Does perfusion matter? Preoperative prediction of incisional hernia development.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
B O AicherS Toursavadkohi

Abstract

Incisional hernias complicate 12-15% of general surgery cases with higher rates reported after laparotomy for aortoiliac occlusive disease (10-17%) and aneurysmal disease (17-38%). We hypothesize that inadequate perfusion of the abdominal wall promotes future hernia development. Thirty-eight patients undergoing midline laparotomy or thoracoabdominal approach for aortic disease with at least 2 years of follow-up were included in the study. Preoperative imaging was reviewed to assess vessel patency, contributing to the abdominal wall perfusion. Patency of the superior epigastric artery was determined at the T10 level, the inferior epigastric artery at the L4 level, and the deep circumflex iliac artery at the anterior superior iliac spine. Lumbar arteries were considered patent if they were seen branching from the aorta. Clinic notes and hospital medical records were reviewed to evaluate the hernia development post-procedure. Thirteen patients (34%) developed an incisional hernia. Absent flow from bilateral superior epigastric arteries or absent flow from ipsilateral superior and inferior epigastric arteries was found to be predictive of hernia development (P = 0.013, 0.011, respectively). There was no association identified with ...Continue Reading

References

Mar 1, 1987·British Journal of Plastic Surgery·G I Taylor, J H Palmer
Mar 27, 1982·British Medical Journal·T E BucknallH Ellis
Oct 1, 1993·The British Journal of Surgery·L A Israelsson, T Jonsson
Aug 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A J HollandM C Stacey
Oct 5, 2001·Journal of the American College of Surgeons·M MusellaR Jovino
Jan 15, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·W M RozenG I Taylor
Nov 10, 2009·World Journal of Surgery·Gabriëlle H van RamshorstJohan F Lange
Aug 9, 2011·Journal of Vascular Surgery·George A AntoniouMiltos K Lazarides
May 11, 2012·BMJ : British Medical Journal·David L Sanders, Andrew N Kingsnorth
Jan 8, 2013·Annals of Surgical Innovation and Research·Geoffrey C GurtnerMichael R Zenn
Apr 30, 2013·Journal of the American College of Surgeons·Rodney P BensleyBruce E Landon
May 14, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C BaliM Matsagkas
Jan 13, 2015·Annals of Surgery·Miguel Ángel García-UreñaPatricia López Quindós
Apr 22, 2016·Archives of Gynecology and Obstetrics·Camilla GuitarteEnrique Hernandez
Apr 25, 2018·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Reza IndrakusumaMark J W Koelemay

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