Conventional versus endoscopic components separation technique: New anthropometric calculation for selection of surgical approach

Autor: Mehmet Fatih Can, Oguz Hancerliogullari, Yaşar Subutay Peker, Sezai Demirbas
Přispěvatelé: TOBB ETÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, TOBB ETU, Faculty of Medicine, Department of Surgical Sciences, Demirbaş, Sezai
Rok vydání: 2019
Předmět:
Adult
Male
Gülhane index for components separation
Components separation index
components separation technique
giant ventral incisional hernia
Gülhane index for components separation
giant ventral incisional hernia
Separation (statistics)
Gulhane index for components separation
Article
Young Adult
Postoperative Complications
Components separation index
Humans
Incisional Hernia
Medicine
In patient
Hernia
Prospective Studies
Herniorrhaphy
Aged
Aged
80 and over
Body surface area
Surgical approach
business.industry
Significant difference
Endoscopy
components separation technique
General Medicine
Middle Aged
Anthropometry
medicine.disease
Hernia
Ventral
Prosthetic material
Female
ABDOMINAL-WALL RECONSTRUCTION
VENTRAL HERNIA REPAIR
WOUND COMPLICATIONS
OUTCOMES
CLOSURE
business
Nuclear medicine
human activities
Zdroj: Turkish Journal of Medical Sciences
Volume: 49, Issue: 4 1109-1116
ISSN: 1303-6165
1300-0144
DOI: 10.3906/sag-1708-112
Popis: Background/aim: Giant ventral incisional hernias (GVIHs) are hard to manage for surgeons. This problem was resolved in 1990 with the components separation technique (CST). We aimed to compare endoscopic and conventional CST for GVIHs and find a new anthropometric calculation.Materials and methods: In this prospective nonrandomized clinical trial, 21 patients were treated with endoscopic or conventional CST between 2012 and 2016. Eight patients (38.1%) were operated endoscopically and 13 (61.9%) conventionally on the basis of preoperative tomography results, hernia surface area (HSA), number of recent abdominal operations, comorbidities, and the presence or history of ostomy. Groups in which prosthetic material was applied were also compared with groups in which it was not.Results: There was no statistically significant difference between endoscopic and conventional CST groups in terms of complications. A weakly statistically significant difference (P = 0.069) was found between the components separation index (CSI) of mesh-applied and not-applied patients. HSA/body surface area (BSA) was statistically significantly different between endoscopic and conventional CST groups.Conclusion: According to our results, HSA/BSA and CSI are statistically successful for preoperative prediction of mesh placement. Furthermore, HSA/BSA preoperatively successfully predicts whether conventional or endoscopic CST should be used in patients with GVIH.
Databáze: OpenAIRE
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