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Article ; Online: Endoscopic-assisted repair of combined ventral hernias and diastasis recti: minimizing seroma incidence by quilting.

Cossa, Jean-Pierre / Ngo, Philippe / Blum, Dominique / Pélissier, Edouard / Gillion, Jean-François

2024

Abstract: Background: To reduce the incidence of seromas, we have adapted the quilting procedure used in open abdominoplasty to the endoscopic-assisted repair of concomitant ventral hernia (VH) and diastasis recti (DR). The aim of this study was to describe the ... ...

Abstract	Background: To reduce the incidence of seromas, we have adapted the quilting procedure used in open abdominoplasty to the endoscopic-assisted repair of concomitant ventral hernia (VH) and diastasis recti (DR). The aim of this study was to describe the technique and assess its efficacy by comparing two groups of patients operated on with the same repair technique before and after introducing the quilting. Methods: This retrospective study included data prospectively registered in the French Club Hernie database from 176 consecutive patients who underwent surgery for concomitant VH and DR via the double-layer suturing technique. Patients were categorized into two groups: Group 1 comprised 102 patients operated before introducing the quilting procedure and Group 2 comprised 74 operated after introducing the quilting. To carry out comparisons between groups, seromas were classified into two types: type A included spontaneously resorbable seromas and seromas drained by a single puncture and type B included seromas requiring two or more punctures and complicated cases requiring reoperation. Results: The global percentage of seromas was 24.4%. The percentage of seromas of any type was greater in Group 1 (27.5%) than in Group 2 (20.3%). The percentage of Type B seromas was greater in Group 1 (19.6%) than in Group 2 (5.4%), when the percentage of Type A seromas was greater in Group 2 (14.9) than in Group 1 (7.9%). Differences were significant (p = 0.014). The operation duration was longer in Group 2 (83.9 min) than in Group 1 (69.9 min). Four complications requiring reoperation were observed in Group 1: three persistent seromas requiring surgical drainage under general anesthesia and one encapsulated seroma. Conclusion: Adapting the quilting technique to the endoscopic-assisted bilayer suturing technique for combined VH and DR repair can significantly reduce the incidence and severity of postoperative seromas.
Language	English
Publishing date	2024-04-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-024-10801-2
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Zs.A 2214: Show issues

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Article ; Online: Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry.

Drissi, Farouk / Gillion, Jean-François / Roquilly, Antoine / Luyckx, François / Duchalais, Emilie

World journal of surgery

2020 Volume 44, Issue 8, Page(s) 2638–2646

Abstract: Background: Urinary retention is one of the most common early postoperative complications following inguinal hernia repair (IHR). The aim of this study was to assess the incidence of postoperative urinary retention (POUR) and to identify associated risk ...

Abstract	Background: Urinary retention is one of the most common early postoperative complications following inguinal hernia repair (IHR). The aim of this study was to assess the incidence of postoperative urinary retention (POUR) and to identify associated risk factors. Method: Data of consecutive patients undergoing IHR from 2011 to 2017 were collected from a national multicenter cohort. POUR was defined as the inability to void requiring urinary catheterization. A multivariate analysis was conducted to identify independent risk factors for POUR. Results: Of 13,736 patients, 109 (0.8%) developed POUR. Patients with POUR had longer hospital length of stay (p < 0.001). IHR was performed by a laparoscopic or an open approach in 7012 (51.3%) and 6655 (48.7%) patients, respectively, and spinal anesthesia was realized in 591 (4.3%) patients. Ambulatory surgery was performed in 10,466 (76.6%) patients. Multivariate analysis identified preoperative dysuria (0R 3.73, p < 0.001), diabetes mellitus (OR 1.98, p = 0.029) and spinal anesthesia (OR 7.56, p < 0.001) as independent preoperative risk factors associated with POUR. POUR was the cause of ambulatory failure in 35 (10.2%) patients who required unanticipated admission. Conclusion: The incidence of POUR following IHR remains low but impacts hospitalization settings. Preoperative risk factors for POUR should be considered for the choice of the anesthetic technique.
MeSH term(s)	Aged ; Aged, 80 and over ; Ambulatory Surgical Procedures/adverse effects ; Ambulatory Surgical Procedures/statistics & numerical data ; Anesthesia, Spinal/statistics & numerical data ; Diabetes Mellitus/epidemiology ; Dysuria/epidemiology ; Female ; France/epidemiology ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/statistics & numerical data ; Humans ; Incidence ; Laparoscopy/statistics & numerical data ; Length of Stay ; Male ; Middle Aged ; Patient Admission ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Preoperative Period ; Registries ; Retrospective Studies ; Risk Factors ; Urinary Retention/epidemiology ; Urinary Retention/etiology
Language	English
Publishing date	2020-05-11
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	224043-9
ISSN	1432-2323 ; 0364-2313
ISSN (online)	1432-2323
ISSN	0364-2313
DOI	10.1007/s00268-020-05538-7
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Zs.A 1336: Show issues

