Éventrations lombaires symptomatiques après néphrectomies par lombotomie : quels sont les facteurs de risque ?

Marchand, C.; Renard, Yohann; Avisse, C.; Palot, J. P.; Larré, S.

doi:10.1016/j.purol.2016.02.011

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…In the present study, smoking showed no statistically significant difference for the development of postoperative flank bulge or hernia. This finding agrees with another study [11] . However, chronic obstructive pulmonary disease was not studied in our present study and it was reported as a risk factor for the development of postoperative lumbar incisional hernia in another study [11] .…”

Section: Discussionsupporting

confidence: 94%

“…In our present study, patient’s sex showed no statistically significant difference for the development of postoperative flank bulge or hernia, which is in accordance with another study [11] . However, female sex was a risk factor for incisional hernia development after abdominal surgery in another study [6] .…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, operative time showed no statistically significant difference for the development of postoperative flank bulge or hernia. However, another study reported that prolonged operative time was a statistically significant factor in the development of postoperative lumbar incisional hernia [11] .…”

Section: Discussionmentioning

confidence: 98%

“…This may also be explained by delayed wound healing in older patients due to altered inflammatory response, such as delayed T-cell infiltration into the wound area with alterations in chemokine production and reduced macrophage phagocytic capacity [9] . Several studies have shown the correlation between old age and the development of postoperative hernias [6] , [7] , [10] , [11] . However, another study showed no correlation between the age of the patient and the rate of postoperative flank bulge following flank incision for radical nephrectomy [12] .…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

Osman

Emam

Farouk

et al. 2018

Arab Journal of Urology

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ObjectivesTo evaluate the incidence and risk factors for the development of flank incisional hernias or bulges following surgical flank approaches to the kidney.Patients and methodsIn all, 100 consecutive adult patients who underwent variable renal surgeries via flank approaches were included in this prospective study. The incidence and risk factors for flank hernias and bulges were studied at 1- and 6-months postoperatively.ResultsAt 6 months postoperatively, the incidence of flank bulge was 14% and for lumbar hernia was 10%. The univariate analysis showed 13 significant factors to be associated with the occurrence of a flank bulge or hernia following flank incisions. When the significant risk factors in the univariate analysis were studied by multivariate analysis, using a logistic regression analysis, four independent risk factors were identified. These were: body mass index (BMI) ≥26.3 kg/m2 (P = 0.04), the use of a self-retaining retractor during surgery (P = 0.02), not preserving or identifying the neurovascular bundle (NVB) during surgery (P = 0.028), and postoperative abdominal distention (P = 0.001). Moreover, all cases included in our study who underwent en masse wound closure, developed surgical wound infection or who had constipation developed postoperative flank bulge or hernia.ConclusionHigh BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

Osman

Emam

Farouk

et al. 2018

Arab Journal of Urology

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“…18,19 Some studies have also reported that increased incision length, prolonged operation time and long-term using of retractors during surgery were statistically significant factors in the development of incisional hernia. 20,21 In the present study, the incidence of postoperative abdomen bulge or incisional hernia in the CRT group was less than that in the standard group, the reasons may be related to the above factors.…”

Section: Discussionmentioning

confidence: 48%

<p>A New Surgical Technique of Combination Retroperitoneal with Transperitoneal Laparoscopic Nephroureterectomy in a Single Position and Comparative Outcomes</p>

Song¹,

Wang²,

Zhao³

et al. 2020

CMAR

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Background: The traditional surgical treatment for upper urinary tract urothelial carcinoma (UTUC) is time-consuming owing to changing the surgical position and larger surgical trauma because of open surgery in handling the distal ureter. Therefore, we created a new surgical technique of combination retroperitoneal with transperitoneal (CRT) laparoscopic nephroureterectomy (LNU) in a single position and here report our early outcomes. Methods: From January 2017 to December 2019, a total of 106 patients underwent LNU by a single surgeon at our department, of whom 50 patients underwent standard technique and 56 patients underwent CRT technique. Relevant clinical data were collected including each patient's characteristics, surgical outcomes, and follow-up results. A comparative analysis between standard LNU cases and CRT LNU cases was performed. Results: LNU was performed successfully on all 106 patients. There was no significant difference in patients' characteristics. Compared to the standard group, patients in the CRT group had shorter operative time (P=0.001), less estimated blood loss (EBL) (P<0.001), lower visual analogue scale (VAS) pain score (P=0.020) and less scarring (P=0.013). The median time of surgical drain stay decreased from 5 to 2 days (P=0.004) and median hospital stay after surgery decreased from 5 to 3 days (P=0.001). The complication rates did not show statistical differences between the two groups within the first 30 days postoperatively (P=0.263). For the long-term complications, the incidence of abdomen bulge or incisional hernia in the CRT group was less than that in the standard group (P<0.001). Conclusion: The CRT technique, which combines both the advantages of retroperitoneal and transperitoneal approaches, is a more minimally invasive, simplified and effective way to perform the LNU.

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Lumbar hernia diagnosed after laparoscopic hiatal hernia surgery

Kiam

Lam

Crane

et al. 2021

Clinical Case Reports

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Éventrations lombaires symptomatiques après néphrectomies par lombotomie : quels sont les facteurs de risque ?

Cited by 7 publications

References 13 publications

Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

<p>A New Surgical Technique of Combination Retroperitoneal with Transperitoneal Laparoscopic Nephroureterectomy in a Single Position and Comparative Outcomes</p>

Lumbar hernia diagnosed after laparoscopic hiatal hernia surgery

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