Outcome of and risk factors for incisional hernia after partial hepatectomy.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Shinji TogoHiroshi Shimada

Abstract

This study was conducted to analyze differences among abdominal incisions, and risk factors for incisional hernia after partial hepatectomy. In 626 posthepatectomy cases, we analyzed retrospectively the distribution regarding the type of incision and assessed risk factors for incisional hernia. Of the patients, 95 (15.2%) had median incisions, 233 (37.2%) had J-shaped incisions, 206 (32.9%) had right transverse incisions with vertical extensions in the midline from the subumbilical region to the xiphoid process (RTVE), and 92 (14.7%) had bilateral transverse incision with a vertical extension to the xiphoid process (a reversed T incision). The respective frequencies of incisional hernia after median, J-shaped, RTVE, and reversed T incisions were 6.3, 4.7, 5.4, and 21.7%, so that the difference between reversed T and other incisions was significant. A diagnosis of "no hernia" required a minimum follow-up of 12 months. The risk factors for incisional hernia were incision type, postoperative ascites, body mass index, repeat hepatectomy, and steroid use in multivariate analysis. The incidence of incisional hernia after reversed T incision was significantly higher than after other incisions. If incision extension is necessary, the m...Continue Reading

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Citations

Mar 15, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A FachinelliF A Fachinelli
May 8, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jan H NilssonChristian Sturesson
Mar 28, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Gian Luigi AdaniUmberto Baccarani
Mar 28, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Joos Heisterkamp, Geert Kazemier
Aug 16, 2014·The British Journal of Surgery·K ItatsuM Nagino
Nov 6, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J Chen-XuJ Costa-Maia
Oct 19, 2019·Khirurgiia·N K TarasovaG Sh Osmanova
Jan 15, 2015·Diseases of the Colon and Rectum·Christopher T AquinaUNKNOWN Muscle and Adiposity Research Consortium (MARC)
May 26, 2016·Khirurgiia·B S SukhovatykhT V Mutova
Jan 5, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M A Garcia-Urena, UNKNOWN POP (Progress On Prevention) Surgical Group
Oct 1, 2021·Clinical Transplantation·Elbrus ZarbaliyevŞinasi Sevmiş

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