HIG (SA) Guidelines for the Management of Ventral Hernias

  • H Bougard
  • D Coolen
  • R de Beer
  • D Folscher
  • J C Kloppers
  • M Z Koto
  • G B Reimers
  • C Sofianos
  • Ravichund Lakpaal Oodit
Keywords: Hernia Interest Group, Ventral Hernias, Management, Guidelines

Abstract

Ventral hernia is one of the most common general surgical pathologies. An estimated 20 million patients with hernias are operated on worldwide every year, of which approximately 30% are ventral. An incisional hernia will develop in 10 – 15% of patients with an abdominal incision and the risk increase to up to 23% in those who develop surgical site infection 1,2 and incidence rates up to 69 % have been reported in high-risk patients.3

Ventral hernia repairs are mostly elective (90%) procedures, but the repair methods are highly variable. Repair methods are often not based on current best practices and results can be disappointing.4  Few surgeons audit or record their outcomes outside of those countries with national registries.

Author Biographies

H Bougard
MBChB, FCS(SA)
Head Clinical Unit: Surgery
New Somerset Hospital
Cape Town;
Senior Lecturer
University of Cape Town
D Coolen
MBChB, MMed, FCS(SA)
Private Practice
Somerset West
R de Beer
MBChB, MMed, FCS(SA)
Private Practice
Bellville
D Folscher
MBChB, FCS(SA)
Private Practice
George;
Consultant Surgeon
George Provincial Hospital;
Honorary Senior Lecturer
University of Cape Town
J C Kloppers
MBChB, FCS(SA), FRCS(Ed), MMed
Senior Lecturer
University of Cape Town;
Consultant
Groote Schuur Hospital
M Z Koto
MBChB, FCS(SA), FACS
Head of Surgery
Sefako Makgatho Health Sciences University (SMU)
G B Reimers
MBChB, MMed
Private Practice
Pietermaritzburg
C Sofianos
MUDr, FCS(SA), MMed
Private Practice
Bedfordview
Ravichund Lakpaal Oodit

MBChB, FCS(SA)
Honorary Senior Lecturer
University of Cape Town;
Private Practice
Cape Town; and
Chair of the Hernia Interest Group
South Africa

Published
2016-12-07
How to Cite
Bougard, H., Coolen, D., de Beer, R., Folscher, D., Kloppers, J., Koto, M., Reimers, G., Sofianos, C., & Oodit, R. (2016). HIG (SA) Guidelines for the Management of Ventral Hernias. South African Journal of Surgery, 54(4), S1-S32. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2112
Section
Guideline