Classification of primary and incisional abdominal wall hernias

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, M Hidalgo Pascual, A Hoeferlin, U Klinge, A Montgomery, R K J Simmermacher, M P Simons, M Smietański, C Sommeling, T Tollens, T Vierendeels, A Kingsnorth, 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, M Hidalgo Pascual, A Hoeferlin, U Klinge, A Montgomery, R K J Simmermacher, M P Simons, M Smietański, C Sommeling, T Tollens, T Vierendeels, A Kingsnorth

Abstract

Purpose: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Figures

Fig. 1
Fig. 1
To classify midline incisional hernias between the two lateral margins of the rectus muscle sheaths, five zones were defined
Fig. 2
Fig. 2
To classify lateral incisional hernias, four zones lateral of the rectus muscle sheaths were defined
Fig. 3
Fig. 3
Definition of the width and the length of incisional hernias for single hernia defects and multiple hernia defects

References

    1. Inauguration speech of the new president of the European Hernia Society, Andrew Kingsnorth, at the 29th International Congress of the European Hernia Society, 6 May 2007, Athens, Greece
    1. None
    2. Schumpelick V (2000) Narbenhernie. In: Schumpelick V (ed) Hernien. Thieme, Stuttgart, pp 266–269
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/BF01230581', 'is_inner': False, 'url': 'https://doi.org/10.1007/bf01230581'}]}
    2. Chevrel JP, Rath AM (2000) Classification of incisional hernias of the abdominal wall. Hernia 4:7–11
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/s004230000182', 'is_inner': False, 'url': 'https://doi.org/10.1007/s004230000182'}, {'type': 'PubMed', 'value': '11405092', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/11405092/'}]}
    2. Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, Corcione F, Fingerhut A, Flament JB, Kux M, Matzinger A, Myrvold HE, Rath AM, Simmermacher RK (2001) Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch Surg 386:65–73
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/j.bjps.2006.10.010', 'is_inner': False, 'url': 'https://doi.org/10.1016/j.bjps.2006.10.010'}, {'type': 'PubMed', 'value': '17349593', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/17349593/'}]}
    2. Dietz UA, Hamelmann W, Winkler MS, Debus ES, Malafaia O, Czeczko NG, Thiede A, Kuhfuβ I (2007) J Plast Reconstr Aesthet Surg 60(4):383–388
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/s10029-005-0016-8', 'is_inner': False, 'url': 'https://doi.org/10.1007/s10029-005-0016-8'}, {'type': 'PubMed', 'value': '16172802', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/16172802/'}]}
    2. Ammaturo C, Bassi G (2005) The ratio between anterior abdominal wall surface/wall defect surface: a new parameter to classify abdominal incisional hernias. Hernia 9:316–321
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/s10029-007-0198-3', 'is_inner': False, 'url': 'https://doi.org/10.1007/s10029-007-0198-3'}, {'type': 'PubMed', 'value': '17353992', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/17353992/'}]}
    2. Miserez M et al (2007) The European hernia society groin hernia classification: simple and easy to remember. Hernia 11(2):113–116

Source: PubMed

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