EARLY INCISIONAL HERNIA AFTER LIVER TRANSPLANTATION: RISK FACTORS AND HERNIA REPAIR RESULTS

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
Jazyk: English<br />Portuguese
Rok vydání: 2022
Předmět:
Zdroj: ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 35 (2022)
Druh dokumentu: article
ISSN: 0102-6720
DOI: 10.1590/0102-672020220002e1698
Popis: ABSTRACT 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
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