Definitions for Loss of Domain: An International Delphi Consensus of Expert Surgeons

被引：35

作者：

Parker, Samuel G. ^{[1
]}

Halligan, Steve ^{[2
]}

Liang, Mike K. ^{[3
]}

Muysoms, Filip E. ^{[4
]}

Adrales, Gina L. ^{[5
]}

Boutall, Adam ^{[6
]}

De Beaux, Andrew C. ^{[7
]}

Dietz, Ulrich A. ^{[8
]}

Divino, Celia M. ^{[9
]}

Hawn, Mary T. ^{[10
]}

Heniford, Todd B. ^{[11
]}

Hong, Joon P. ^{[12
]}

Ibrahim, Nabeel ^{[13
]}

Itani, Kamal M. F. ^{[14
]}

Jorgensen, Lars N. ^{[15
]}

Montgomery, Agneta ^{[16
]}

Morales-Conde, Salvador ^{[17
]}

Renard, Yohann ^{[18
]}

Sanders, David L. ^{[19
]}

Smart, Neil J. ^{[20
]}

Torkington, Jared J. ^{[21
]}

Windsor, Alastair C. J. ^{[1
]}

机构：

[1] Univ Coll London Hosp, Abdominal Wall Unit, 235 Euston Rd, London, England

[2] UCL Centre Med Imaging, 2nd floor Charles Bell House, 43-45 Foley St, London, England

[3] Univ Texas Hlth Sci Ctr, McGovern Med Ctr, Dept Surg, 5656 Kelley St, Houston, TX 77026 USA

[4] Maria Middelares Hosp, Dept Surg, Buitenring-Sint-Denijs 30, B-9000 Ghent, Belgium

[5] Johns Hopkins Univ Hosp, Div Minimally Invas Surg, 600 N Wolfe St Blalock 618, Baltimore, MD 21287 USA

[6] Groote Schuur Hosp, Colorectal Unit, Main Rd, Observ, ZA-7925 Cape Town, South Africa

[7] Royal Infirm Edinburgh NHS Trust, Dept Surg, Edinburgh, Scotland

[8] Kantonal Hosp Olten, Dept Visceral Vasc & Thorac Surg, Baselstrasse 150, CH-4600 Olten, Switzerland

[9] Mt Sinai Sch Med, Dept Gen Surg, Dept Surg, New York, NY 10029 USA

[10] Stanford Univ Med Ctr, Dept Surg, 300 Pasteur Dr, Palo Alto, CA 94304 USA

[11] Carolinas Med Ctr, Dept Surg, Div Gastrointestinal & Minimally Invas Surg, 1000 Blythe Blvd, Charlotte, NC 28203 USA

[12] Univ Ulsan, Asan Med Ctr, Dept Plast Surg, 88 Oympicro, 43gil Songpagu, Seoul, South Korea

[13] Macquarie Univ Hosp, Macquarie Univ, Dept Gen Surg, 3 Technol Pl, Sydney, NSW 2109, Australia

[14] Boston & Harvard Univ, Vet Affairs Boston Hlth Care Syst, Dept Gen Surg, 1400 VFW Parkway, W Roxbury, MA 02132 USA

[15] Bispebjerg Hosp, Digest Dis Ctr, Bispebjerg Bakke 23, DK-2400 Copenhagen, Denmark

[16] Skane Univ Hosp Malmo, Dept Surg, S-202 05 Malmo, Sweden

[17] Univ Hosp Virgen Rocio, Dept Gen & Digest Surg, Unit Innovat Minimally Invas Surg, Betis-65, 1, E-41010 Seville, Spain

[18] Robert Debre Univ Hosp, Univ Reims Champagne & Ardenne, Dept Gen Digest & Endocrine Surg, Rue Cognacq-Jay, F-51092 Reims, France

[19] North Devon Dist Hosp, Dept Gen & Upper GI Surg, Raleigh Pk, Barnstaple, Devon, England

[20] Royal Devon & Exeter Hosp, Exeter Surg Hlth Serv Res Unit HeSRU, Barrack Rd, Exeter EX2 5DW, Devon, England

[21] Univ Hosp Wales, Dept Colorectal Surg, Cardiff CF14 4XW, England

来源：

WORLD JOURNAL OF SURGERY | 2020年 / 44卷 / 04期

关键词：

SURGICAL SITE OCCURRENCE; INCISIONAL HERNIA; CLASSIFICATION; VALIDATION; CRITERIA; OUTCOMES; REPAIR; VOLUME; SCORE;

D O I：

10.1007/s00268-019-05317-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background No standardized written or volumetric definition exists for 'loss of domain' (LOD). This limits the utility of LOD as a morphological descriptor and as a predictor of peri- and postoperative outcomes. Consequently, our aim was to establish definitions for LOD via consensus of expert abdominal wall surgeons. Methods A Delphi study involving 20 internationally recognized abdominal wall reconstruction (AWR) surgeons was performed. Four written and two volumetric definitions of LOD were identified via systematic review. Panelists completed a questionnaire that suggested these definitions as standardized definitions of LOD. Consensus on a preferred term was pre-defined as achieved when selected by >= 80% of panelists. Terms scoring Results Voting commenced August 2018 and was completed in January 2019. Written definition: During Round 1, two definitions were removed and seven new definitions were suggested, leaving nine definitions for consideration. For Round 2, panelists were asked to select all appealing definitions. Thereafter, common concepts were identified during analysis, from which the facilitators advanced a new written definition. This received 100% agreement in Round 3. Volumetric definition: Initially, panelists were evenly split, but consensus for the Sabbagh method was achieved. Panelists could not reach consensus regarding a threshold LOD value that would preclude surgery. Conclusions Consensus for written and volumetric definitions of LOD was achieved from 20 internationally recognized AWR surgeons. Adoption of these definitions will help standardize the use of LOD for both clinical and academic activities.

引用

页码：1070 / 1078

页数：9