Laparoscopic treatment of ventral hernias: the Italian national guidelines.

Autor: Campanile FC; Division of General Surgery, ASL Viterbo, San Giovanni Decollato-Andosilla Hospital, Civita Castellana, Italy., Podda M; Department of Surgical Science, University of Cagliari, Cagliari, Italy., Pecchini F; Department of General Surgery, Emergency and New Technologies, Baggiovara General Hospital, AOU Modena, Modena, Italy., Inama M; General and Mininvasive Surgery Department, Pederzoli Hospital, Peschiera del Garda, Verona, Italy., Molfino S; General Surgery Unit Chirurgia III, ASST Spedali Civili di Brescia, Brescia, Italy., Bonino MA; Department of Surgery, Geneva University Hospitals, Geneva, Switzerland., Ortenzi M; Department of General and Emergency Surgery, Marche Polytechnic University, Via Conca 71, 60126, Ancona, Italy. monica.ortenzi@gmail.com., Silecchia G; Department of Medical-Surgical Sciences and Translation Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, S. Andrea Hospital, Rome, Italy., Agresta F; UOC Chirurgia Generale, Ospedale di Vittorio Veneto, Treviso, Italy., Cinquini M; Department of Oncology, Laboratory of Methodology of Sistematic Reviews and Guidelines Production, Istituto di Ricerche Farmacologiche Mario Negri IRCCS., Milan, Italy.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2023 Aug; Vol. 75 (5), pp. 1305-1336. Date of Electronic Publication: 2023 May 22.
DOI: 10.1007/s13304-023-01534-3
Abstrakt: Primary and incisional ventral hernias are significant public health issues for their prevalence, variability of professional practices, and high costs associated with the treatment In 2019, the Board of Directors of the Italian Society for Endoscopic Surgery (SICE) promoted the development of new guidelines on the laparoscopic treatment of ventral hernias, according to the new national regulation. In 2022, the guideline was accepted by the government agency, and it was published, in Italian, on the SNLG website. Here, we report the adopted methodology and the guideline's recommendations, as established in its diffusion policy. This guideline is produced according to the methodology indicated by the SNGL and applying the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) methodology. Fifteen recommendations were produced as a result of 4 PICO questions. The level of recommendation was conditional for 12 of them and conditional to moderate for one. This guideline's strengths include relying on an extensive systematic review of the literature and applying a rigorous GRADE method. It also has several limitations. The literature on the topic is continuously and rapidly evolving; our results are based on findings that need constant re-appraisal. It is focused only on minimally invasive techniques and cannot consider broader issues (e.g., diagnostics, indication for surgery, pre-habilitation).
(© 2023. The Author(s).)
Databáze: MEDLINE
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