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Article ; Online: A better understanding of daily life abdominal wall mechanical solicitation: Investigation of intra-abdominal pressure variations by intragastric wireless sensor in humans.

Soucasse, Andréa / Jourdan, Arthur / Edin, Lauriane / Gillion, Jean-François / Masson, Catherine / Bege, Thierry

Medical engineering & physics

2022 Volume 104, Page(s) 103813

Abstract: Intra-abdominal pressure (IAP), as the main mechanical load applied to the abdominal wall, is decisive in the occurrence of ventral hernia. The objective of the study was to propose a comprehensive evaluation of IAP based on a limited risk and discomfort ...

Abstract	Intra-abdominal pressure (IAP), as the main mechanical load applied to the abdominal wall, is decisive in the occurrence of ventral hernia. The objective of the study was to propose a comprehensive evaluation of IAP based on a limited risk and discomfort method. A prospective study was carried out in 20 healthy volunteers. The intragastric pressure, validated for estimating IAP, was assessed by an ingestible pressure sensor. Volunteers realized a set of supervised exercises, then resumed their daily activities with the pressure continuously recorded until gastric emptying. Coughing and jumping exercises resulted in the highest IAP levels with maximum peaks of 65 ± 35 and 67 ± 31 mmHg and pressure rates of 121 and 114 mmHg.s
MeSH term(s)	Abdominal Wall ; Exercise ; Humans ; Male ; Prospective Studies
Language	English
Publishing date	2022-04-27
Publishing country	England
Document type	Journal Article
ZDB-ID	1181080-4
ISSN	1873-4030 ; 1350-4533
ISSN (online)	1873-4030
ISSN	1350-4533
DOI	10.1016/j.medengphy.2022.103813
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Zs.B 2231: Show issues

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Article ; Online: Recurrence after elective incisional hernia repair is more frequent than you think: An international prospective cohort from the French Society of Surgery.

Romain, Benoît / Renard, Yohann / Binquet, Christine / Poghosyan, Tigran / Moszkowicz, David / Gillion, Jean-François / Ortega-Deballon, Pablo

Surgery

2020 Volume 168, Issue 1, Page(s) 125–134

Abstract: Background: The French Society of Surgery has endorsed a cohort aiming to prospectively assess the frequency of recurrence after incisional hernia repair and to identify the risk factors.: Methods: Consecutive patients undergoing incisional hernia ... ...

