What question did this study set out to answer?

To establish expert consensus on evidence-based best practices and clinical guidelines for the management of ventral hernias.

March 19, 2016Annals of Surgery

Ventral Hernia Management

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To establish expert consensus on evidence-based best practices and clinical guidelines for the management of ventral hernias.
A systematic literature review identified the highest available level of evidence across clinical topics in ventral hernia care.
An assembled expert panel of hernia surgeons performed evidence reviews, completed email questionnaires, and conducted iterative voting, defining consensus as 100% agreement.
Complications after ventral hernia repair increase significantly in obese patients (Grade A), active smokers (Grade A), and individuals with HbA1C ≥ 6.5% (Grade B).
Elective repair is not recommended for patients with BMI ≥ 50 kg/m² (Grade C), active smokers (Grade A), or patients with HbA1C ≥ 8.0% (Grade B), whereas mesh reinforcement is recommended for defects ≥ 2 cm (Grade A).
Short-term nonoperative management demonstrates low morbidity (Grade C), but insufficient high-grade evidence precluded consensus on mesh selection, component separation techniques, or complex cases.

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Implication

Consensus panel establishes surgical criteria and risk thresholds for ventral hernia repair, highlighting the necessity of smoking cessation and glycemic control before elective surgery.

Cite This Study

Liang et al. (2016) studied this question.

synapsesocial.com/papers/6a89252cccf6b39be57b56b7 https://doi.org/10.1097/sla.0000000000001701

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Implication

Consensus panel establishes surgical criteria and risk thresholds for ventral hernia repair, highlighting the necessity of smoking cessation and glycemic control before elective surgery.

Ventral Hernia Management

Key Points

Discussion

Implication

Cite This Study

Ventral Hernia Management

Key Points

Discussion

Implication

Cite This Study

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