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Hernia
Published in: Hernia 3/2012

Open Access 01-06-2012 | Review

EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair

Authors: F. Muysoms, G. Campanelli, G. G. Champault, A. C. DeBeaux, U. A. Dietz, J. Jeekel, U. Klinge, F. Köckerling, V. Mandala, A. Montgomery, S. Morales Conde, F. Puppe, R. K. J. Simmermacher, M. Śmietański, M. Miserez

Published in: Hernia | Issue 3/2012

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Abstract

Background

Although the repair of ventral abdominal wall hernias is one of the most commonly performed operations, many aspects of their treatment are still under debate or poorly studied. In addition, there is a lack of good definitions and classifications that make the evaluation of studies and meta-analyses in this field of surgery difficult.

Materials and methods

Under the auspices of the board of the European Hernia Society and following the previously published classifications on inguinal and on ventral hernias, a working group was formed to create an online platform for registration and outcome measurement of operations for ventral abdominal wall hernias. Development of such a registry involved reaching agreement about clear definitions and classifications on patient variables, surgical procedures and mesh materials used, as well as outcome parameters. The EuraHS working group (European registry for abdominal wall hernias) comprised of a multinational European expert panel with specific interest in abdominal wall hernias. Over five working group meetings, consensus was reached on definitions for the data to be recorded in the registry.

Results

A set of well-described definitions was made. The previously reported EHS classifications of hernias will be used. Risk factors for recurrences and co-morbidities of patients were listed. A new severity of comorbidity score was defined. Post-operative complications were classified according to existing classifications as described for other fields of surgery. A new 3-dimensional numerical quality-of-life score, EuraHS-QoL score, was defined. An online platform is created based on the definitions and classifications, which can be used by individual surgeons, surgical teams or for multicentre studies. A EuraHS website is constructed with easy access to all the definitions, classifications and results from the database.

Conclusion

An online platform for registration and outcome measurement of abdominal wall hernia repairs with clear definitions and classifications is offered to the surgical community. It is hoped that this registry could lead to better evidence-based guidelines for treatment of abdominal wall hernias based on hernia variables, patient variables, available hernia repair materials and techniques.
Footnotes
1
At the initiative of the first author the EuraHS working group was formed during the board meeting of the European Hernia Society at the 4th International Hernia Congress in Berlin on September 10th 2009. The members of the EuraHS working group were either board members or others EHS members known for their interest in hernia classifications and registries. The board accepted the European internationally balanced composition of the working group. The working group members are the co-authors of this publication.
The EuraHS working group meetings were: Malmö, Sweden on November 28th 2009; Gdansk, Poland on February 6th 2010; Amsterdam, The Netherlands on September 4th 2010; Ghent, Belgium on May 13th 2011 and Gdansk, Poland on September 23rd 2011.
 
2
A dialog box (or dialogue box) is a type of window used to enable reciprocal communication or "dialogue" between a computer and its user (Wikipedia).
 
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Metadata
Title
EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair
Authors
F. Muysoms
G. Campanelli
G. G. Champault
A. C. DeBeaux
U. A. Dietz
J. Jeekel
U. Klinge
F. Köckerling
V. Mandala
A. Montgomery
S. Morales Conde
F. Puppe
R. K. J. Simmermacher
M. Śmietański
M. Miserez
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Hernia / Issue 3/2012
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-012-0912-7

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