Resultados de una encuesta nacional sobre el cierre de la pared abdominal

Translated title of the contribution: Results of a national survey on abdominal wall closure

José Antonio Pereira*, Manuel López-Cano, Francesc Marsal, Xavier Feliu

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Objective: To assess knowledge on the abdominal wall closure through a surgeon cohort survey. Methods: A twenty question individual questionnaire on laparotomy in elective surgery. Results: A total of 131 surgeons from seven hospitals responded (72% specialists and 28% in training). 71% of respondents estimated the frequency of incisional hernia to be higher than 15% and 54% considered the technique to be the most significant risk factor. 85% considered midline laparotomy closed with slow absorbable suture (57%) in a single layer (66%) to be the most appropriate technique. 67% believed retention sutures to be the appropriate prevention technique. 50% did not know or could not apply the 4:1 technique. 87% considered that an incisional hernia can be prevented and that the technique is the most important factor on which to act. 84% believed that a prosthesis can prevent the occurrence of incisional hernia, whereas 40% of respondents never use it and only 38% use it in patients at risk. On comparing surveys between specialists and residents, significant differences appeared in terms of a better understanding of the theoretical technical aspects in trainee surgeons. Conclusions: Although the results show an adequate understanding of the epidemiology and risk factors for development of incisional hernia, training and consensus measures are likely to be introduced in some basic technical aspects in order to improve results in laparotomy closure.

Translated title of the contributionResults of a national survey on abdominal wall closure
Original languageFrench
Pages (from-to)645-650
Number of pages6
JournalCirugia Espanola
Volume91
Issue number10
DOIs
Publication statusPublished - Dec 2013

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