Female Gender and Diabetes Mellitus Increase the Risk of Recurrence after Laparoscopic Incisional Hernia Repair

Hornby, ST; McDermott, Frank D.; Coleman, Mark; Ahmed, Zubir; Bunni, John; Bunting, David; Elshaer, Mohamed; Evans, Mark D.; Kimble, Adam; Kostalas, Marcos; Page, Georgina; Singh, Jaspal; Szczebiot, Lukasz; Wienand-Barnett, Sophie; Wilkins, Allen N.; Williams, Omolara; Newell, Philippa

doi:10.1308/003588414x14055925058751

Cited by 23 publications

(10 citation statements)

References 12 publications

(12 reference statements)

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“…BMI has been shown to be a risk factor in many other studies [12,13,17,18] and is a factor to consider when choosing a technique for the reversal of the ostomy. Other studies have found female sex to be a risk factor for recurrence after incisional hernia repair [27]. Stoma-related problems such as prolapse and parastomal hernia have been shown to be associated with an increased risk of developing stoma site hernia [17].…”

Section: Discussionmentioning

confidence: 99%

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Hernia at the stoma site after loop ileostomy reversal

Eklöv

Viktorsson

Frosztega

et al. 2020

Int J Colorectal Dis

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Purpose To estimate the incidence of and risk factors for stoma site hernia after closure of a temporary diverting ileostomy. Method In a non-comparative cohort study, charts (n = 216) and CT-scans (n = 169) from patients who had undergone loop ileostomy closure following low anterior resection for rectal cancer 2010-2015 (mainly open surgery) at three hospitals were evaluated retrospectively. Patients without hernia diagnosis were evaluated cross-sectionally through a questionnaire (n = 158), and patients with symptoms of bulging or pain were contacted and offered a clinical examination or a CT scan including Valsalva maneuver. Results In the chart review, five (2.3%) patients had a diagnosis of incisional hernia at the previous stoma site after 8 months (median). In 12 patients, the CT scan showed a hernia, of which 8 had not been detected previously. The questionnaire was returned by 130 (82%) patients, of which 31% had symptoms of bulging or pain. Less than one in five of patients who reported bulging were diagnosed with hernia, but the absolute majority of the radiologically diagnosed hernias reported symptoms. By combining clinical and radiological diagnosis, the cumulative incidence of hernia was 7.4% during a median follow up time of 30 months. Risk factors for stoma site hernia were male sex and higher BMI. Conclusion Hernia at the previous stoma site was underdiagnosed. Less than a third of symptomatic patients had a hernia diagnosis in routine follow up. Randomized studies are needed to evaluate if prophylactic mesh can be used to prevent hernias, especially in patients with risk factors.

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Section: Discussionmentioning

confidence: 99%

“…Median BMI in patients with stoma site hernia was 28 (IQR: 25-29) kg/m 2 versus 25 (22)(23)(24)(25)(26)(27)(28) in patients without hernia (p = 0.026) ( Table 4). Of the 16 patients with hernia, 14 (88%) were men and 2 (12%) were women, versus 116 (58%) men and 84 (42%) women in patients without hernia (p = 0.031).…”

Section: Risk Factorsmentioning

confidence: 99%

Hernia at the stoma site after loop ileostomy reversal

Eklöv

Viktorsson

Frosztega

et al. 2020

Int J Colorectal Dis

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“…10 Hornby et al reported that diabetes mellitus (3.54; 1-12.56) significantly increased the risk of incisional hernia. 11 Jaykar et al did a clinical study of ventral hernia. Obesity and constipation were found to be the major predisposing risk factors.…”

Section: Resultsmentioning

confidence: 99%

Study prevalence of risk factors and clinical presentation of ventral incisional hernia an observational study

2020

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Background: Incisional hernia is the second most common type of hernia after inguinal hernia. It is a complication of abdominal surgery, reported in up to 11% of patients generally and in up to 20% of those who developed post operative wound infection. The list of predictive factors associated with development of incisional hernia is obesity, diabetes mellitus, steroid, smoking, old age, malnutrition, COPD and type of incision.Methods: This was a hospital based cross sectional observational study carried out from February 2018 - October 2019 in surgery department of Dr. B.R.A.M. Hospital Raipur C.G, with diagnosis of incisional hernia. Total 100 patients were included in the study.Results: In present study the mean age of study subjects was 47.27±13.16 years. Around two-third 64% were females. 40% of perforation and 35% of LSCS cases later develop to Incisional hernia. Risk factors profile showed that 31% were alcoholic, 27% smokers, 48% pre-obese and 5% were obese. 36% were hypertensive, 48% diabetic, and 12% had constipation. 25% had prolonged cough, 35% had surgical site infection, 45% had anemia. Clinical presentation of study subjects showed that 63% had swelling, 33% had swelling and pain and 4% had obstruction.Conclusions: Incisional hernia is more common in female than males and in cases above the age of 45 years. It is more common in patients who underwent the previous surgery on an emergency basis especially in perforation and obstruction and LSCS cases. Risk factors associated with incisional hernia are smoker, alcoholic, obesity, hypertension, diabetes, constipation, prolong cough and anemia.

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“…Further studies reported on the association between diabetes and incisional hernia (35,36), confirming the plausibility of our finding. Finally, Hornby et al found that diabetes may be a risk factor for recurrent incisional hernia after laparoscopic hernia repair presumably due to impaired wound healing and increased postoperative wound infection complications (37).…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

Ανδρέου

Pesthy

Struecker

et al. 2017

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HH is a major adverse event after resection for gastric or esophageal cancer especially among patients undergoing extended gastrectomy for cardia cancer requiring a high rate of repeat surgery. Therefore, intensive follow-up examinations for high-risk patients and early diagnosis of asymptomatic patients are essential for selecting patients for elective surgery to avoid unpredictable emergent events with high morbidity and mortality.

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Female Gender and Diabetes Mellitus Increase the Risk of Recurrence after Laparoscopic Incisional Hernia Repair

Cited by 23 publications

References 12 publications

Hernia at the stoma site after loop ileostomy reversal

Hernia at the stoma site after loop ileostomy reversal

Study prevalence of risk factors and clinical presentation of ventral incisional hernia an observational study

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

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