Can laparoscopic surgery prevent incisional hernia in patients with Crohn's disease: a comparison study of 750 patients undergoing open and laparoscopic bowel resection

Surgical Endoscopy
T HeimannBarry A Salky

Abstract

Incisional hernia (IH) is a frequent occurrence following open surgery for Crohn's disease (CD). This study compares the IH rates of patients with CD undergoing open versus laparoscopic bowel resection. Seven hundred and fifty patients with CD operated by the authors at the Mount Sinai Medical Center, New York, USA, were reviewed from a prospectively maintained surgical database. Five hundred patients with Crohn's disease undergoing open surgery were compared to 250 patients undergoing laparoscopic bowel resection. The mean duration of follow-up in the study population was 6.8 years. Patients undergoing open surgery had a significantly higher age at onset of disease, age at surgery, longer duration of disease, lower serum albumin, history of multiple previous resections, were more likely to be on steroids, needed more blood transfusions, and had an increased necessity for an ileostomy during resection. Nevertheless, the incidence of IH at 36 months was nearly identical in both groups (10.8 vs. 8.4% for open vs laparoscopic). 16% of the patients in the laparoscopic group (range: 7-20%) required conversion to open surgery. Patients undergoing laparoscopic resection that required conversion to open surgery had the highest IH rate ...Continue Reading

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Citations

Jul 18, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M RoseteJ Leite
Feb 29, 2020·World Journal of Surgery·Laura Beyer-BerjotUNKNOWN GETAID Chirurgie Group
Feb 23, 2019·Inflammatory Bowel Diseases·Tawnya M HansenYvette Leung
Jul 30, 2020·Journal of Robotic Surgery·H Hande AydinliAlexis L Grucela
Apr 10, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·I A RhemtullaJ P Fischer

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