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Classification of primary and incisional abdominal wall hernias.

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A - Hernia (2009)

Bottom Line: It is important to know whether the populations described in different studies are comparable.Further data are needed to define the optimal size variable for classification of incisional hernias in order to distinguish subgroups with differences in outcome.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, AZ Maria Middelares, Kortrijksesteenweg 1026, Ghent 9000, Belgium. filip.muysoms@azmmsj.be

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.

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Related in: MedlinePlus

To classify midline incisional hernias between the two lateral margins of the rectus muscle sheaths, five zones were defined
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Fig1: To classify midline incisional hernias between the two lateral margins of the rectus muscle sheaths, five zones were defined

Mentions: The Chevrel classification uses three midline zones [3]. Our group agreed that hernias close to bony structures have separate subgroups. They pose specific therapeutic approaches and have an increased recurrence risk. An easily memorable classification from M1 to M5 going from the xiphoid to pubic bone was proposed (Fig. 1). Therefore, we define 5 M zones:Fig. 1


Classification of primary and incisional abdominal wall hernias.

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A - Hernia (2009)

To classify midline incisional hernias between the two lateral margins of the rectus muscle sheaths, five zones were defined
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2719726&req=5

Fig1: To classify midline incisional hernias between the two lateral margins of the rectus muscle sheaths, five zones were defined
Mentions: The Chevrel classification uses three midline zones [3]. Our group agreed that hernias close to bony structures have separate subgroups. They pose specific therapeutic approaches and have an increased recurrence risk. An easily memorable classification from M1 to M5 going from the xiphoid to pubic bone was proposed (Fig. 1). Therefore, we define 5 M zones:Fig. 1

Bottom Line: It is important to know whether the populations described in different studies are comparable.Further data are needed to define the optimal size variable for classification of incisional hernias in order to distinguish subgroups with differences in outcome.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, AZ Maria Middelares, Kortrijksesteenweg 1026, Ghent 9000, Belgium. filip.muysoms@azmmsj.be

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.

Show MeSH
Related in: MedlinePlus