Abstract	Background: The French Society of Surgery has endorsed a cohort aiming to prospectively assess the frequency of recurrence after incisional hernia repair and to identify the risk factors. Methods: Consecutive patients undergoing incisional hernia repair in the participating centers were included in the prospective French Society of Surgery cohort over a 6-month period. Patients were followed up with a computed tomography scan at 1 y and a clinical assessment by the surgeon at 2 years. Results: A total of 1,075 patients undergoing incisional hernia repair were included in 61 participating centers. The median follow-up was 24.0 months (interquartile range: 14.0-25.3). The follow-up rates were 83.0% and 68.5% at 1 and 2 years, respectively. The recurrence rates were 18.1% at 1 year and 27.7% at 2 years. Recurrence risk factors at 2 years were a history of hernia (odds ratio = 1.57, 95% confidence interval = 1.05-2.35, P = .028), a lateral hernia (odds ratio = 1.84, 95% confidence interval = 1.19-2.86, P = .007), a concomitant digestive operation (odds ratio = 1.97, 95% confidence interval = 1.20-3.22, P = .007), and the occurrence of early surgical site complications (odds ratio = 1,90, 95% confidence interval = 1.06-3.38, P = .030). The use of surgical mesh was strongly associated with a lower risk of recurrence at 2 years (P < .001). Conclusion: After incisional hernia repair, the 2-year recurrence rate is as high as 27.7%. History of hernia, lateral hernia, concomitant digestive operation, the onset of surgical site complications, and the absence of mesh are strong risk factors for recurrence.
MeSH term(s)	Aged ; Female ; France/epidemiology ; Herniorrhaphy/statistics & numerical data ; Humans ; Incisional Hernia/diagnostic imaging ; Incisional Hernia/epidemiology ; Incisional Hernia/surgery ; Male ; Middle Aged ; Prospective Studies ; Recurrence ; Tomography, X-Ray Computed
Language	English
Publishing date	2020-04-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2020.02.016
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Article ; Online: Lichtenstein versus TIPP versus TAPP versus TEP for primary inguinal hernia, a matched propensity score study on the French Club Hernie Registry.

Hurel, Romane / Bouazzi, Leila / Barbe, Coralie / Kianmanesh, Reza / Romain, Benoît / Gillion, Jean-François / Renard, Yohann

Hernia : the journal of hernias and abdominal wall surgery

2023 Volume 27, Issue 5, Page(s) 1165–1177

Abstract: Purpose: Groin hernia repair is one of the most frequent operation performed worldwide. Chronic postoperative inguinal pain (CPIP) is the most common and challenging complication after surgical repair with subsequent high socio-economic impact. The aim ... ...

Abstract	Purpose: Groin hernia repair is one of the most frequent operation performed worldwide. Chronic postoperative inguinal pain (CPIP) is the most common and challenging complication after surgical repair with subsequent high socio-economic impact. The aim of this study was to compare the one-year CPIP rates between Lichtenstein, trans-inguinal pre-peritoneal (TIPP), trans-abdominal pre-peritoneal (TAPP) and totally extra-peritoneal (TEP) repair techniques on the French Hernia Registry. Methods: Between 2011 and 2021, 15,161 primary groin hernia repairs with 1-year follow-up were available on the register. Using propensity score (PS) matching, matched pairs were formed. Each group was compared in pairs independently; Lichtenstein versus TIPP, TEP and TAPP, TIPP versus TEP and TAPP and finally TEP versus TAPP. Results: After PS matching analysis, Lichtenstein group showed disadvantage over TIPP, TAPP and TEP groups with significantly more CPIP at one year (15.2% vs 9.6%, p < 0.0001; 15.9% vs. 10.0%, p < 0.0001 and 16.1% vs. 12.4%, p = 0.002, respectively). The 1-year CPIP rates were similar comparing TIPP versus TAPP and TEP groups (9.3% vs 10.5%, p = 0.19 and 9.8% vs 11.8%, p = 0.05, respectively). There was significantly less CPIP rate after TAPP versus TEP repair (1.00% vs 11.9%, p = 0.02). Conclusion: This register-based study confirms the higher CPIP risk after Lichtenstein repair compared to the pre-peritoneal repair techniques. TIPP leads to comparable CPIP rates than TAPP and TEP repairs.
MeSH term(s)	Humans ; Hernia, Inguinal/surgery ; Hernia, Inguinal/complications ; Groin/surgery ; Laparoscopy/methods ; Propensity Score ; Herniorrhaphy/methods ; Pain, Postoperative/etiology ; Registries ; Surgical Mesh/adverse effects ; Treatment Outcome
Chemical Substances	prostaglandin-inositol cyclic phosphate ; tyrosyl-1,2,3,4-tetrahydro-3-isoquinolinecarbonyl-phenylalanyl-phenylalanine (146369-65-5)
Language	English
Publishing date	2023-02-08
Publishing country	France
Document type	Journal Article
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-023-02737-8
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Zs.A 5390: Show issues

