*mymedicalexpo

Catalogs
Integra LifeSciences
Hernia Clinical Classification Scale

Hernia Clinical Classification Scale

Product catalog summary

Introduction
The modified Ventral Hernia Working Group (VHWG) classification system, developed in 2012, aims to predict surgical site occurrences (SSO) after open ventral hernia repair. SSOs include infections, seromas, wound dehiscence, or enterocutaneous fistula formation.

Hernia Type and Mesh Type
The classification considers different types of mesh materials: Permanent Synthetic, Resorbable Synthetic (Biosynthetic), and Biologic.

VHWG Classification

Grade 1: Choice of repair material depends on surgeon and patient factors.
Grade 2: Increased SSO risk suggests a potential advantage for biologic reinforcement over permanent synthetic materials.
Grade 3: Permanent synthetic materials are generally not recommended; biologic repair materials may be advantageous.
Grade 4: Permanent synthetic materials are not recommended; biologic repair materials should be considered.

Risk Levels and Characteristics

Low Risk: Low complication risk, no history of wound infection.
Co-Morbid: Includes smokers, obese, diabetic, immunosuppressed, or COPD patients.
Potentially Contaminated: Previous wound infection, stoma presence, or gastrointestinal tract violation.
Infected: Infected mesh or septic dehiscence.

Modified VHWG Classification and Risk

Grade 1: Low risk with 14% SSO incidence.
Grade 2: Co-morbid conditions with 27% SSO incidence.
Grade 3: Contaminated conditions with 46% SSO incidence, further categorized into Clean-Contaminated, Contaminated, and Dirty.

Confidentiality Notice
This document is company confidential and intended for internal training purposes only. It is a product of Integra LifeSciences Corporation.

Catalog excerpts

HERNIA TYPE VENTRAL - INCISIONAL MESH TYPE VENTRAL HERNIA WORKING AThe modified VHWG classification system was developed (2012) to accurately predict surgical site occurrence (SSO) after open ventral hernia repair. SSO was defined as development of an infection, seroma, wound dehiscence, or formation of an enterocutaneous fistula. 1. Breuing K, Butler CE, Ferzoco S, et al. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery 20i0;i48:544e558. 2. Kanters AE, Krpata DM, Blatnik JA, Novitsky YM, Rosen MJ (2012) Modified hernia grading scale to stratify surgical site occurrence after open ventral hernia repairs. Journal of the American College of Surgeons 215 (6): 787-793. INTEGRA LIMIT UNCERTAINTY Integra and the Integra logo are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries. ©2018 Integra LifeSciences Corporation. All rights reserved. Printed in USA. 1028784-1-EN COMPANY CONFIDENTIAL: DO NOT DISTRIBUTE - FOR INTERNAL TRAINING PURPOSES ONLY

Open the catalog to page 1

All Integra LifeSciences catalogs and technical brochures

Archived catalogs

*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.

Brand list