Low long-term incidence of incisional hernia after cholecystectomy: A systematic review with meta-analysis

Jensen, Sofie Anne-Marie Skovbo; Fonnes, Siv; Gram-Hanssen, Anders; Andresen, Kristoffer; Rosenberg, Jacob

doi:10.1016/j.surg.2020.12.027

Cited by 11 publications

(4 citation statements)

References 89 publications

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“…IH is one of the most common surgical complications, 26,27 with an incidence ranging from 4% to 21% in studies with long-term follow-up. [28][29][30][31] Various risk factors play a role in the development of IHs. Reported risk factors include female gender, 9 a history of inguinal hernia, 21 the presence of a nearby stoma, smoking history, and diabetes.…”

Section: Discussionmentioning

confidence: 99%

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Impact of body fat location and volume on incisional hernia development and its outcomes following repair

Li,

Wu,

Shao

2024

ANZ Journal of Surgery

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BackgroundObesity is known to increase the likelihood of developing abdominal wall hernias, body mass index (BMI) alone does not provide detailed information about the amount and location of body fat. The aim of this study was to investigate the link between various adipose tissue parameters and the incidence of incisional hernias (IHs), as well as the outcomes of hernia repair.MethodsWe conducted a comprehensive review of the existing literature to examine the relationship between various body fat parameters and the occurrence of IHs after abdominal surgeries, as well as the outcomes of hernia repair.ResultsThirteen studies were included for analysis. Eight trials evaluated the IH development after abdominal surgeries via specific fat parameters, and five studies evaluated the postoperative outcomes after IH repair. The findings of this study suggest that an increase in visceral fat volume (VFA or VFV) and subcutaneous fat (SFA or SFV) are linked to a higher incidence of IHs after abdominal surgeries. Higher levels of VFV or VFA were associated with more challenging fascia closure and greater postoperative recurrence rates following repair. Whereas BMI did not demonstrate a significant association.ConclusionMeasuring visceral and subcutaneous fat composition preoperatively can be a useful tool for assessing the risk of IH, and is more reliable than BMI. Elevated levels of these fat parameters have been linked to increased recurrence of IH following hernia repair, as well as the use of complex surgical techniques during repair.

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Section: Discussionmentioning

confidence: 99%

“…IH is one of the most common surgical complications, 26,27 with an incidence ranging from 4% to 21% in studies with long‐term follow‐up 28–31 . Various risk factors play a role in the development of IHs.…”

Section: Discussionmentioning

confidence: 99%

Impact of body fat location and volume on incisional hernia development and its outcomes following repair

Li,

Wu,

Shao

2024

ANZ Journal of Surgery

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“…A simple comparative calculation of the incision needed to pass a 10 mm trocar (outer diameter 11mm) vs the incision for introduction of three instruments with an external diameter of 5 mm each refutes this assumption: Notwithstanding the elasticity of the fascial sheaths and the skin, a minimum incision length of more or less 17 mm is needed for a "10 mm" trocar and three SPS instruments. The bias against a greater inherent risk for poor wound healing with SPS was fed by numerous publications that reported early learning curve data resulting in meta-analysis similar to that in[ 23 ]. A minimized incision is particularly beneficial in those types of surgery where small meshes have to be applied in the abdominal cavity for hernia reconstruction or where no or very small specimens have to be removed.…”

Section: Medusa Ravished and Blamedmentioning

confidence: 99%

Analogies between medusa and single port surgery in gastroenterology and hepatology: A review

Mittermair¹,

Weiß²

2021

WJG

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Single port surgery (SPS) was introduced as an attractive, minimally invasive surgical technique that ensures esthetic results for many types of visceral surgery. Initially, surgeons immediately set about performing SPS without preliminary knowledge or training, which resulted in higher complication rates. Today, current studies conclusively show that SPS is scientifically rehabilitated and indicated for simple and complex laparoscopic procedures. We here describe the astonishing analogies between Greek mythology and modern surgery.

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“…The incidence here is clearly higher than the incidence at 6 months or 1 year (4.5%), as reported in the meta-analysis of Jensen et al . 10 (40 studies, n =5618). This raises the question whether the true incidence of incisional hernias after SILC is underreported because of the short follow-up period 11 .…”

Section: Introductionmentioning

confidence: 99%

Incidence of incisional hernias and cosmetic outcome after laparoscopic single-incision cholecystectomy: a long-term follow-up cohort study of 125 patients

Krollmann,

Hunger,

Paasch

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Studies have evaluated long- term occurrence of incisional hernia, cosmesis and postoperative pain after single incision laparoscopic cholecystectomy (SILC). However, the follow-up periods were rarely defined longer than 12 months. We performed a cohort study to evaluate hernia rate and cosmesis in a prolonged follow-up period. Methods: All patients that underwent SILC at the XXX Hospital between December 2008 and November 2014 were evaluated in terms of postoperative complications and a follow-up telephone interview including the existence of hernias and chronic pain was performed. Cosmesis and the overall satisfaction of the scar was measured by POSAS (Patient and Observer Scar Assessment Scale). Results: In total 125 patients underwent SILC. The single incision approach was completed in 94.4%, an additional trocar was necessary in 3.2% (n=4) and a conversion to 4 trocar cholecystectomy was required in 2.4% (n=3). Intraoperative complications occurred in 2.4% and postoperative complication in 12.8% of all patients. Follow-up telephone interview was performed in 49.6% of 125 patients. The mean follow-up period was 138.9 months (11.6 years). Overall, in 3.6% an incisional hernia was diagnosed. A total of 3.6% reported pain in the region of the umbilicus with a mean VAS (Visual Analog Scale) of 2/10. The mean POSAS score was 7.8. Overall, 82.3% of this cohort rate their satisfaction of the scar with a 1/7, resembling the best possible result of the scar. Conclusion: The present study demonstrates that SILC is a safe alternative in terms incisional hernia rate and complications with a high satisfaction of the scar even after one decade after surgery. In comparison to shorter follow- up period and multiport laparoscopic cholecystectomy our result is comparable.

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Low long-term incidence of incisional hernia after cholecystectomy: A systematic review with meta-analysis

Cited by 11 publications

References 89 publications

Impact of body fat location and volume on incisional hernia development and its outcomes following repair

Impact of body fat location and volume on incisional hernia development and its outcomes following repair

Analogies between medusa and single port surgery in gastroenterology and hepatology: A review

Incidence of incisional hernias and cosmetic outcome after laparoscopic single-incision cholecystectomy: a long-term follow-up cohort study of 125 patients

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