CHICAGO: Machine Learning in Hernia Recurrence Prediction

Machine learning (ML) models developed by surgeons at the University of Texas MD Anderson Cancer Center in Houston have shown a high level of accuracy in predicting which types of patients are most likely to have a hernia recurrence or other complications. Research findings are reported in an "article in press" published on the website of the Journal of the American College of Surgeons (JACS).

Repair of ventral hernias—hernias that occur when a bulge emerges through the abdominal muscles—is a common operation, with more than 400,000 performed annually in the U.S. However, more than a third of these types of hernias end up happening again or patients experience some other type of postsurgery complication.

"We found that the machine learning algorithm, trained by using our own data, could accurately predict occurrence of complications after complex abdominal wall repair," said lead study author Abbas M. Hassan, MD, postdoctoral fellow and PhD candidate, department of plastic surgery, MD Anderson. "It was also able to identify factors associated with poor outcomes."

Dr. Hassan and colleagues say this is the first study to describe the use of ML to predict postsurgery complications of abdominal wall reconstruction.

Ventral hernias can occur in patients who've had an abdominal operation for something other than hernia repair, such as gall bladder removal or, in many cases at MD Anderson, to remove a tumor and nearby tissue, or even part of an organ. The surgeons noted that with more than 4 million abdominal operations performed in the United States annually, the demand for abdominal wall reconstruction is growing.

For further information, click on the following link: 10.1097/XCS.0000000000000141