Incisional Hernia Incidence following Laparotomy for Combat Trauma

Abstract Aim The aim of this systematic review was to report the risk of parastomal and incisional hernias after emergency surgery for Hinchey III–IV diverticulitis. Material and Methods The Cochrane Library, Embase, PubMed (MEDLINE), Web of Science and Scopus databases were systematically searched. All randomized controlled trials (RCTs) and cohort studies comparing HP with other surgical treatment options for perforated diverticulitis classified as purulent or faecal (Hinchey III–IV) were considered for inclusion. Exclusion criteria were case series and reports, letters, editorials, reviews and conference abstracts. The primary endpoint was parastomal hernia incidence. The secondary endpoint was incisional hernia incidence. Seven studies (six randomized controlled trials and one retrospective cohort) with a total of 831 patients were eligible for inclusion. Results The parastomal hernia incidence was 15.2–46.0% for Hartmann procedure, 0–85.2% for primary anastomosis, 4.3% for resection and 1.6 % for laparoscopic lavage. The incisional hernia incidences were 7.8–38.1% for Hartmann procedure, 4.5–27.2% for primary anastomosis, 3.2–25.5% for primary resection, 2.7–11.1% for laparoscopic lavage and 16.1–45.8% for secondary resection. Due to heterogeneity of follow-up methods, follow-up time and lack of both parastomal and incisional hernia as outcome, no meta-analysis was conducted. Conclusions The hernia incidences reported after surgical treatment for complicated diverticulitis may be biased and underestimated. For future RCTs, researchers are encouraged to pay attention to hernia diagnosis, symptoms and prevention.

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A double blind randomized controlled trial comparing primary suture closure with mesh augmented closure to reduce incisional hernia incidence

BMC Surgery ◽

10.1186/1471-2482-13-48 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 16

Author(s):

Jeroen Nieuwenhuizen ◽

◽

Hasan H Eker ◽

Lucas Timmermans ◽

Wim CJ Hop ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Incisional Hernia ◽

Controlled Trial ◽

Primary Suture ◽

Double Blind ◽

Randomized Controlled ◽

Suture Closure ◽

Hernia Incidence

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A Clinical Study of Incisional Hernia

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2016/v3/i1/749 ◽

2016 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Sudhir Dnyandeo Bhamre ◽

Nitin Devidas Pingale

Keyword(s):

Risk Factors ◽

Clinical Study ◽

Incisional Hernia ◽

Abdominal Cavity ◽

Health Care Centre ◽

Medical College ◽

Suction Drain ◽

Abdominal Operations ◽

Unlimited Access ◽

Hernia Incidence

Background: Incisional Hernias are common complication of andominal surgery. Depending on the risk factors Incisional Hernia can occure in 10 - 20 % of patients subjected to abdominal operations. Aims and Objective: A clinical study on risk factors, clinical prentations, management and post oprattive complications in patient with Incisional Hernia. Setting: Department of Surgery of a Tertiary Health Care Centre with an attached medical college. Material and Methods: A total of 43 patients of Incisional Hernia were studied and postoperative complications were evaluated in our institute. Results: Incidence of incisional hernia is more common in females than males and the overall M:F ratio is 1:2, 55.9 % of patients presented with swelling and pain. Incisional hernia incidence is high in lower abdominal incisions. Conclusions: The use of midline incision should be restricted to operations in which unlimited access to the abdominal cavity is necessary. Use of suction drain reducess post-oparative complication.

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Incisional Hernia Incidence, Repair Techniques, and Outcomes Based on 1600 Consecutive Patients Receiving Abdominally Based Autologous Breast Reconstruction

Annals of Plastic Surgery ◽

10.1097/sap.0000000000002671 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Irfan A. Rhemtulla ◽

Jaclyn T. Mauch ◽

E. Berryhill McCarty ◽

Robyn B. Broach ◽

Joseph M. Serletti ◽

...

Keyword(s):

Incisional Hernia ◽

Breast Reconstruction ◽

Autologous Breast Reconstruction ◽

Hernia Incidence ◽

Repair Techniques

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O30 THE INCIDENCE OF INCISIONAL HERNIA AT OSTOMY-REVERSAL SITE

British Journal of Surgery ◽

10.1093/bjs/znab396.029 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Jurij Gorjanc ◽

Raphael Edlinger ◽

Magdalena Rosenkranz ◽

Jörg Tschmelitsch

Keyword(s):

Incisional Hernia ◽

Surgical Complication ◽

Statistical Significance ◽

Loop Ileostomy ◽

Prophylactic Mesh ◽

Mesh Implantation ◽

Incisional Hernias ◽

Stoma Reversal ◽

Hernia Incidence ◽

High Bmi

Abstract Aim The purpose of this study was to evaluate the rate of incisional hernias at the ostomy site after reversal of the ostomy. Material and Methods We used retrospectively compiled database of patients who had undergone ostomy formation and ist reversal. All patients had their surgery performed between Jan. 2011 and December 2019. Patients history, added by clinical examination and CT-scan were performed in order to identify the incidence of incisional hernias. Different variables, like gender, surgical site infection (SSI) and BMI were evaluated as possible risk factors for hernia occurrence. Results Among totally included 224 patients in the study, 190 of all patients had reversal after loop-ileostomy (85%) and 34 patients had reversal after loop-colostomy (15%). Among all stoma reversal patients, 12,8 % developed incisional hernia at the stoma reversal site (n = 28). The incisional hernia occurrence at the ostomy reversal site was present in 20,0% in patients with clinically relevant SSI and only in 9,4% in patients where SSI was absent (p = 0,03). There was no statistical significance in hernia occurrence between both genders and among patients with low, normal and high BMI in our cohort of patients. Conclusions Incisional hernia after ostomy reversal is a common late surgical complication. All measurements that reduce SSI at the reversal site are important for lower hernia incidence. Prophylactic mesh implantation at stoma reversal sites may be considered in these patients.

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