Risk Factors for Surgical Site Occurrence or Infection and Recurrence After Incisional Hernia Repair in Abdominal Transplant Population

2021 ◽  
Vol 53 (2) ◽  
pp. 762-767
Author(s):  
Fareed Cheema ◽  
Oya Andacoglu ◽  
Li-Ching Huang ◽  
Sharon E. Phillips ◽  
Flavio Malcher
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair

scholarly journals Risk factors for incisional hernia repair after aortic reconstructive surgery in a nationwide study

2013 ◽  
Vol 57 (6) ◽  
pp. 1524-1530.e3 ◽  
Author(s):  
Nadia A. Henriksen ◽  
Frederik Helgstrand ◽  
Katja C. Vogt ◽  
Lars N. Jorgensen ◽  
Thue Bisgaard
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Reconstructive Surgery ◽  
Incisional Hernia Repair ◽  
Nationwide Study

scholarly journals Costs Associated With Modifiable Risk Factors in Ventral and Incisional Hernia Repair

2019 ◽  
Vol 2 (11) ◽  
pp. e1916330 ◽  
Author(s):  
Ryan Howard ◽  
Michael Thompson ◽  
Zhaohui Fan ◽  
Michael Englesbe ◽  
Justin B. Dimick ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Modifiable Risk Factors ◽  
Ventral And Incisional Hernia

Risk Factors for Bad Outcomes in Incisional Hernia Repair: Lessons Learned From the National Registry of Incisional Hernia (EVEREG)

2018 ◽  
Vol 96 (7) ◽  
pp. 436-442 ◽  
Author(s):  
José Antonio Pereira ◽  
Blanca Montcusí ◽  
Manuel López-Cano ◽  
Pilar Hernández-Granados ◽  
Laura Fresno de Prado
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
National Registry ◽  
Lessons Learned

Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair

Hernia ◽  
2013 ◽  
Vol 19 (1) ◽  
pp. 113-123 ◽  
Author(s):  
C. Kaoutzanis ◽  
S. W. Leichtle ◽  
N. J. Mouawad ◽  
K. B. Welch ◽  
R. M. Lampman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Wound Infections ◽  
Postoperative Wound ◽  
Prolonged Hospitalization ◽  
Ventral Incisional Hernia

Incisional Hernia Repair after Liver Transplantation - Incidence, Risk Factors and Management

2012 ◽  
Vol 94 (10S) ◽  
pp. 397
Author(s):  
P. Fikatas ◽  
W. Schoening ◽  
J. E. Lee ◽  
M. Glanemann ◽  
G. Puhl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Transplantation ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Incidence Risk

scholarly journals Reconstruction of the abdominal wall in anatomical plans. Pre and post – operative keys in repairing “cold’’ incisional hernias.

2016 ◽  
Vol 89 (1) ◽  
pp. 117-121
Author(s):  
Florina Popa ◽  
Oana Rosca ◽  
Alexandru Georgescu ◽  
Claudio Cannistra
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Positive Impact ◽  
Incisional Hernia Repair ◽  
Repair Process ◽  
Hernia Recurrence ◽  
Reconstruction Procedure ◽  
Incisional Hernias ◽  
Claude Bernard

Background and aims. The clinical results of the vertical "vest-over-pants" Mayo repair were evaluated, and the risk factors for incisional hernia recurrence were studied. The purpose of this study is to point out the importance of reducing pre and post operative risk factors in the incisional hernia repair process in order to achieve a physiologically normal abdominal wall.Methods. Twenty patients diagnosed with incisional hernia underwent an abdominal reconstruction procedure using the Mayo (Paletot) technique at Bichat Claude Bernard Hospital between 2005 and 2015. All procedures were performed by a single surgeon and all patients were pre-operatively prepared, identifying all coexisting conditions and treating them accordingly before undergoing surgery.Results. All patients underwent at least one surgical operation before the hernia repair procedure and a quarter had experienced at least three, prior to this one. Nine patients had a body mass index of >30 kg/m2. Additional risk factors and comorbidities included obesity in 45%, diabetes mellitus in 10%, smoking in 55%, and high blood pressure in 40%.Hernia defect width was from 3 cm (25% F) to 15 cm (5% M) of which nine patients (45%) had a 10 cm defect. Most of the patients had an average hospitalization of 7 days. The patients were carefully monitored and were called on periodic consultations  after 3, 6, and 12 months from the moment of the procedure. Patient feedback regarding  hernia recurrence and complaints about the scar were noted. Physical examination is essential in determining the hernia recurrence therefore the scar was examined for any abnormalities that may  have occurred, which was defined as any palpable or detected fascial defect located within seven centimeters of the hernia repair. Post-operative complications: seroma formation, wound hematoma, superficial and deep wound infection, recurrences and chronic pain were followed and no complications were registered during the follow-up period.Conclusions. Reducing the risk factors to a minimum prior to surgery will increase the success of the incisional hernia repair and generate a positive impact on the patient’s quality of life. The lofty goal of significant weight loss prior to elective hernia has shown to be the key factor in using the Mayo technique for incisional hernia repair. This study demonstrates that the Mayo repair technique is a suitable and trustworthy  alternative for repairing incisional hernias with very good results. It’s costs are minimal and it can be easily reproduced, even by less experienced surgeons.

scholarly journals P056 RETROSPECTIVE ANALYSIS OF LONG-TERM INCIDENCE, RISK FACTORS AND SURGICAL REPAIR OF VENTRAL INCISIONAL HERNIAS AFTER LIVER TRANSPLANTATION

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Cäcilia Augustin ◽  
Andreas Lorenz
Keyword(s):  
Risk Factors ◽  
Liver Transplantation ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Retrospective Analysis ◽  
Clinical Symptoms ◽  
Incisional Hernia Repair ◽  
Binary Logistic Regression Analysis ◽  
Mesh Augmentation ◽  
Ventral Incisional Hernia

Abstract Aim “Assess risk factors and incidence of ventral incisional hernia (VIH) following liver transplantation (LT).” Material and Methods “Retrospective analysis of clinical or radiological signs of VIH during a systematic ten year follow up after liver transplantation. Descriptive statistics and a binary logistic regression analysis were performed to identify possible risk factors.” Results “Between 01/2007-12/2017, 708 LT were performed in 660 patients at our institution. Following LT, 122 patients (18.5%) had a VIH as identified per clinical examination. Further to this, 85 patients (12.9%) had CT findings consistent with VIH adding to a total of 207 (31.4%) patients with VIH after LT. Male gender (p < 0.001), BMI (p < 0.001), age at LT (p < 0.001), alcohol induced cirrhosis (p = 0.032) and reoperation after 180 days following LT (p = 0.007) were identified as risk factors in a multivariate analysis. An incisional hernia repair was performed in 76 patients (11.5%) at 22.9 months (median, 5.7-101.5). Laparoscopic IPOM repair was performed in 46 (60.5%) patients and 30 patients had an open hernia repair including 26 (34.2%) with mesh augmentation and 4 (5.3%) with primary closure. Five patients (6.6%) needed a reoperation for postoperative complications related to hernia repair. Recurrent VIH occurred in 12 (15.8%) patients. In 131 patients, no hernia repair was performed because of only mild clinical symptoms, patient preference and/or poor general condition.” Conclusions “The incidence and burden of incisional hernia following LT is significant. Many cases of VIH are clinically mild but radiomorphologically manifest.”

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