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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2019

Open Access 01-09-2019

The PINCH-Phone: a new screenings method for recurrent incisional hernias

Authors: Nadine van Veenendaal, Marijn M. Poelman, Baukje van den Heuvel, Boudewijn J. Dwars, W. Hermien Schreurs, Jan H. M. B. Stoot, H. Jaap Bonjer

Published in: Surgical Endoscopy | Issue 9/2019

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Abstract

Background

Debate persists on the optimal management of incisional hernias due to paucity of accurate recurrence rates. Reoperation rates implicate a severe underestimation of the risk of a recurrence. Therefore, long-term postoperative clinic visits allowing physical examination of the abdomen are deemed necessary. However, these are time and costs consuming. Aim of this study was to develop and evaluate a new screenings method for recurrent hernias, the ‘PINCH-Phone’ (Post-INCisional-Hernia repair-Phone).

Methods

The PINCH-Phone is a telephone questionnaire. In this multicenter prospective study, the PINCH-Phone was answered by patients after incisional hernia repair. Afterwards the patients were seen at the clinic and physical examination was done to detect any recurrences.

Results

The PINCH-Phone questions were answered by 210 patients with a median postoperative follow-up of 36 months. Fifty-six patients were seen after multiple incisional hernia repairs. In 137 patients who had replied positively to one or more questions, 28 recurrent incisional hernias were detected at physical examination. Six recurrences were noted in 73 patients who had replied negatively to all questions. The overall sensitivity and specificity of the PINCH-Phone were 82% and 38%, respectively.

Conclusion

The PINCH-Phone appears a simple and valuable screenings method for recurrences after incisional hernia repair and, hence, is recommended for implementation.
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Metadata
Title
The PINCH-Phone: a new screenings method for recurrent incisional hernias
Authors
Nadine van Veenendaal
Marijn M. Poelman
Baukje van den Heuvel
Boudewijn J. Dwars
W. Hermien Schreurs
Jan H. M. B. Stoot
H. Jaap Bonjer
Publication date
01-09-2019
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 9/2019
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-018-6567-4

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