High incidence of symptomatic incisional hernia after midline extraction in laparoscopic colon resection.

Surgical Endoscopy
Lawrence LeeLiane S Feldman

Abstract

The incidence of incisional hernia has not decreased despite the use of laparoscopy for colon resections. The objective of this study is to evaluate the impact of the incision used for specimen extraction on the incidence of incisional hernia after laparoscopic colectomy. Patients who underwent laparoscopic colectomy without stoma at a single university tertiary-care centre from 2003 to 2009 were identified from an operating room database. Patients were contacted by telephone for participation, and underwent physical examination ± ultrasonography for incisional hernia at the specimen extraction site and completed the Body Image Questionnaire. Specimen extraction incisions were classified into midline, transverse and Pfannenstiel groups. Out of a total of 251 patients, 99 patients agreed to participate (68 midline, 7 transverse, 24 Pfannenstiel), while 73 patients refused consent and 79 patients could not be contacted. Patients who refused consent were older (69.8 vs 62.4 years, p = 0.001) but otherwise were similar to participants with respect to gender, malignant disease, postoperative complications and extraction site. Mean length of follow-up was 37.0 months. The overall incidence of incisional hernia was 21% (21/99), being ...Continue Reading

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References

May 1, 1988·The British Journal of Surgery·J C García-ValdecasasJ Sentis
Mar 1, 1980·The British Journal of Surgery·M J GreenallA V Pollock
Mar 14, 2000·Annals of Surgery·N C HodgsonT Ostbye
May 11, 2002·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R GómezE Moreno
Jun 27, 2002·Surgical Endoscopy·E R WinslowL M Brunt
Oct 23, 2002·The British Journal of Surgery·M van 't RietJ Jeekel
Sep 15, 2004·The European Journal of Surgery = Acta Chirurgica·Riet M van'tH J Bonjer
Jul 22, 2005·The Cochrane Database of Systematic Reviews·W SchwenkJ M Müller
Oct 18, 2005·Diseases of the Colon and Rectum·Marco BragaValerio Di Carlo
Apr 22, 2008·The Cochrane Database of Systematic Reviews·E KuhryH J Bonjer
Mar 5, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A HalmJ Jeekel
Dec 3, 2009·International Journal of Colorectal Disease·Robert N WhistanceJane M Blazeby
Feb 2, 2010·Journal of the American College of Surgeons·Radovan VeljkovicAlexander Stojadinovic

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Citations

Jun 19, 2014·Surgical Endoscopy·Emmanuel E SadavaNicolás A Rotholtz
Jan 23, 2016·Techniques in Coloproctology·A O RasulovH E Dzhumabaev
Dec 29, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L C DuraesH Kessler
Sep 11, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Scott R SteeleAlessio Pigazzi
Sep 17, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Isha Ann EmhoffPatricia Sylla
Jun 20, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A MishraA G Acheson
Jul 3, 2015·Journal of Surgical Oncology·Yen-Yi JuoVincent Obias
Apr 20, 2016·International Journal of Colorectal Disease·Nicolò PecorelliMarco Braga
Jan 27, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsUNKNOWN European Hernia Society
Jul 30, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M WidmarJ Garcia-Aguilar
Sep 1, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A C BrockhausS Saad
May 14, 2014·Diseases of the Colon and Rectum·Christophe R Berney
Sep 29, 2019·Surgical Endoscopy·Karl-Hermann FuchsSantiago Horgan
Dec 19, 2014·Annals of the Royal College of Surgeons of England·A V NavaratnamT H Arulampalam
Apr 15, 2018·Current Urology Reports·Tony Nimeh, Sean Elliott
Sep 17, 2018·Techniques in Coloproctology·A SpinelliM Carvello
Mar 27, 2019·Archives of Gynecology and Obstetrics·Kerstin BewöGabriel Sandblom
Jan 25, 2013·Journal of the Korean Society of Coloproctology·In Ho SongKyu Joo Park
Nov 2, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A Pereira-RodríguezM López-Cano

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