PDF(Pubmed)
Abstract：
BACKGROUND: Abdominal wall hernias encompass both ventral and incisional hernias, often poorly classified regarding complexity in general. This study aims to conduct a review on the primary topics related to defining the complexity of ventral hernias.
METHODS: this is a scope review conducted following the guidelines recommended by the PRISMA-ScR directive. Searches were carried out in electronic databases including PubMed, LILACS, and EMBASE, using the descriptors: Abdominal Hernia, Hernia, Ventral Hernia, Incisional Hernia, Complex, Classification, Classify, Grade, Scale, and Definition. Combinations of these terms were employed when appropriate. Inclusion criteria encompassed articles with definitions and classifications of complex hernias, as well as those utilizing these classifications to guide treatments and patient allocation. Synonyms and related topics were also considered. Articles outside the scope or lacking the themes in their title or abstract were excluded. The database search was conducted up to July 29, 2023.
RESULTS: several hernia classifications were identified as useful in predicting complexity. For this study, we considered six main criteria: size and location, loss of domain, use of abdominal wall relaxation techniques, characteristics of imaging exams, status of the subcutaneous cellular tissue, and likelihood of recurrence.
CONCLUSIONS: complex abdominal wall hernias can be defined by characteristics analyzed collectively, relating to the patients previous clinical status, size and location of the hernia defect, status of subcutaneous cellular tissue, myofascial release techniques, and other complicating factors.
METHODS: this is a scope review conducted following the guidelines recommended by the PRISMA-ScR directive. Searches were carried out in electronic databases including PubMed, LILACS, and EMBASE, using the descriptors: Abdominal Hernia, Hernia, Ventral Hernia, Incisional Hernia, Complex, Classification, Classify, Grade, Scale, and Definition. Combinations of these terms were employed when appropriate. Inclusion criteria encompassed articles with definitions and classifications of complex hernias, as well as those utilizing these classifications to guide treatments and patient allocation. Synonyms and related topics were also considered. Articles outside the scope or lacking the themes in their title or abstract were excluded. The database search was conducted up to July 29, 2023.
RESULTS: several hernia classifications were identified as useful in predicting complexity. For this study, we considered six main criteria: size and location, loss of domain, use of abdominal wall relaxation techniques, characteristics of imaging exams, status of the subcutaneous cellular tissue, and likelihood of recurrence.
CONCLUSIONS: complex abdominal wall hernias can be defined by characteristics analyzed collectively, relating to the patients previous clinical status, size and location of the hernia defect, status of subcutaneous cellular tissue, myofascial release techniques, and other complicating factors.
摘要：
背景：腹壁疝包括腹侧和切口疝，通常在复杂性方面分类不佳。这项研究旨在对与定义腹侧疝的复杂性有关的主要主题进行回顾。
方法：这是根据PRISMA-ScR指令推荐的指南进行的范围审查。在包括PubMed在内的电子数据库中进行了搜索，LILACS,和EMBASE,使用描述符：腹部疝，疝,腹侧疝,切口性疝,复杂，Classification,分类,Grade,规模,和定义。在适当时采用这些术语的组合。纳入标准包括复杂疝的定义和分类的文章，以及那些利用这些分类来指导治疗和患者分配的人。还考虑了同义词和相关主题。范围之外或标题或摘要中没有主题的文章被排除在外。数据库搜索一直进行到2023年7月29日。
结果：几种疝分类被认为对预测复杂性有用。对于这项研究，我们考虑了六个主要标准：大小和位置，失去域名，使用腹壁松弛技术，影像学检查的特点，皮下细胞组织的状态，和复发的可能性。
结论：复杂的腹壁疝可以通过共同分析的特征来定义，与患者以前的临床状态有关，疝缺损的大小和位置，皮下细胞组织的状态，肌筋膜释放技术，和其他复杂因素。
方法：这是根据PRISMA-ScR指令推荐的指南进行的范围审查。在包括PubMed在内的电子数据库中进行了搜索，LILACS,和EMBASE,使用描述符：腹部疝，疝,腹侧疝,切口性疝,复杂，Classification,分类,Grade,规模,和定义。在适当时采用这些术语的组合。纳入标准包括复杂疝的定义和分类的文章，以及那些利用这些分类来指导治疗和患者分配的人。还考虑了同义词和相关主题。范围之外或标题或摘要中没有主题的文章被排除在外。数据库搜索一直进行到2023年7月29日。
结果：几种疝分类被认为对预测复杂性有用。对于这项研究，我们考虑了六个主要标准：大小和位置，失去域名，使用腹壁松弛技术，影像学检查的特点，皮下细胞组织的状态，和复发的可能性。
结论：复杂的腹壁疝可以通过共同分析的特征来定义，与患者以前的临床状态有关，疝缺损的大小和位置，皮下细胞组织的状态，肌筋膜释放技术，和其他复杂因素。
