背景和目的：欧洲和美洲疝协会（EHS和AHS）关于原发性中线腹侧疝治疗的指南已经发布，以指导外科医生。作为准则传播计划的一部分，本研究旨在评估EHS和AHS成员在实施前的建议与当前手术实践之间的共识水平.材料和方法：构建了一份问卷，其中包括有关成员当前做法的问题以及指南中的九项选定关键建议。在2019年汉堡EHS大会上进行了舞台共识投票，随后向所有EHS和AHS成员发送了SurveyMonkey。对建议的共识被定义为≥70%的协议。结果：汉堡共收集到178票。另有499/1,754（28.4％）的EHS成员和150/1,100（13.6％）的AHS成员参加了SurveyMonkey。7/9（78％）的建议达成了共识。未达成共识的两项建议是关于适应症和用于腹腔镜修复的技术。在目前的实践中,更多的AHS参与者使用预制补丁；50.7%(76/150)，而EHS参与者为32.1%(160/499)，p<0.001。结论：新指南对脐腹疝和上腹部疝的治疗建议达成了共识。没有达成共识的建议是关于腹腔镜修复的适应症和技术，这可能反映了在这些主题上缺乏证据。
Background and aims: The European and Americas Hernia Society\'s (EHS and AHS)
Guidelines on the treatment of primary midline ventral hernias were launched to guide surgeons. As a part of a dissemination plan of the
guideline, this study aimed to evaluate the level of
consensus between recommendations and the current surgical practices of EHS and AHS members before implementation. Material and methods: A questionnaire was constructed including questions on the current practice of the members and nine selected key recommendations from the
guidelines. An on-stage consensus voting was performed at the EHS Congress in Hamburg 2019 followed by a SurveyMonkey sent to all EHS and AHS members. Consensus with a recommendation was defined as an agreement of ≥70%. Results: A total of 178 votes were collected in Hamburg. A further 499/1,754 (28.4%) of EHS and 150/1,100 (13.6%) of AHS members participated in the SurveyMonkey. A consensus was reached for 7/9 (78%) of the recommendations. The two recommendations that did not reach consensus were on indication and the technique used for laparoscopic repair. In current practice, more AHS participants used a preformed patch; 50.7% (76/150) compared with EHS participants 32.1% (160/499), p < 0.001. Conclusion: A
consensus was achieved for most recommendations given by the new
guideline for the treatment of umbilical and
epigastric hernias. Recommendations that did not reach consensus were on indication and technique for laparoscopic repair, which may reflect the lack of evidence on these topics.
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