Goodenough et al developed a score for predicting the risk of a ventral incisional hernia (VIH) following intra-abdominal surgery. The authors are from the University of Texas Health Science Center Houston, Baylor College and the University of Kentucky.
Patient selection: intra-abdominal surgery
Parameters:
(1) type of intra-abdominal surgery
(2) COPD
(3) body mass index (BMI)
Parameter
Finding
Points
type of intra-abdominal surgery
laparoscopy
0
hand-assisted laparoscopy (HAL)
3
laparotomy
4
COPD
no
0
yes
1
BMI
< 25 kg per square meter
0
>= 25 kg per square meter
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• The higher the score the greater the risk for VIH.
Total Score
Risk Class
Percent VIH
<= 3
I
2-7%
4 or 5
II
20-23%
6
III
50-75%
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