HÉRNIA INCISIONAL PRECOCE APÓS TRANSPLANTE HEPÁTICO: FATORES DE RISCO E RESULTADOS DO REPARO CIRÚRGICO
| Autor: | João Victor Vecchi Ferri, Sofia Michele Dick, Tomaz de Jesus Maria Grezzana-Filho, Flávia Heinz Feier, Lucas Prediger, Glória Sulczinski Lazzaretti, Cleber Rosito Pinto Kruel, Carlos Otavio Corso, Leandro Totti Cavazzola, Marcio Fernandes Chedid |
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| Rok vydání: | 2022 |
| Předmět: |
Fatores de Risco
Adult Male Carcinoma Hepatocellular Abdominal Wall Liver Neoplasms General Medicine Surgical Mesh Hernia Ventral Liver Transplantation Parede Abdominal Complicações Pós-Operatórias Postoperative Complications Risk Factors Recurrence Quality of Life Humans Incisional Hernia Transplante de Fígado Female Neoplasm Recurrence Local Herniorrhaphy Hérnia Incisional Retrospective Studies |
| Zdroj: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.35 2022 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), Volume: 35, Article number: e1698, Published: 04 NOV 2022 |
| ISSN: | 2317-6326 |
| Popis: | BACKGROUND: Liver transplantation is a complex and valuable therapy. However, complications that burden postoperative quality of life, such as incisional hernia, are to be better elucidated, such as risk factors and prophylactic measures. AIM: This study aimed to define the rate of incisional hernia in patients who underwent liver transplantation in a population in southern Brazil and to assess the related risk factors in order to establish measures for prior optimization and specific prophylactic care in the future. METHODS: Patients undergoing adult Liver transplantation from January 2004 to November 2020 were retrospectively analyzed, assessing demographic features, surgical outcomes, and predisposing factors. RESULTS: Among 261 liver transplantation patients included, incisional hernia was diagnosed in 71 (27.2%). Of the 71 incisional hernia patients, 28 (39.4%) developed IH during the first post-transplant. Majority of the patients were male (52/71, 73.2%); of the 71 patients, 52 had hepatitis C virus (HCV) and 33 (46.5%) had hepatocellular carcinoma (HCC). Male gender (p=0.044), diabetes mellitus (p=0.008), and acute cellular rejection (p |
| Databáze: | OpenAIRE |
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