José Antonio Pereira1, Manuel López-Cano2, Pilar Hernández-Granados3, Xavier Feliu4. 1. Servicio de Cirugía General, Hospital Universitari del Mar, Barcelona, España; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España. Electronic address: 86664@parcdesalutmar.cat. 2. Servicio de Cirugía General, Hospital Vall d'Hebrón, Barcelona, España; Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, España. 3. Hospital Universitario Fundación Alcorcón, Madrid, España. 4. Hospital de Igualada, Consorci Sanitari de l'Anoia, Igualada (Barcelona), España.
Abstract
INTRODUCTION: The aim of this study was to the data from the National Registry of Incisional Hernia (EVEREG) to determine the reality of the treatment of this condition in Spain. METHODS: EVEREG is an online prospective database which has been functioning since July 2012; operations for incisional hernia are anonymously recorded. RESULTS: Up to March 2015, 4501 hernias from 95 of the 113 participating hospitals were registered. The mean age of the patients was 62.7, and 56.5% were women, with a mean BMI of 30.2kg/m2; 29.8% presented a high surgical risk (ASA III-V). A total of 93.7% were scheduled surgeries, 88.3% open surgery and 22.2% were recurrent incisional hernias. There were 66.9% hernias after a midline laparotomy, and 81.4% of a transverse diameter of less than 10cm. A mesh was used in 96.2% of cases. Postoperative stay was 5.3 days and 29.1% presented a complication, with a mortality of 0.8%. After a median follow-up of 7.7 months a high rate of recurrence was detected (20.7% per year), especially in hernias that were operated on after a previous repair (18.1% primary vs. 30.6% recurrent; P=.004). CONCLUSION: the EVEREG registry is a useful tool to know the current situation of incisional hernia treatment. Analysis of the data shows several points that could be improved: a low rate of follow-up and high recurrence rate. Copyright Â
INTRODUCTION: The aim of this study was to the data from the National Registry of Incisional Hernia (EVEREG) to determine the reality of the treatment of this condition in Spain. METHODS: EVEREG is an online prospective database which has been functioning since July 2012; operations for incisional hernia are anonymously recorded. RESULTS: Up to March 2015, 4501 hernias from 95 of the 113 participating hospitals were registered. The mean age of the patients was 62.7, and 56.5% were women, with a mean BMI of 30.2kg/m2; 29.8% presented a high surgical risk (ASA III-V). A total of 93.7% were scheduled surgeries, 88.3% open surgery and 22.2% were recurrent incisional hernias. There were 66.9% hernias after a midline laparotomy, and 81.4% of a transverse diameter of less than 10cm. A mesh was used in 96.2% of cases. Postoperative stay was 5.3 days and 29.1% presented a complication, with a mortality of 0.8%. After a median follow-up of 7.7 months a high rate of recurrence was detected (20.7% per year), especially in hernias that were operated on after a previous repair (18.1% primary vs. 30.6% recurrent; P=.004). CONCLUSION: the EVEREG registry is a useful tool to know the current situation of incisional hernia treatment. Analysis of the data shows several points that could be improved: a low rate of follow-up and high recurrence rate. Copyright Â
Authors: Samuel G Parker; C P J Wood; J W Butterworth; R W Boulton; A A O Plumb; S Mallett; S Halligan; A C J Windsor Journal: Hernia Date: 2018-01-05 Impact factor: 4.739
Authors: Manuel López-Cano; Lidia A Martin-Dominguez; José Antonio Pereira; Manuel Armengol-Carrasco; Josep M García-Alamino Journal: PLoS One Date: 2018-06-06 Impact factor: 3.240
Authors: I Kyle-Leinhase; F Köckerling; L N Jørgensen; A Montgomery; J F Gillion; J A P Rodriguez; W Hope; F Muysoms Journal: Hernia Date: 2018-01-06 Impact factor: 4.739
Authors: J A Pereira; A Bravo-Salva; B Montcusí; S Pérez-Farre; L Fresno de Prado; M López-Cano Journal: BMC Surg Date: 2019-08-07 Impact factor: 2.102
Authors: Alejandro Bravo-Salva; Margarita Salvá Puigserver; Clara Téllez-Marqués; Marc Pérez-Guitart; Alba González-Martín; J J Sancho-Insenser; M Pera-Roman; José A Pereira-Rodríguez Journal: Updates Surg Date: 2022-08-09