Table 1.
Possible variables to use for classifying primary and incisional abdominal wall hernias and their use in previous classifications
Variables for classification of primary or incisional abdominal wall hernias | Chevrel and Rath [3] | Korenkov et al. [4] | Schumpelick[2] | Ammaturo and Bassi [6] | Swedish registry | Dietz et al. [5] |
---|---|---|---|---|---|---|
Size of the hernia defect: surface area, length, width | Width | Width or length | Maximal size | Width | Width and length | Width and length |
Size of the hernia sac | ||||||
Number of hernia defects | × | × | ||||
BMI of the patient | × | × | ||||
Ratio anterior abdominal wall surface/wall defect surface | × | |||||
Ratio between the abdominal volume/the volume of the hernia sac | ||||||
Primary versus incisional hernias | ||||||
Recurrent hernias (number of previous repairs) | × | × | × | × | × | × |
Previous mesh implantation | × | |||||
Indication for the operation causing the incisional hernia | × | |||||
Type and localisation of the incision | × | |||||
Symptoms of the hernia | × | |||||
Reducibility of the hernia | × | × | × | |||
Localisation of the hernia | × | × | × | × | × | × |
The anatomy of the patient in the subcostal area: sternocostal angle | × | |||||
Other risk factors for hernia recurrence | × |