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Related Experiment Video

Updated: Aug 15, 2025

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Protocol to develop a core outcome set in incisional hernia surgery: the HarMoNY Project.

Deena Harji1, Christophe Thomas2, Stavros Antoniou3

  • 1Manchester University NHS Foundation Trust, Manchester, UK deena_harji@hotmail.com.

BMJ Open
|January 4, 2023
PubMed
Summary

This study will develop a standardized core outcome set for incisional hernia research. This will improve the quality and comparability of future studies on abdominal wall reconstruction.

Keywords:
QUALITATIVE RESEARCHSTATISTICS & RESEARCH METHODSSURGERY

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Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Clinical Trial Methodology

Background:

  • Incisional hernia affects up to 20% of laparotomy patients, causing significant morbidity.
  • Current outcome reporting for abdominal wall hernias lacks standardization, leading to bias and hindering evidence synthesis.
  • There is a need for consistent outcome measures in incisional hernia research.

Purpose of the Study:

  • To develop a core outcome set (COS) for incisional hernia research.
  • To identify clinically important, patient-oriented outcomes.
  • To guide standardized outcome reporting in future incisional hernia studies.

Main Methods:

  • International, multicentre, mixed-methods project.
  • Phase I: Systematic review of current outcomes.
  • Phase II: Qualitative interviews with stakeholders.
  • Phase III & IV: Delphi process to achieve consensus on COS.

Main Results:

  • The study is designed to establish a consensus-based core outcome set.
  • The COS will include clinically relevant and patient-centered outcomes.
  • The results will provide a standardized framework for incisional hernia research.

Conclusions:

  • A standardized core outcome set will enhance data synthesis and comparison in incisional hernia research.
  • Adoption of the COS will improve the interpretation and application of evidence.
  • This initiative aims to improve the quality of care for patients with incisional hernia.