Incidence, risk factors, and treatment of incisional hernia after kidney transplantation: An analysis of 1,564 consecutive patients

Surgery
Liselotte S OomsTurkan Terkivatan

Abstract

The objective was to evaluate the incidence and treatment of incisional hernia after kidney transplantation and to identify potential risk factors. A retrospective cohort study was performed. All kidney transplant recipients between 2002 and 2012 were included. Two groups were identified: patients with and without incisional hernia. An analysis of risk factors for the development of incisional hernia was performed. A total of 1,564 kidney recipients were included. Fifty patients (3.2%) developed incisional hernia. On univariate analysis, female sex (54 vs 35%), body mass index (BMI) >30 kg/m(2) (38 vs 17%), concurrent abdominal wall hernia (30 vs 16%), multiple explorations of the ipsilateral iliac fossa (38 vs 19%), left iliac fossa implantation (36 vs 24%), history of smoking (72 vs 57%), and duration of the kidney transplantation procedure (210 vs 188 minutes) were associated with the development of incisional hernia (P < .05 each). In multivariate analyses, female sex (hazard ratio [HR] 2.6), history of smoking (HR 2.2), obesity (BMI >30; HR 2.9), multiple explorations of the ipsilateral iliac fossa (HR 2.0), duration of operation (HR 1.007), and concurrent abdominal wall hernia (HR 2.3) were independent risk factors. Twent...Continue Reading

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Citations

Jul 22, 2016·Surgical Endoscopy·Luise I M PernarAli Tavakkoli
Oct 13, 2019·World Journal of Surgery·Jamie R RobinsonJoshua C Denny
Dec 14, 2019·Der Urologe. Ausg. A·P ZeuschnerM Stöckle
Mar 3, 2020·Annals of Plastic Surgery·Ledibabari M NgaageYvonne M Rasko
Mar 20, 2018·Abdominal Radiology·Nancy KimAngela D Levy
Jan 5, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M A Garcia-Urena, UNKNOWN POP (Progress On Prevention) Surgical Group
Aug 20, 2019·The Journal of Surgical Research·Umar F BhattiKamran Idrees
Feb 6, 2021·Transplantation Proceedings·Brooks J KnightonYvonne M Rasko
Jun 22, 2021·Journal of Surgical Case Reports·Atta NawabiPerwaiz Nawabi
Oct 12, 2021·Clinical Transplantation·Rossella GiocoMassimiliano Veroux

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