Incisional hernia after laparoscopic colorectal surgery. Is there any factor associated?

Sadava, Emmanuel E; Cabo, Javier Kerman; Carballo, Federico; Bun, Maximiliano; Rotholtz, Nicolás A.

doi:10.1007/s00464-014-3615-6

Cited by 26 publications

(18 citation statements)

References 14 publications

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“…On the one hand, five studies [22,24,[26][27][28] indicated that a bulky tumor was not suitable for NOSE in colorectal cancer and that transvaginal access [22,24,27] was not recommended for patients with vaginal narrowing, pelvic surgery, or endometriosis. On the other hand, evidences have indicated that patients with a higher body mass index (BMI) have an increased prevalence of incisional hernia after laparoscopic colorectal surgery [40]. In addition, Senagnore et al [41] showed that patients with a higher BMI were associated with a higher conversion rate to open surgery, longer operation time, higher prevalence of complications, and higher prevalence of anastomotic leakage in laparoscopic colectomy.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Huang

Gao

et al. 2015

Int J Colorectal Dis

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Section: Discussionmentioning

confidence: 98%

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Huang

Gao

et al. 2015

Int J Colorectal Dis

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“…Various other studies have revealed similar results. [8][9][10] However, on multivariable analysis, these risk factors were not identified to be statistically significant. The most likely reason for this was the relatively small sample size because of missing data, whereby weight and height had not been routinely measured on all patients in the cohort.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the development of ventral incisional hernia post abdominal surgery: a retrospective cohort study

2017

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INTRODUCTIONVentral incisional hernia (VIH) is one of the most common post-operative complications following abdominal surgery. Patients with symptomatic ventral incision hernia have unsatisfactory cosmetic results and impaired quality of life with serious life-threatening disorders including incarceration and bowel strangulation. Long term follow-up after abdominal surgery reveals an incidence rate of 5-25% for ventral incisional hernias. 1Various risk factors for development of VIH have been reported in previous studies. These include patient factors ABSTRACT Background: Ventral incisional hernia (VIH) is one of the most common post-operative complications following abdominal surgery. The objective of this study was to evaluate the rate and risk factors associated with development of a ventral incisional hernia (VIH). Methods: Patients who underwent major abdominal surgery between 2010 and 2012 at a single institution were included in this retrospective cohort study. Data were collected from medical records. The primary outcome was clinical or radiological evidence of incisional hernia; explanatory variables were patient demographics and potential clinico-pathological risk factors for hernia development. Results: A total of 295 patients who underwent laparotomy were analysed. 45 (15.25%) patients were found to have a ventral incisional hernia on follow-up. The median time to development of hernia was 351 days. There were equal numbers of elective (N=22) and emergency (N=23) operations that developed an incisional hernia. Of the explanatory variables considered diabetes, hypertension (HTN) and body mass index (BMI) had persistent significant positive associations with the development of an incisional hernia. On univariable analysis diabetes (HR = 2.73, p-value = 0.004) and hypertension (HR =2.17, p-value = 0.016) were identified as independent risk factors for hernia development. BMI was also significantly associated with development of an incisional hernia on univariate analysis, but due to missing data this did not reach statistical significance on multivariable analysis. Conclusions: Although there are several risk factors to development of VIH, diabetes and HTN were associated with development of incisional hernia in our study. BMI also appears to be an important determinant of development of VIH. Further research in this area is likely to identify an at-risk subset of patients, who may benefit from weight loss prior to surgery or prophylactic mesh post-laparotomy.

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“…Previous studies have reported various risk factors for incisional hernia during colorectal surgery [6][7][8][9][10][11]. One previous report questioned whether using non-absorbable or absorbable sutures could prevent incisional hernias [15].…”

Section: Discussionmentioning

confidence: 99%

“…Incisional hernia causes various problems such as abdominal pain, poor cosmetic appearance, incarceration, and need for re-operation [4,5]. The risk factors for incisional hernia after open or laparoscopic colorectal surgery have previously been described and include body mass index (BMI), sex, smoking, diabetes mellitus, wound infection, and midline incision [6][7][8][9][10][11]. The influence of suture materials on the inci-sional hernia rate after abdominal wall closure remains unclear, and most studies have been conducted on open surgery rather than laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Influence of Suture Materials on Incisional Hernia Rate after Laparoscopic Colorectal Cancer Surgery: A Propensity Score Analysis

Iwaya

Yamazaki

Kameyama

et al. 2021

J Anus Rectum Colon

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Objectives: Incisional hernia is a common problem after colorectal surgery, and a laparoscopic approach does not reduce the incisional hernia rate. Previous reports have described the risk factors for incisional hernia; however, the impact of suture materials remains unclear. As such, this study compared the incisional hernia rate using different suture materials for abdominal wall closure after laparoscopic colorectal cancer surgery. Methods: Patients undergoing laparoscopic colorectal cancer surgery between January 2014 and December 2016 were included in this study. We separated patients into the following two groups based on the suture materials used for abdominal wall closure: (1.) fast-absorbable group and (2.) non-absorbable group. The primary outcome was incisional hernia rate that was diagnosed using computed tomography. We compared outcomes between these two groups using propensity score matching. Results: Before matching, 394 patients were included (168 in the fast-absorbable group and 226 in the non-absorbable group). After one-to-one matching, patients were stratified into the fast-absorbable group (n = 158) and the non-absorbable group (n = 158). The incisional hernia rate was higher in the fast-absorbable group than in the non-absorbable group (13.9% vs. 6.3%; P = 0.04). The median time to develop an incisional hernia was significantly shorter in the fast-absorbable group (6.7 months vs. 12.3 months; P < 0.01). The incidence of surgical site infection was not different between the two groups, but the incidence of suture sinus was lower in the fast-absorbable group (0% vs. 5.1%; P < 0.01). Conclusions: The use of fast-absorbable sutures may increase the risk of incisional hernia after laparoscopic colorectal cancer surgery.

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Incisional hernia after laparoscopic colorectal surgery. Is there any factor associated?

Abstract: The incidence of IH after LCRS seems to be acceptable. BMI over 30 kg/m(2) and SSI are strongly associated to this complication.

Cited by 26 publications

References 14 publications

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Factors affecting the development of ventral incisional hernia post abdominal surgery: a retrospective cohort study

Influence of Suture Materials on Incisional Hernia Rate after Laparoscopic Colorectal Cancer Surgery: A Propensity Score Analysis

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