹⁹ Department of Visceral, Vascular and Thoracic Surgery, Cantonal Hospital Olten, Olten, Switzerland.
²⁰ General Surgery Unit, Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal.
²¹ General Surgery Unit, Medical Faculty Sigmund Freud Private University, Vienna, Austria.
²² Department of Traumatology, University Hospital, Oslo University Hospital Ullevål, Oslo, Norway.
²³ Grupo de Investigación de Pared Abdominal Compleja, Universidad Francisco de Vitoria Hospital Universitario del Henares Carretera Pozuelo-Majadahonda, Madrid, Spain.
²⁴ Hernia Istanbul®, Comprehensive Hernia Centre, Istanbul, Turkey.
²⁵ General Surgery Unit, Hospital Universitario Fundación Alcorcón, Rey Juan Carlos University, Alcorcón, Spain.
²⁶ Third Department of Surgery, First Medical Faculty of Charles University, Motol University Hospital, Prague, Czech Republic.
²⁷ General Surgery Department, Uzhhorod City Central Clinical Hospital, Uzhhorod, National University Uzhhorod, Ukraine.
²⁸ Department of General and Endocrine Surgery, Lviv Regional Clinical Hospital, Lviv Danylo Halytsky National Medical University, Lviv, Ukraine.
²⁹ Abdominal Wall Surgery Unit, University Hospital Vall d´Hebrón, Barcelona, Spain.
³⁰ Universidad Autónoma de Barcelona (UAB), Barcelona, Spain.
³¹ Abdominal Wall Unit, Department of General Surgery, Local Health Unit of Castel Branco, Castel Branco, Portugal.
³² University of Natural Sciences and Humanities in Siedlce, Siedlce, Masovian Voivodeship, Poland.
³³ Department of Abdominal Wall Surgery, AZ Maria Middelares, Ghent, Belgium.
³⁴ Department of General Surgery, Coimbra University Hospital, Coimbra, Portugal.
³⁵ Department of General and Emergency Surgery, Università Politecnica delle Marche, Ancona, Italy.
³⁶ Department of Surgery, Skane University Hospital, Malmö, Sweden.
³⁷ Department for Clinical Sciences Malmö, Lund University, Malmö, Sweden.
³⁸ General Surgery Unit, Civil Hospital of Baggiovara Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
³⁹ Department of General Surgery, Life Memorial Hospital-Medlife Bucharest, Romania.
⁴⁰ University of Reims Champagne Ardenne, France, Unit of Visceral Surgery, Robert Debre University Hospital, Reims, France.
⁴¹ Department of Clinical Sciences, Lund University, Malmö, Sweden.
⁴² Sheba Medical Centre, University of Tel Aviv, Tel Aviv, Israel.
⁴³ Department of General and Digestive Surgery, Virgen del Rocío University Hospital, Seville, Spain.
⁴⁴ Department of Surgery, OLVG Hospital Amsterdam, Amsterdam, the Netherlands.
⁴⁵ Department of General Surgery, Salford Royal Hospital, Salford, UK.
⁴⁶ Department of Gastrointestinal Surgery, Royal Devon and Exeter Hospital, Exeter, UK.
⁴⁷ General and Colorectal Surgery, Manchester Royal Infirmary, Manchester Foundation Trust, Manchester, UK.
⁴⁸ First Surgical Unit, Hygeia Hospital, Athens, Greece.
⁴⁹ Department of Surgery, Aretaieio University Hospital, Athens, Greece.
⁵⁰ Department of General Surgery, University Hospital of Wales, Cardiff, UK.
⁵¹ Abdominal Centre, Helsinki University Hospital, Helsinki University, Helsinki, Finland.
⁵² Department of General and Visceral Surgery, Agaplesion Elisabethenstift, Darmstadt, Germany.
⁵³ Department of General Surgery, Spire Murrayfield Hospital, Edinburgh, UK.

PMID: 37897716
DOI: 10.1093/bjs/znad346

Erratum in

Correction to: What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS).
[No authors listed] [No authors listed] Br J Surg. 2024 Jan 3;111(1):znad415. doi: 10.1093/bjs/znad415. Br J Surg. 2024. PMID: 38092460 No abstract available.

No abstract available

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Criteria for definition of a complex abdominal wall hernia.
Slater NJ, Montgomery A, Berrevoet F, Carbonell AM, Chang A, Franklin M, Kercher KW, Lammers BJ, Parra-Davilla E, Roll S, Towfigh S, van Geffen E, Conze J, van Goor H. Slater NJ, et al. Hernia. 2014 Feb;18(1):7-17. doi: 10.1007/s10029-013-1168-6. Epub 2013 Oct 23. Hernia. 2014. PMID: 24150721

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What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Affiliations

What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Authors

Affiliations

Erratum in

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