Clinical Department of Colorectal, General and Oncological Surgery, Centre of Postgraduate Medical Education in Warsaw, Bielanski Hospital, Warsaw, Poland.
Swissmed Hospital, Department of General Surgery and Hernia Center, Wileńska 44, Gdańsk, 80- 215, Poland.
Hernia. 2024 Oct;28(5):1915-1923. doi: 10.1007/s10029-024-03121-w. Epub 2024 Aug 10.
Parastomal hernia (PH) is a prevalent complication following ostomy formation, presenting significant challenges in surgical management. This study aims to validate the European Hernia Society classification for PH through the application of the Hybrid Parastomal Endoscopic Repair (HyPER) method. The study focuses on establishing the practical utility of the European Hernia Society classification in a clinical setting, particularly in guiding surgical approaches and improving patient outcomes.
This retrospective observational study aimed to assess the utility of the European Hernia Society classification in planning surgical strategies for parastomal hernias. The validation of the classification of PH was based on the experience involving 160 patients in single center. Patients were classified according to the European Hernia Society criteria, and data were collected on patient demographics, clinical presentations, and surgical outcomes. Main goal was to assess the consistency and applicability of the European Hernia Society classification in predicting surgical challenges and outcomes.
The study found a predominance of complex Type III and IV hernias. The European Hernia Society classification was effective in categorizing PH, aiding in surgical planning and highlighting the increased complication rates associated with more complex hernia types. This study represents the largest single-center cohort treated for PH by a single team, providing a controlled evaluation of the HyPER technique's effectiveness.
The validation of the European Hernia Society classification in this study is a significant advancement in the standardization of PH management. The findings demonstrate the classification's utility in enhancing surgical planning and patient-centered care. The study also opens avenues for further research into standardized approaches and techniques in PH treatment.
造口术后的切口疝（PH）是一种常见并发症，在手术治疗方面存在重大挑战。本研究旨在通过应用混合式造口内镜修复（HyPER）方法验证欧洲疝学会（EHS）的 PH 分类。该研究旨在确定 EHS 分类在临床实践中的实际应用，特别是在指导手术方法和改善患者结局方面。
本回顾性观察性研究旨在评估 EHS 分类在规划造口旁疝手术策略中的实用性。通过单中心 160 例患者的经验，验证 PH 的分类。根据 EHS 标准对患者进行分类，并收集患者人口统计学、临床表现和手术结果数据。主要目标是评估 EHS 分类在预测手术挑战和结局方面的一致性和适用性。
研究发现，复杂的 III 型和 IV 型疝占主导地位。EHS 分类有效地对 PH 进行分类，有助于手术规划，并突出了更复杂疝类型相关的更高并发症发生率。本研究是由单一团队治疗 PH 的最大单中心队列研究，为 HyPER 技术的有效性提供了受控评估。
本研究中 EHS 分类的验证是 PH 管理标准化的重要进展。研究结果表明，该分类在增强手术计划和以患者为中心的护理方面具有实用性。该研究还为 PH 治疗的标准化方法和技术的进一步研究开辟了途径。
