Postoperative outcomes following inguinal hernia repair in inflammatory bowel disease patients compared to matched controls

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nir Horesh ◽  
Aiham Mansour ◽  
David Simon ◽  
Yair Edden ◽  
Eyal Klang ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Bowel Disease ◽  
Postoperative Outcomes ◽  
Inflammatory Bowel

scholarly journals P058 INCISIONAL HERNIA REPAIR IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Hans Lovén ◽  
Rune Erichsen ◽  
Anders Tøttrup ◽  
Thue Bisgaard
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Crohn’S Disease ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Bowel Disease ◽  
Incisional Hernia Repair ◽  
Increased Risk ◽  
Abdominal Operations ◽  
Inflammatory Bowel

Abstract Aim Patients with inflammatory bowel disease (IBD) are likely to undergo several abdominal operations and may thus be at increased risk for incisional hernia repair (IHR). The aim of the present study was to investigate risk and predictors of IHR in patients undergoing surgery for ulcerative colitis (UC) or Crohn’s disease (CD). Material and Methods Nationwide register-based study (1996-2018). Patients were followed from date of first abdominal operation until the date of the first IHR. Cumulative incidence proportion were estimated treating death as competing risk. Cox proportional hazard regression was used to explore pre-study defined predictors of IHR. Results Patients with inflammatory bowel disease (IBD) are likely to undergo several abdominal operations and may thus be at increased risk for incisional hernia repair (IHR). The present study analyzed the risk and predictors of IHR in patients undergoing surgery for ulcerative colitis (UC) or Crohn’s disease (CD). Conclusions The risk for incisional hernia repair is relatively low after IBD-surgery, although increased in UC compared with CD patients. Hernia repair predictors varied between UC and CD patients.

scholarly journals Incisional hernia repair by synthetic mesh prosthesis in patients with inflammatory bowel disease: a comparative analysis

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel Heise ◽  
Charles Schram ◽  
Roman Eickhoff ◽  
Jan Bednarsch ◽  
Marius Helmedag ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Risk Factor ◽  
Hernia Repair ◽  
Bowel Disease ◽  
Hernia Recurrence ◽  
Postoperative Course ◽  
Major Complications ◽  
Inflammatory Bowel ◽  
The Impact

Abstract Background Patients with inflammatory bowel disease (IBD) have a high-life time risk undergoing abdominal surgery and are prone to develop incisional hernias (IH) in the postoperative course. Therefore, we investigated the role of IBD as perioperative risk factor in open ventral hernia repair (OVHR) as well as the impact of IBD on hernia recurrence during postoperative follow-up. Methods The postoperative course of 223 patients (Non-IBD (n = 199) and IBD (n = 34)) who underwent OVHR were compared by means of extensive group comparisons and binary logistic regressions. Hernia recurrence was investigated in the IBD group according to the Kaplan–Meier method and risk factors for recurrence determined by Cox regressions. Results General complications (≥ Clavien-Dindo I) occurred in 30.9% (72/233) and major complications (≥ Clavien-Dindo IIIb) in 7.7% (18/233) of the overall cohort with IBD being the single independent risk-factor for major complications (OR = 4.2, p = 0.007). Further, IBD patients displayed a recurrence rate of 26.5% (9/34) after a median follow-up of 36 months. Multivariable analysis revealed higher rates of recurrence in patients with ulcerative colitis (UC, 8/15, HR = 11.7) compared to patients with Crohn’s disease (CD, 1/19, HR = 1.0, p = 0.021). Conclusion IBD is a significant risk factor for major postoperative morbidity after OVHR. In addition, individuals with IBD show high rates of hernia recurrence over time with UC patients being more prone to recurrence than patients with CD.

scholarly journals 704 – Preoperative Serum Vedolizumab Levels Do Not Impact Postoperative Outcomes in Inflammatory Bowel Disease

2019 ◽  
Vol 156 (6) ◽  
pp. S-154
Author(s):  
Aaron B. Parrish ◽  
Karen Zaghiyan ◽  
Nicole Lopez ◽  
Gil Melmed ◽  
Dermot McGovern ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Postoperative Outcomes ◽  
Preoperative Serum ◽  
Inflammatory Bowel
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