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Article ; Online: External Validation of the European Hernia Society Classification for Postoperative Complications after Incisional Hernia Repair: A Cohort Study of 2,191 Patients.

Kroese, Leonard F / Kleinrensink, Gert-Jan / Lange, Johan F / Gillion, Jean-Francois

Journal of the American College of Surgeons

2017 Volume 226, Issue 3, Page(s) 223–229.e1

Abstract: Background: Incisional hernia is a frequent complication after midline laparotomy. Surgical hernia repair is associated with complications, but no clear predictive risk factors have been identified. The European Hernia Society (EHS) classification ... ...

Abstract	Background: Incisional hernia is a frequent complication after midline laparotomy. Surgical hernia repair is associated with complications, but no clear predictive risk factors have been identified. The European Hernia Society (EHS) classification offers a structured framework to describe hernias and to analyze postoperative complications. Because of its structured nature, it might prove to be useful for preoperative patient or treatment classification. The objective of this study was to investigate the EHS classification as a predictor for postoperative complications after incisional hernia surgery. Study design: An analysis was performed using a registry-based, large-scale, prospective cohort study, including all patients undergoing incisional hernia surgery between September 1, 2011 and February 29, 2016. Univariate analyses and multivariable logistic regression analysis were performed to identify risk factors for postoperative complications. Results: A total of 2,191 patients were included, of whom 323 (15%) had 1 or more complications. Factors associated with complications in univariate analyses (p < 0.20) and clinically relevant factors were included in the multivariable analysis. In the multivariable analysis, EHS width class, incarceration, open surgery, duration of surgery, Altemeier wound class, and therapeutic antibiotic treatment were independent risk factors for postoperative complications. Third recurrence and emergency surgery were associated with fewer complications. Conclusions: Incisional hernia repair is associated with a 15% complication rate. The EHS width classification is associated with postoperative complications. To identify patients at risk for complications, the EHS classification is useful.
MeSH term(s)	Europe ; Female ; Follow-Up Studies ; Herniorrhaphy/adverse effects ; Humans ; Incisional Hernia/surgery ; Laparotomy/adverse effects ; Male ; Middle Aged ; Postoperative Complications/classification ; Prospective Studies ; Registries ; Risk Factors ; Societies, Medical ; Time Factors
Language	English
Publishing date	2017-12-07
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1016/j.jamcollsurg.2017.11.018
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Article ; Online: Identification of risk factors for 30-day postoperative complications in patients undergoing primary ventral hernia repair: a prospective cohort study of 2,374 patients.

Kroese, Leonard Frederik / Gillion, Jean-Francois / Jeekel, Johannes / Lange, Johan Frederik / Kleinrensink, Gert-Jan

Surgery

2018 Volume 163, Issue 5, Page(s) 1160–1164

Abstract: Background: Primary ventral hernia is a common condition. Surgical repair is associated with complications, but no clear predictive risk factors have been identified. The European Hernia Society classification offers a structured framework to describe ... ...

