Factors affecting recurrence after incisional hernia repair
| Autor: | Miroslav Bekavac-Bešlin, D. Jurišić, M. Ledinsky, D. Vidović, Björn Dario Franjić, E. Glavan |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Hernia Incisional hernia Body Mass Index Postoperative Complications Recurrence Risk Factors medicine Humans Herniorrhaphy Aged Retrospective Studies Aged 80 and over business.industry General surgery Medical record Retrospective cohort study Middle Aged Tissue repair medicine.disease Surgery surgical procedures operative Surgical Procedures Operative Female Wound healing business Body mass index Abdominal surgery |
| Zdroj: | Hernia. 10:322-325 |
| ISSN: | 1248-9204 1265-4906 |
| DOI: | 10.1007/s10029-006-0097-z |
| Popis: | Incisional hernias occur primarily as a result of high tension and inadequate healing of a previous incision, the latter of which is frequently related to infection at the surgical site. Despite recent advances in operative techniques, the recurrence rate remains unacceptably high. To evaluate the impact of different predisposing factors for the recurrence of incisional hernia, we reviewed retrospectively the medical records of 297 patients who had undergone incisional herniorrhaphy (188 tissue repairs, 109 mesh repairs) in our hospital. Demographic data (age and gender), type of repair, body mass index, hernia size, presence of chronic illnesses and wound complications were evaluated in a univariate and multivariate manner analysis. The overall recurrence rate was 30.3%, with the recurrence rate in patients who underwent tissue repair being 39.4% and that in patients following prosthetic repair 14.6%. The recurrence rate was significantly influenced by type of repair, obesity, hernia size, wound healing disorders and some chronic comorbidities. We conclude that it is necessary to become familiar with the risk factors for recurrence of incisional hernia in order to eliminate or decrease their effect on the positive outcome of incisional herniorrhaphy. |
| Databáze: | OpenAIRE |
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