Risk factors for incisional hernia according to different wound sites after open hepatectomy using combinations of vertical and horizontal incisions: A multicenter cohort study

Background: Although several risk factors for incisional hernia after hepatectomy have been reported, their relationship to different wound sites has not been investigated. Therefore, this study aimed to examine the risk factors for incisional hernia according to various wound sites after hepatectom...

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Bibliographic Details
Published in:Annals of gastroenterological surgery 2021-09, Vol.5 (5), p.701-710
Main Authors: Iida, Hiroya, Tani, Masaji, Hirokawa, Fumitoshi, Ueno, Masaki, Noda, Takehiro, Takemura, Shigekazu, Nomi, Takeo, Nakai, Takuya, Kaibori, Masaki, Kubo, Shoji
Format: Article
Language:English
Subjects:
Abdomen
abdominal wound closure techniques
Anemia
Ascites
Body mass index
Chemotherapy
Classification
Cohort analysis
Creatinine
Diabetes
Disease
Hepatectomy
Hernias
incisional hernia
Laparotomy
Liver cancer
Methods
Multivariate analysis
Original
postoperative complications
Respiratory diseases
Risk factors
Smoking
Steroids
Surgery
suture techniques
Sutures
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Summary:Background: Although several risk factors for incisional hernia after hepatectomy have been reported, their relationship to different wound sites has not been investigated. Therefore, this study aimed to examine the risk factors for incisional hernia according to various wound sites after hepatectomy. Methods: Patients from the Osaka Liver Surgery Study Group who underwent open hepatectomy using combinations of vertical and horizontal incisions (J‐shaped incision, reversed L‐shaped incision, reversed T‐shaped incision, Mercedes incision) between January 2012 and December 2015 were included. Incisional hernia was defined as a hernia occurring within 3 y after surgery. Abdominal incisional hernia was classified into midline incisional hernia and transverse incisional hernia. The risk factors for each posthepatectomy incisional hernia type were identified. Results: A total of 1057 patients met the inclusion criteria. The overall posthepatectomy incisional hernia incidence rate was 5.9% (62 patients). In the multivariate analysis, the presence of diabetes mellitus and albumin levels
ISSN:2475-0328
2475-0328
DOI:10.1002/ags3.12467