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

Incidence and predictors of incisional hernia after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

“…Spencer et al reported that the IH rate was 17.7% after ovarian cancer surgery [13]. In a study of patients undergoing liver resection for colorectal metastasis, the incidence of IH was 30.5% [14]. Studies that do not utilize routine CT surveillance underestimate the incidence of IH.…”

“…Patients with peritoneal surface malignancies often have many risk factors for IH including long surgery time, previous abdominal surgery, long incision length, and ascites. Many patients are immunocompromised from preoperative chemotherapy, a risk factor for IH in some studies [14]. Additionally, the administration of intraperitoneal chemotherapy may further impair wound healing.…”

Incisional hernia at “Guglielmo da Saliceto” hospital of Piacenza in Italy: Epidemiological, anatomical and therapeutic aspects

“…The vast majority of incisional hernia occurs on the midline and on the cranial extension of the subcostal incision, according to the evidence that midline incisions are more prone to disengagement than transverse incisions [9] . Tamer A. et al [10] found an orifice diameter of less than 5 cm in 32 patients (64%), 5 to 10 cm in 14 patients (28%) and 10 to 15 cm in 4 patients (8%).…”

Incisional hernia after abdominal cancer surgery

“…H.J. Nilsson et al [22] отметили высокую частоту вентральных грыж (30,5 %) после открытой резекции печени по поводу метастазов колоректального рака. Причины их возникновения в первые 6-12 месяцев после оперативного вмешательства M.A.…”

“…Тем не менее в англоязычных изданиях имеются работы, в которых показано негативное влияние химиопрепаратов на накопление в тканях коллагена I и III типов [33][34][35]. Так, беваци зумаб, обладая высокой эффективностью в подавлении опухолевого роста, вызывает тревогу в отношении побочных эффектов, в том числе в развитии послеоперационных грыж [22,36]. В литературе описаны случаи химиотерапевтически-индуцированных кишечных свищей [37] и перфораций [38], а также вентральных грыж [39].…”