Preventie van incisionele hernia's

incisionele hernia's zijn de meest voorkomende soorten complicatie na laparotomie.

Definitie van ventrale incisionele hernia volgens EuraHS10

Ventrale incisionele hernia is een klinisch gedefinieerde conditie die

  • zich ontwikkelt na chirurgisch buikwandtrauma, inclusief recidive na reparatie van primaire ventrale hernia's.
  • mogelijk ook het gevolg is van een buikwanddehiscentie, geheel of gedeeltelijk, binnen 30 dagen na een operatie.
  • zich ontwikkelt tijdens de plaatsing van een colostoma, ileostoma of ileumkanaalstoma door de buikwand.

Vijf gemeenschappelijke risicofactoren voor de ontwikkeling van een incisionele hernia

Wat zegt de literatuur?11-42

  • Meestal procedurespecifiek
  • Een standaard voor alle procedures

De 5 centrale risicofactoren zijn, onafhankelijk van de procedure:

Preventie van incisionele hernia's

De hierboven gedefinieerde biologische en externe factoren kunnen als selectieparameters dienen voor de identificatie van hoogrisicopatiënten die potentieel in aanmerking komen voor incisionele hernia's.

De benadering voor profylactische zorg steunt op twee pilaren, zoals gesuggereerd wordt in de actuele literatuur:

ProGrip™ profylactische meshaugmentatie

Meer informatie vinden over de manier waarop de ProGrip™ zelfhechtende polyester meshtechnologie uw inspanningen voor het verstevigen van uw laparotomieën kan ondersteunen.

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  • 2. Data Available at Medtronic internally

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