Age, Preoperative Subcutaneous Fat Area, and Open Laparotomy are Risk Factors for Incisional Hernia following Colorectal Cancer Surgery

Yamada, Tōru; Okabayashi, Koji; Hasegawa, Hirotoshi; Tsuruta, Masashi; Abe, Yuta; Ishida, Takashi; Matsui, Shimpei; Kitagawa, Yuko

doi:10.1245/s10434-015-4462-y

Cited by 36 publications

(33 citation statements)

References 25 publications

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“…Incisional hernia was defined as a discontinuity in the abdominal fascia observed on CT scan. 3,11 On preoperative CT, the existence of an incisional hernia from previous colorectal resection or previous liver resection was recorded. The localization of incisional hernia after liver operation was determined to midline, mid-subcostal or lateral, where the midline was unaffected by the hernia in the latter two groups.…”

Section: Methodsmentioning

confidence: 99%

“…1 Numerous risk factors associated with an increased incisional hernia incidence have been reported, including gender (both male and female), age, surgical site infection, obesity and aortic aneurysm. [1][2][3][4] The incisional hernia incidence after liver resections has been studied only to a limited extent 2,5,6 . No study including only patients with liver metastases from colorectal cancer has previously been made.…”

Section: Introductionmentioning

confidence: 99%

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Incisional hernia after open resections for colorectal liver metastases – incidence and risk factors

Nilsson

Holka

Sturesson

2016

HPB

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incisional hernia after open resections for colorectal liver metastases – incidence and risk factors

Nilsson

Holka

Sturesson

2016

HPB

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“…It has also been reported that, unlike elevated BMI (39), visceral obesity measured by visceral fat volume, subcutaneous fat volume, total fat volume, and waist circumference is strongly associated with incisional hernia after colorectal surgery (40). Similarly, higher subcutaneous fat deposition at the level of the umbilicus has been reported as a risk factor for incisional hernia development following surgery for colorectal cancer (41). Waist circumference is also an independent risk factor for parastomal hernia development (42).…”

Section: Discussionmentioning

confidence: 95%

Hernia and Cancer: The Points Where the Roads Intersect

Kulaçoğlu¹,

Köckerling

2019

Front. Surg.

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Introduction: This review aimed to present common points, intersections, and potential interactions or mutual effects for hernia and cancer. Besides direct relationships, indirect connections, and possible involvements were searched. Materials and Methods: A literature search of PubMed database was performed in July 2018 as well as a search of relevant journals and reference lists. The total number of screened articles was 1,422. Some articles were found in multiple different searches. A last PubMed search was performed during manuscript writing in December 2018 to update the knowledge. Eventually 427 articles with full text were evaluated, and 264 included, in this review. Results: There is no real evidence for a possible common etiology for abdominal wall hernias and any cancer type. The two different diseases had been found to have some common points in the studies on genes, integrins, and biomarkers, however, to date no meaningful relationship has been identified between these points. There is also some, albeit rather conflicting, evidence for inguinal hernia being a possible risk factor for testicular cancer. Neoadjuvant or adjuvant therapeutic modalities like chemotherapy and radiotherapy may cause postoperative herniation with their adverse effects on tissue repair. Certain specific substances like bevacizumab may cause more serious complications and interfere with hernia repair. There are only two articles in PubMed directly related to the topic of “hernia and cancer.” In one of these the authors claimed that there was no association between cancer development and hernia repair with mesh. The other article reported two cases of squamous-cell carcinoma developed secondary to longstanding mesh infections. Conclusion: As expected, the relationship between abdominal wall hernias and cancer is weak. Hernia repair with mesh does not cause cancer, there is only one case report on cancer development following a longstanding prosthetic material infections. However, there are some intersection points between these two disease groups which are worthy of research in the future.

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“…Furthermore, fat and fat-free tissue measurement at L3 level using CT strongly correlate with whole-body fat and fat-free mass [16]. Numerous studies have delineated that visceral fat area and subcutaneous fat area measured on CT image can predict re-herniation and surgical site infection [17,18]. Moreover, visceral obesity, rather than elevated BMI, is associated with IH after colorectal surgery [19,20].…”

Section: Discussionmentioning

confidence: 99%

Psoas CT Attenuation and Fatty Infiltration Rate Predict Incisional Hernia After Appendicectomy

Sun

Yan

et al. 2020

Preprint

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Background Incisional hernia (IH), especially giant incisional hernia negatively affects a patient’s quality of life. Previous literatures often used muscle area measured by CT to assess loss of muscle mass and to estimate its relationship with diseases. For now, a few literatures have discussed potential effect of psoas muscle area on IH, while very limited attention has been paid to the association between psoas fatty infiltration and incidence of IH. In this study, we aimed to investigate if psoas CT measurement parameters, including average CT attenuation, fatty infiltration rate and psoas muscle index, were associated with IH.Methods Adult patients (> 18 years old) who had a history of appendicectomy and underwent CT examination in Beijing Chaoyang hospital from January 2018 to December 2019 were enrolled. All patients were classified into IH group and non-IH group. Psoas CT attenuation, fatty infiltration rate (FIR) and psoas muscle index (PMI) were measured or calculated. Sarcopenia was defined according to PMI. Differences in indices between the two groups were compared. Logistic regression model was applied to assess the effects of psoas CT measurement parameters on the occurrence of IH.Results 120 consecutive patients were included in this study. Psoas CT attenuation (p = 0.031) and PMI (p = 0.042) in IH group were significantly lower than those in non-IH group, and FIR in IH group was significantly higher than that in non-IH group (p < 0.001). Psoas CT attenuation, FIR, PMI, age, gender and smoking were significant factors in univariate logistic regression analysis. After adjusting for confounding factors, multivariate logistic regression analysis demonstrated that psoas CT attenuation was an independent protective factor (p = 0.042), and FIR an independent risk factor (p = 0.018); while PMI (p = 0.118) and sarcopenia (p = 0.663) showed no significant effect on incidence of IH.Conclusion Decreased CT attenuation and increased FIR of psoas are risk factors for IH after appendectomy.

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Age, Preoperative Subcutaneous Fat Area, and Open Laparotomy are Risk Factors for Incisional Hernia following Colorectal Cancer Surgery

Abstract: Higher age and SFA, along with open surgery, are risk factors for developing IH.

Cited by 36 publications

References 25 publications

Incisional hernia after open resections for colorectal liver metastases – incidence and risk factors

Incisional hernia after open resections for colorectal liver metastases – incidence and risk factors

Hernia and Cancer: The Points Where the Roads Intersect

Psoas CT Attenuation and Fatty Infiltration Rate Predict Incisional Hernia After Appendicectomy

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