Abstract	Background: Primary ventral hernia is a common condition. Surgical repair is associated with complications, but no clear predictive risk factors have been identified. The European Hernia Society classification offers a structured framework to describe hernias and to analyze postoperative complications. Given this structured nature, the European Hernia Society classification might prove useful for preoperative patient or treatment classification. The objective of this study was to investigate the European Hernia Society classification as a predictor for complications within 30 days after primary ventral hernia surgery. Methods: A registry-based, prospective cohort study was performed, including all patients undergoing primary ventral hernia surgery between September 1, 2011 and February 29, 2016. Univariate analyses and multivariable logistic regression analysis were performed to identify risk factors for postoperative complications. Results: A total of 2,374 patients were included, of whom 105 (4.4%) patients had ≥1 complications, either a wound, surgical, or medical complication. Factors associated with complications in univariate analyses (P<.10) and clinically relevant factors were included into the multivariable analyses. In the multivariable analyses, age, body mass index, and the duration of the operation were independent risk factors. The diameter of the hernia was not an independent risk factor. Conclusion: Primary ventral hernia repair is associated with a 4.4% rate of complications. No correlation was found between the European Hernia Society classification and postoperative complications. Age, body mass index, and duration of the operation were correlated with postoperative complications. Therefore, age and body mass index should be used in the preoperative risk assessment.
MeSH term(s)	Adult ; Aged ; Female ; France/epidemiology ; Hernia, Ventral/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/statistics & numerical data ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Prospective Studies ; Registries ; Risk Factors
Language	English
Publishing date	2018-02-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2017.12.019
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Article ; Online: Primary and incisional ventral hernias are different in terms of patient characteristics and postoperative complications - A prospective cohort study of 4,565 patients.

Kroese, Leonard F / Gillion, Jean-Francois / Jeekel, Johannes / Kleinrensink, Gert-Jan / Lange, Johan F

International journal of surgery (London, England)

2018 Volume 51, Page(s) 114–119

Abstract: Background: Primary and incisional hernias are often pooled in publications studying hernia symptoms, treatment, or surgical outcomes. The question rises whether this is justified or if primary and incisional hernia should be considered as two separate ... ...

Abstract	Background: Primary and incisional hernias are often pooled in publications studying hernia symptoms, treatment, or surgical outcomes. The question rises whether this is justified or if primary and incisional hernia should be considered as two separate entities. The aim of this prospective cohort study is to compare primary and incisional ventral hernias regarding patient characteristics, hernia characteristics, surgical characteristics, and postoperative complications. Materials and methods: A registry-based, prospective cohort study was performed. All patients undergoing primary or incisional hernia repair surgery between September 1st, 2011 and February 29th, 2016 were included. Patient baseline characteristics, hernia characteristics, surgical characteristics, and postoperative outcomes were collected and analyzed. Results: A total of 4565 patients were included, of whom 2374 had a primary hernia and 2191 had an incisional hernia. All patient, hernia, and surgical characteristics were statistically significantly different between primary and incisional hernias except for corticosteroid use, history of inguinal hernia, incarceration, and emergency surgery. Overall complication rates (wound, surgical, and medical) were significantly different (105/2374 (4.4%) for primary hernia versus 323/2191 (15%) for incisional hernia, p < 0.001). Conclusion: Primary and incisional hernia are statistically significantly different for almost all patient, hernia, surgical, and postoperative characteristics analyzed. Given these differences, data on primary hernias and incisional hernias should not be pooled in studies reporting on hernia repair.
MeSH term(s)	Adult ; Aged ; Female ; Hernia, Ventral/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Humans ; Incisional Hernia/surgery ; Male ; Middle Aged ; Postoperative Complications/etiology ; Prospective Studies ; Treatment Outcome
Language	English
Publishing date	2018-03
Publishing country	England
Document type	Comparative Study ; Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2018.01.010
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Zs.A 6502: Show issues

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Article ; Online: Suture versus open mesh repair for small umbilical hernia: Results of a propensity-matched cohort study.

