PMID: 11339918May 8, 2001Paper

Incisional hernia in gynecologic oncology patients: a 10-year study

Obstetrics and Gynecology
M FranchiP Bolis

Abstract

To evaluate the independent contribution of clinical and constitutional factors in the development of early and late incisional hernias in women undergoing surgery for uterine cancer. Over 10 years, patients undergoing extended abdominal hysterectomy for cervical or endometrial malignancies through a vertical incision were followed for the identification of incisional hernias. Logistic regression and survival analyses were used for statistics. Four hundred fifty-five women were included in the study, 77 of whom (16.9%) developed incisional hernias. The median (range) body mass index was higher in women who developed an incisional hernia than in those who did not (28 [19--44] kg/m(2) versus 24 [16--41] kg/m(2); P <.01). The frequencies of diabetes (14.3% versus 4.8%; P <.01), wound sepsis (10.4% versus 1.3%; P <.05), and fascial closure with interrupted sutures (70.1% versus 55.6%; P <.05) were significantly higher in women with incisional hernia than in those without. Multiple logistic regression revealed that, after adjustment for confounding variables, the only factors associated with incisional hernia formation within 1 year from the operation were body mass index above 27 kg/m(2) (odds ratio [OR] 3.68; 95% confidence interv...Continue Reading

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Citations

Sep 8, 2012·Surgical Endoscopy·Alexander Daniel SchroederWolfgang Matthias Johann Reinpold
Jun 21, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E ErdasG Farina
Nov 10, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M S SajidM R McFall
Aug 23, 2002·Current Opinion in Oncology·J N McAlpineM D Chen
Feb 26, 2016·Gynecologic Oncology·Floor J Backes, Jeffrey M Fowler
Nov 13, 2012·Journal of Visceral Surgery·R Le Huu NhoB Sastre
Apr 3, 2008·The Surgical Clinics of North America·Michael P Stany, John H Farley
Feb 14, 2009·The Journal of Obstetrics and Gynaecology Research·Un Suk JungJoong Sub Choi
Aug 27, 2014·International Journal of Surgery·Pietro CagliàCorrado Amodeo
Mar 18, 2011·The Cochrane Database of Systematic Reviews·Stefan SauerlandMarc Miserez
Sep 16, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jort F Fekkes, Vic Velanovich
Aug 4, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Abdul Rahman Al SadairiYohann Renard

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