Preventie van incisionele hernia's

incisionele hernia's zijn de meest voorkomende soorten complicatie na laparotomie.

3,2 miljoen²

laparotomieën per jaar in West-Europa

20 - 80%^3,4,5,6,7,8

Hoge prevalentie van incisionele hernia's (IH)

4731 €⁹

Gemiddelde kosten per reparatie van een ventrale incisionele hernia's (RVIH)

Kosten van RVIH in ernstige gevallen ~16.000 €⁹

min. 3 miljard €

gemiddelde kosten voor het gezondheidszorgsysteem in West-Europa

Kijk wat de diverse richtlijnen zeggen over de profylaxe van incisionele hernia's

zich ontwikkelt na chirurgisch buikwandtrauma, inclusief recidive na reparatie van primaire ventrale hernia's.
mogelijk ook het gevolg is van een buikwanddehiscentie, geheel of gedeeltelijk, binnen 30 dagen na een operatie.
zich ontwikkelt tijdens de plaatsing van een colostoma, ileostoma of ileumkanaalstoma door de buikwand.

Meestal procedurespecifiek
Een standaard voor alle procedures

De 5 centrale risicofactoren zijn, onafhankelijk van de procedure:

De hierboven gedefinieerde biologische en externe factoren kunnen als selectieparameters dienen voor de identificatie van hoogrisicopatiënten die potentieel in aanmerking komen voor incisionele hernia's.

De benadering voor profylactische zorg steunt op twee pilaren, zoals gesuggereerd wordt in de actuele literatuur:

Buikwandsluiting

Literatuur^43,44,46 adviseert de buikwandsluiting uit te voeren in een eenlagige aponeurotische sluitingstechniek door toepassing van de Small Bite Technique (SL/WL-verhouding > 4/1) met een langzaam absorberende monofilamenthechting.

Meshversteviging

Klinische evidentie^44,45 toont de veiligheid en effectiviteit aan van profylactisch synthetische meshaugmentation onlay-positie na buikwandsluiting ter preventie van het optreden van incisionele hernia bij hoogrisicopatiënten.

Richtlijn bekijken

Meer informatie vinden over de manier waarop de ProGrip™ zelfhechtende polyester meshtechnologie uw inspanningen voor het verstevigen van uw laparotomieën kan ondersteunen.

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2. Data Available at Medtronic internally
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