Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))—Part A

• DOI: 10.1007/s00464-019-06907-7
• Publication Date: 2019-06-27T16:03:57Z
• Authors: R. Bittner; K. Bain; V. K. Bansal; F. Berrevoet; J. Bingener-Casey; D. Chen; J. Chen; P. Chowbey; U. A. Dietz; A. de Beaux; G. Ferzli; R. Fortelny; H. Hoffmann; M. Iskander; Z. Ji; L. N. Jorgensen; R. Khullar; P. Kirchhoff; F. Köckerling; J. Kukleta; K. LeBlanc; J. Li; D. Lomanto; F. Mayer; V. Meytes; M. Misra; S. Morales-Conde; H. Niebuhr; D. Radvinsky; B. Ramshaw; D. Ranev; W. Reinpold; A. Sharma; R. Schrittwieser; B. Stechemesser; B. Sutedja; J. Tang; J. Warren; D. Weyhe; A. Wiegering; G. Woeste; Q. Yao
• Keywords: Incisional Hernia; Evidence-Based Medicine

In 2014, the International Endohernia Society (IEHS) published first international "Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias." Guidelines reflect currently best available evidence in diagnostics therapy give recommendations to help surgeons standardize their techniques improve results. However, science is a dynamic field which continuously developing. Therefore, guidelines require regular updates keep pace with evolving literature.For development original guidelines, all relevant literature up year 2012 was analyzed using ranking Oxford Centre Evidence-Based Medicine. For present update, previous authors were asked evaluate during recent years from 2017 revise statements given initial accordingly. two Consensus Conferences (October Beijing, March 2018 Cologne), presented, discussed, confirmed. To avoid redundancy, only new or are included this paper. full understanding both current, must be read. addition, developments repair hernias like surgical within wall, release operations (transversus muscle release, component separation), Botox application, robot-assisted methods included.Due an increase number patients further techniques, primary secondary attracts increasing interests many surgeons. Whereas three decades ago hernia-related publications did not exceed 20 per year, about 10-fold higher. Recent characterized by advent techniques-minimal invasive robotics laparoscopy, totally extraperitoneal repairs, novel myofascial optimal closure large defects, relaxing wall. Furthermore, concomitant rectus diastasis recognized as significant risk factor recurrence. Despite insufficient respect these it seemed us necessary include them update stimulate do research fields.Guidelines based on intended surgeon quality his daily work. process, such should updated every 3 years. comprehensive reference, however, suggested read 2014 together update. Moreover, presented includes also known before.