Incidence of and risk factors for incisional hernia after abdominal surgery  

Oleh:

Itatsu, K. ; Yokoyama, Y. ; Sugawara, G. ; Kubota, H.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 101 no. 11 (Oct. 2014), page 1439-1447.
Topik: incisional hernia; hernia; abdominal surgery; operasi perut; hernia surgery effects; incarceration; bowel strangulation; hernia repair; operasi hernia; co-morbidities; steroids; body mass index; laparatomy; emergency surgery; laparoscopic surgery; blood transfusion; duration of surgery

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background Few larger studies have estimated the incidence of incisional hernia (IH) after abdominal surgery. Methods Patients who had abdominal surgery between November 2009 and February 2011 were included in the study. The incidence rate and risk factors for IH were monitored for at least 180?days. Results A total of 4305 consecutive patients were registered. Of these, 378 were excluded because of failure to complete follow-up and 3927 patients were analysed. IH was diagnosed in 318 patients. The estimated incidence rates for IH were 5·2 per cent at 12?months and 10·3 per cent at 24?months. In multivariable analysis, wound classification III and IV (hazard ratio (HR) 2·26, 95 per cent confidence interval 1·52 to 3·35), body mass index of 25?kg/m2 or higher (HR 1·76, 1·35 to 2·30), midline incision (HR 1·74, 1·28 to 2·38), incisional surgical-site infection (I-SSI) (HR 1·68, 1·24 to 2·28), preoperative chemotherapy (HR 1·61, 1·08 to 2·37), blood transfusion (HR 1·46, 1·04 to 2·05), increasing age by 10-year interval (HR 1·30, 1·16 to 1·45), female sex (HR 1·26, 1·01 to 1·59) and thickness of subcutaneous tissue for every 1-cm increase (HR 1·18, 1·03 to 1·35) were identified as independent risk factors. Compared with superficial I-SSI, deep I-SSI was more strongly associated with the development of IH. Conclusion Although there are several risk factors for IH, reducing I-SSI is an important step in the prevention of IH

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