Laparoscopic treatment of ventral hernias: the Italian national guidelines
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Published:2023-05-22
Issue:5
Volume:75
Page:1305-1336
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ISSN:2038-131X
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Container-title:Updates in Surgery
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language:en
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Short-container-title:Updates Surg
Author:
Campanile Fabio Cesare, Podda Mauro, Pecchini Francesca, Inama Marco, Molfino Sarah, Bonino Marco Augusto, Ortenzi MonicaORCID, Silecchia Gianfranco, Agresta Ferdinando, Cinquini Michela, Agresta Ferdinando, Cirocchi Roberto, Piccoli Micaela, Vettoretto Nereo, Campanile Fabio Cesare, Cinquini Michela, Albanese Elena, Ansaloni Luca, Antinori Armando, Baccari Paolo, Berta Rossana, Ceccarelli Graziano, Cuccurullo Diego, Diomede Francesco, Esposito Clelia, Ferrari Giovanni Carlo, Graffigna Guendalina, Monzani Roberta, Olmi Stefano, Placidi Tiziana, Bonino Marco Augusto, Inama Marco, Molfino Sarah, Pecchini Francesca, Podda Mauro, Clerici Alice, Radu Victor, Silecchia Gianfranco,
Abstract
AbstractPrimary and incisional ventral hernias are significant public health issues for their prevalence, variability of professional practices, and high costs associated with the treatment In 2019, the Board of Directors of the Italian Society for Endoscopic Surgery (SICE) promoted the development of new guidelines on the laparoscopic treatment of ventral hernias, according to the new national regulation. In 2022, the guideline was accepted by the government agency, and it was published, in Italian, on the SNLG website. Here, we report the adopted methodology and the guideline’s recommendations, as established in its diffusion policy. This guideline is produced according to the methodology indicated by the SNGL and applying the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) methodology. Fifteen recommendations were produced as a result of 4 PICO questions. The level of recommendation was conditional for 12 of them and conditional to moderate for one. This guideline's strengths include relying on an extensive systematic review of the literature and applying a rigorous GRADE method. It also has several limitations. The literature on the topic is continuously and rapidly evolving; our results are based on findings that need constant re-appraisal. It is focused only on minimally invasive techniques and cannot consider broader issues (e.g., diagnostics, indication for surgery, pre-habilitation).
Funder
Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie Università Politecnica delle Marche
Publisher
Springer Science and Business Media LLC
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