Frey, Samuel / Beauvais, Adrien / Soler, Marc / Beck, Mathieu / Dugué, Timothée / Pavis d'Escurac, Xavier / Dabrowski, André / Jurczak, Florent / Gillion, Jean-François

Surgery

2023 Volume 174, Issue 3, Page(s) 593–601

Abstract: Background: The objective was to compare the outcomes of open mesh repair versus suture repair for small (≤1 cm in diameter) umbilical hernia. The primary endpoint was the 30-day outcomes including pain, and secondary endpoints were the 2-year outcomes ... ...

Abstract	Background: The objective was to compare the outcomes of open mesh repair versus suture repair for small (≤1 cm in diameter) umbilical hernia. The primary endpoint was the 30-day outcomes including pain, and secondary endpoints were the 2-year outcomes including recurrences and patient-reported outcomes. Methods: This propensity-matched, multicenter study was carried out on data collected prospectively in the Hernia-Club database between 2011 and 2021. A total of 590 mesh repairs and 590 suture repairs were propensity score matched (age, sex, body mass index) at a ratio of 1:1. Postoperative pain was assessed using the Verbal Rating Scale-4 and 0‒10 Numerical Rating Scale-11. Results: Mesh insertion was intraperitoneal in 331 patients (56.1%), extraperitoneal in 249 (42.2%), and onlay in 10 (1.7%). The rate of 30-day complications and Numerical Rating Scale-11 pain scores on postoperative days 8 and 30 were similar between the groups, including surgical site occurrences (2.2 vs 1.4% after suture repair). At 1 month, postoperative discomfort (sensation of something different from before) was significantly (P < .0001) more frequent after mesh repair, whereas the rate of relevant (moderate or severe) pain (mesh repair: 1.1% vs suture repair: 2.6%) and the distribution of Numerical Rating Scale-11 scores did not differ between the groups. At the 2-year follow-up, mesh repair patients had fewer reoperated recurrences (0.2% vs 1.7%; P = .035) and no more pain or discomfort than suture repair patients. Conclusion: Both techniques are effective and safe. Mesh repair is likely to reduce the rate of recurrences. Concerns about postoperative pain and infection might not prevent the use of mesh in smallest umbilical hernias.
MeSH term(s)	Humans ; Hernia, Umbilical/surgery ; Cohort Studies ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Surgical Mesh/adverse effects ; Pain, Postoperative/epidemiology ; Pain, Postoperative/etiology ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Sutures/adverse effects ; Recurrence ; Suture Techniques/adverse effects
Language	English
Publishing date	2023-06-23
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2023.05.015
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Article ; Online: Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients.

Sneiders, Dimitri / Yurtkap, Yagmur / Kroese, Leonard F / Kleinrensink, Gert-Jan / Lange, Johan F / Gillion, Jean-François

World journal of surgery

2019 Volume 43, Issue 8, Page(s) 1906–1913

Abstract: Background: Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of ... ...

Abstract	Background: Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. Methods: A registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration. Results: In total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3-4 cm compared to defects of 0-1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57-5.18, p = 0.0006). For incisional hernias, a defect width of 3-4 cm compared to defects of 0-2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07-4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-umbilical region portrayed a significantly increased odds for incarceration as compared to supra-umbilical defects (OR 1.98, 95% CI 1.02-3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration. Conclusion: For primary and incisional hernias, mainly defects of 3-4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-umbilical region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
MeSH term(s)	Abdominal Wall/pathology ; Abdominal Wall/surgery ; Adult ; Aged ; Elective Surgical Procedures ; Female ; Hernia, Ventral/pathology ; Hernia, Ventral/surgery ; Humans ; Incisional Hernia/pathology ; Incisional Hernia/surgery ; Male ; Middle Aged ; Prospective Studies ; Registries ; Risk Factors ; Young Adult
Language	English
Publishing date	2019-03-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	224043-9
ISSN	1432-2323 ; 0364-2313
ISSN (online)	1432-2323
ISSN	0364-2313
DOI	10.1007/s00268-019-04989-x
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