UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

What Exactly is Meant by "Loss of Domain" for Ventral Hernia? Systematic Review of Definitions

Parker, SG; Halligan, S; Blackburn, S; Plumb, AAO; Archer, L; Mallett, S; Windsor, ACJ; (2019) What Exactly is Meant by "Loss of Domain" for Ventral Hernia? Systematic Review of Definitions. World Journal of Surgery , 43 (2) pp. 396-404. 10.1007/s00268-018-4783-7. Green open access

[thumbnail of Parker2018_Article_WhatExactlyIsMeantByLossOfDoma.pdf]
Preview
Text
Parker2018_Article_WhatExactlyIsMeantByLossOfDoma.pdf - Published Version

Download (553kB) | Preview

Abstract

Large ventral hernias are a significant surgical challenge. "Loss of domain" (LOD) expresses the relationship between hernia and abdominal volume, and is used to predict operative difficulty and success. This systematic review assessed whether different definitions of LOD are used in the literature. The PubMed database was searched for articles reporting large hernia repairs that explicitly described LOD. Two reviewers screened citations and extracted data from selected articles, focusing on the definitions used for LOD, study demographics, study design, and reporting surgical specialty. One hundred and seven articles were identified, 93 full-texts examined, and 77 were included in the systematic review. Sixty-seven articles were from the primary literature, and 10 articles were from the secondary literature. Twenty-eight articles (36%) gave a written definition for loss of domain. These varied and divided into six broad groupings; four described the loss of the right of domain, six described abdominal strap muscle contraction, five described the "second abdomen", five describing large irreducible hernias. Six gave miscellaneous definitions. Two articles gave multiple definitions. Twenty articles (26%) gave volumetric definitions; eight used the Tanaka method [hernia sac volume (HSV)/abdominal cavity volume] and five used the Sabbagh method [(HSV)/total peritoneal volume]. The definitions used for loss of domain were not dependent on the reporting specialty. Our systematic review revealed that multiple definitions of loss of domain are being used. These vary and are not interchangeable. Expert consensus on this matter is necessary to standardise this important concept for hernia surgeons.

Type: Article
Title: What Exactly is Meant by "Loss of Domain" for Ventral Hernia? Systematic Review of Definitions
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00268-018-4783-7
Publisher version: https://doi.org/10.1007/s00268-018-4783-7
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Experimental and Translational Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10056539
Downloads since deposit
257Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item