Incidence and risk factors for incisional hernia after open abdominal aortic aneurysm repair

Barranquero, Alberto G; Molina, J.; Gonzalez-Hidalgo, Carmen; Porrero, Belén; Blázquez, Luis Alberto; Ocaña, Julia; Zúñiga, Claudio Gandarias; Cebrián, José María Fernández

doi:10.1016/j.cireng.2022.08.023

Cited by 2 publications

(2 citation statements)

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“…Conversely, a recent study that included 157 patients with abdominal aortic aneurysm (AAA) showed that IH incidence after open repair of AAA was 46.5%, with a median time for IH development of 24.43 months. The risk factors identified were active or previous smoking, chronic kidney disease, and previous abdominal surgery [ 11 ]. IH can develop in young people and even in infant populations undergoing abdominal surgery.…”

Section: Reviewmentioning

confidence: 99%

“…The same set of risk factors has been proven to be associated with IH, and the results have been reproduced through studies involving different surgical procedures for diverse surgical pathologies. These factors include obesity, midline incision site, previous abdominal surgery, re-operation through the same incision, wound infection, chronic kidney disease, smoking, prolonged cough, diabetes, jaundice, and urinary obstruction [ 9 , 11 , 46 , 47 ].…”

Section: Reviewmentioning

confidence: 99%

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Incisional Hernia: A Surgical Complication or Medical Disease?

Omar,

Zaimis,

Townsend

et al. 2023

Cureus

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Incisional hernia (IH) is a frequent complication following abdominal surgery. The development of IH could be more sophisticated than a simple anatomical failure of the abdominal wall. Reported IH incidence varies among studies. This review presented an overview of definitions, molecular basis, risk factors, incidence, clinical presentation, surgical techniques, postoperative care, cost, risk prediction tools, and proposed preventative measures. A literature search of PubMed was conducted to include high-quality studies on IH. The incidence of IH depends on the primary surgical pathology, incision site and extent, associated medical comorbidities, and risk factors. The review highlighted inherent and modifiable risk factors. The disorganisation of the extracellular matrix, defective fibroblast functions, and ratio variations of different collagen types are implicated in molecular mechanisms. Elective repair of IH alleviates symptoms, prevents complications, and improves the quality of life (QOL). Recent studies introduced risk prediction tools to implement preventative measures, including suture line reinforcement or prophylactic mesh application in high-risk groups. Elective repair improves QOL and prevents sinister outcomes associated with emergency IH repair. The watchful wait strategy should be reviewed, and options should be discussed thoroughly during patients' counselling. Risk stratification tools for predicting IH would help adopt prophylactic measures.

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Section: Reviewmentioning

confidence: 99%