Paper Search Console

Home Search Page About Contact

Journal Title

Title of Journal: Hernia

Search In Journal Title:

Abbravation: Hernia

Search In Journal Abbravation:

Publisher

Springer Paris

Search In Publisher:

DOI

10.1007/978-3-319-15063-5_16

Search In DOI:

ISSN

1248-9204

Search In ISSN:
Search In Title Of Papers:

Watchful waiting as a treatment strategy for patie

Authors: D Kokotovic H Sjølander I Gögenur F Helgstrand
Publish Date: 2016/02/02
Volume: 20, Issue: 2, Pages: 281-287
PDF Link

Abstract

Due to risks of postoperative morbidity and recurrence some patients with a ventral hernia are not offered surgical repair There is limited data on the rate and consequences of a watchful waiting WW strategy for these patients The objective of this cohort study was to analyse outcomes for patients with a ventral hernia who underwent watchful waiting in terms of later requirement for hernia repairAll patients ≥18 years electively referred to our outpatient clinic from 1 January 2009 to 1 July 2014 with incisional umbilical or epigastric hernia were included Information on patient characteristics and whether patients underwent WW or surgery was obtained from hospital files and the Danish National Patient Register A 100  followup was obtainedThe analyses comprised 569 patients with incisional hernia WW = 581  and 789 patients with umbilical/epigastric hernia WW = 432  Kaplan–Meier analyses estimated that the probability for patients who underwent watchful waiting to receive later surgical repair was 19  for incisional hernias and 16  for umbilical/epigastric hernias after 5 years The probability of requiring emergency repair when in the WW group was 4  for both incisional and umbilical/epigastric hernias after 5 years There were no significant differences in 30day readmission reoperation or mortality rates between the WW patients who later underwent elective hernia repair and patients who were initially offered surgery p  005 for both incisional and umbilical/epigastric herniasThe study was partly funded by a private foundation “Edgar Schnohr and wife Gilberte Schnohr’s foundation” which is established to support independent surgical and anesthesiological research The foundation had no influence on design and conduct of the study nor collection management analysis and interpretation of the data Furthermore the foundation had no influence on preparation review or approval of the manuscript and on the decision to submit the manuscript for publicationThe study was partly funded by a private foundation “Edgar Schnohr and wife Gilberte Schnohr’s foundation” which is established to support independent surgical and anesthesiological research The foundation had no influence on design and conduct of the study nor collection management analysis and interpretation of the data Furthermore the foundation had no influence on preparation review or approval of the manuscript and on the decision to submit the manuscript for publication


Keywords:

References


.
Search In Abstract Of Papers:
Other Papers In This Journal:

  1. Classification of groin hernia: Milestones
  2. Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
  3. A comparison of Progrip ® and Adhesix ® self-adhering hernia meshes in an onlay model in the rat
  4. Comparison of Permacol™ and Strattice™ for the repair of abdominal wall defects
  5. Archaic terms and dogmas impeding care of abdominal and pelvic herniation
  6. Laparoscopic management of urachal cyst associated with umbilical hernia
  7. Inguinal hernia is a common complication in lower midline incision surgery
  8. Incisional hernia in patients at risk: can it be prevented?
  9. Groin hernia repair in young males: mesh or sutured repair?
  10. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
  11. Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen
  12. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN
  13. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia
  14. De Garengeot’s hernia: the importance of early diagnosis and its complications
  15. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
  16. Genetic analysis of the TBX2 gene promoter in indirect inguinal hernia
  17. Prognostic value of age for chronic postoperative inguinal pain
  18. Operation Hernia to Ghana
  19. Schley’s inguinal hernia repair: a single unit’s experience of a forgotten technique
  20. Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings
  21. Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis
  22. Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair
  23. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data
  24. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP)
  25. An evaluation of hernia education in surgical residency programs
  26. Irreducible inguinal hernia due to crossed testicular ectopia in an infant
  27. New Editor-in-Chief
  28. New Editor-in-Chief
  29. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients
  30. Tissue expanders: early experience of a novel treatment option for perineal herniation
  31. What happens to the rectus abdominus fascia after laparoscopic ventral hernia repair?
  32. Abdominoscrotal hydrocele in a 9-month old infant
  33. Creation of a novel risk score for surgical site infection and occurrence after ventral hernia repair
  34. Are there any predictive factors of metachronous inguinal hernias in children with unilateral inguinal hernia?
  35. Letter to the editor
  36. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields
  37. Epigastric hernia and its etiology
  38. Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?
  39. Evaluation of crosslinked and non-crosslinked biologic prostheses for abdominal hernia repair

Search Result: