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Updated: May 7, 2026
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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
Published on: October 2, 2017
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Lessons learnt from the construction and implementation of a prospective ventral hernia database.
A H Sadaka1,2, W J O'Brien3, R Rosenthal4
1Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA. asadaka@bu.edu.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|March 29, 2024
Summary
Registry compliance for ventral hernia repairs was low at 37.5% and varied significantly. Addressing factors like surgeon interest and turnover is crucial for improving data collection in the New England VA Hernia Registry.
Area of Science:
- Surgical outcomes research
- Health informatics
- Quality improvement initiatives
Background:
- The New England VA Hernia Registry was established in 2011 to prospectively gather data on ventral hernia repairs.
- The primary aim was to evaluate and enhance long-term patient outcomes following these procedures.
Purpose of the Study:
- To assess the compliance rate of the New England VA Hernia Registry.
- Identify factors influencing adherence to registry protocols.
Main Methods:
- Ventral hernia operations data from five VA hospitals between 2011 and 2022 were analyzed.
- Compliance was evaluated at both the hospital and individual surgeon levels.
Main Results:
- A total of 3,516 cases were included in the analysis.
- Overall registry compliance was 37.5%, with substantial variation across hospitals (10.8%–67.2%).
- A negative correlation was observed between average yearly hernia volume per surgeon and registry compliance (r² = 0.53), indicating lower compliance in high-volume surgeons.
Conclusions:
- Ventral hernia registry compliance is notably low and inconsistent.
- Potential barriers include lack of interest, absence of incentives, inadequate oversight, and surgeon turnover.
- Improving compliance may necessitate registry design considerations, timely feedback mechanisms, and regular audits.
