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Published on: October 2, 2017
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Ventral hernia repair in India: a Delphi consensus
P Chowbey1, R Wadhawan2, D Subramanian3
1Max Institute of Laproscopic, Endoscopic and Bariatric Surgery, Max Hospital, Delhi, India.
Summary
Experts established consensus on laparoscopic ventral hernia repair (LVHR) techniques in India. These guidelines aim to standardize minimal access surgery (MAS) for ventral hernias, enhancing patient safety and outcomes.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
- Abdominal Wall Reconstruction
Background:
- Ventral/incisional hernias lack extensive research compared to inguinal hernias.
- Laparoscopic ventral hernia repair (LVHR) techniques are debated in India.
- A consensus was needed to standardize LVHR and improve patient outcomes.
Framework:
- Modified Delphi technique with 14 general surgeons.
- Two online consensus rounds followed by an advisory board meeting.
- Consensus statements developed based on expert opinions and clinical evidence.
Implementation:
- Intraperitoneal onlay mesh (IPOM) plus and extraperitoneal repair techniques recommended.
- Specific MAS options identified for various ventral hernia types and patient profiles.
- Guidelines provided for primary umbilical, incisional, and complex hernias.
Implications:
- Standardization of LVHR practices in India.
- Improved clinical decision-making for MAS in ventral hernia repair.
- Enhanced patient safety and therapeutic outcomes through standardized care.
