Incisional hernia after single-incision laparoscopic cholecystectomy: incidence and predictive factors

Surgical Endoscopy
O JulliardD Gherardi

Abstract

To access the incidence and predictive factors of incisional hernia after single-incision laparoscopic cholecystectomy (SILC). Eighty-two consecutive patients operated on for uncomplicated cholelithiasis between 2009 and 2013 were eligible for the study. Clinical outcome was assessed by a combination of case notes review, office consultation and telephone interview. Long-term incisional hernia rate was the major outcome of the study. Secondary outcome was the evaluation of predictive factors. Univariate and multivariate statistical analyses were performed using the following variables: age, gender, ASA score, BMI, risk, or comorbidity factors and surgical site infection. Six patients (7 %) were lost to follow-up after the 1-month office visit and excluded. The study group consisted of 16 men and 60 women with a median age of 42 years (range 18-69) and a BMI of 25 (range 19-34). Eight patients had risk or comorbidity factors, 46 were classified ASA I, and 30 ASA II. Early postoperative course was uneventful in all cases but two patients developed a superficial wound abscess after hospital discharge. With a median follow-up of 44 months (range 12-72), incisional hernia was noted in six patients (7.9 %). Multivariate logistic anal...Continue Reading

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Citations

Jul 1, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C Hollinsky
Jun 18, 2017·American Journal of Obstetrics and Gynecology·Laura MoultonChad M Michener
Oct 27, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G ChatzimavroudisE Christoforidis
Apr 19, 2018·Gynecologic and Obstetric Investigation·Maria Luisa GasparriAndrea Papadia
Jun 25, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jonas RaakowRoland Raakow
Dec 13, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Cristina Alhambra-Rodríguez de GuzmánCarlos Moreno-Sanz
Mar 14, 2019·Surgical Endoscopy·Atakan Görkem BarutcuJonas Raakow
Sep 17, 2018·Techniques in Coloproctology·A SpinelliM Carvello
Mar 4, 2020·Surgical Endoscopy·S WabitschM Schmelzle

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