Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair

Fassiadis, N; M, Roidl; Hennig, Michael; South, L. M.; Andrews, S. M.

doi:10.1002/bjs.5140

Cited by 83 publications

(52 citation statements)

References 21 publications

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“…Incision type is also an effective factor in hernia development. Many reports stated that transverse abdominal incisions have lower rate of incisional hernia when compared to midline incisions [12,13,14]. On the contrary , Ellis H et al [15] claimed that there were no difference for hernia development with different incision types.…”

Section: Discussionmentioning

confidence: 99%

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Kaya¹

2012

Ann Clin Anal Med

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Anahtar Kelimelerİnsizyonel Herni; Onlay Mesh Tamiri; Nüks Abstract Aim: İncisional hernia after abdominal surgery is an important problem. We aimed to evaluate the long-term recurrence rate as well as surgical complications in patients operated with onlay mesh repair technique for incisional hernia. Material and Method: We studied a serial of 139 patients retrospectively, operated due to incisional hernia in between January 2001 to November 2009 in Vakıf Gureba Training and Research Hospital General Surgery Department. The patient's age, sex, location and size of the defect, operation findings, duration of hospitalization, early and late complications and recurrences were recorded. Result: There were 56 men and 83 women in our serial. The mean age was 55 (age range, 30-85 years). The most common incisions that hernia had been developed were upper midline incision (51 patients) and lower midline incision (37 patients). The size of the hernia defect was 0-5 cm in 118 patients , 6-10 cm in 5 patients 11-15 cm in 12 patients, and above 15 cm in 4 patients. The postoperative complications were wound infection in 22 patients, seroma in 12 patients. The mean duration of hospital stay was 4.53 (range 1-10 days). The recurrence was detected in 6 patients. Discussion: It seems to be that onlay mesh repair is safe and effective technique for incisional hernia repair.

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Section: Discussionmentioning

confidence: 99%

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Kaya¹

2012

Ann Clin Anal Med

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“…Incisional hernia is an often underestimated complication after open abdominal aortic aneurysm repair Incidences as high as 90% after midline laparotomy are reported in the literature after surgery for aneurysm (Fassiadis et al, 2005). This was with routine use of ultrasound and not all hernia demanded treatment.…”

Section: Incisional Herniamentioning

confidence: 99%

“…Others report lower incidence: 30% (Holland et al, 1996). The cause of high incidence of hernia after aneurysm surgery is thought to be a (Fassiadis et al, 2005). A recent report from the UK showed the feasibility of a minilaparotomy for open aortic aneurysm repair (Hafez et al, 2011).…”

Section: Incisional Herniamentioning

confidence: 99%

Late Complications Following Aortic Aneurysm Repair

Zeeland¹,

Laan²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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“…[7][8][9][10][11] One study, however, has suggested that this might be lowered by the use of a transverse incision over a vertical one. 12 Divarication of the recti is a separation between the left and right rectus abdominis muscles, leaving the central abdominal wall devoid of support, allowing protrusion of the abdominal contents.…”

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confidence: 99%

An assessment of between-recti distance and divarication in patients with and without abdominal aortic aneurysm

De’Ath

Lovegrove

Javid

et al. 2010

annals

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INTRODUCTION The study assessed whether there is a greater incidence of divarication of the recti and whether between-recti distance is greater in patients with abdominal aortic aneurysm (AAA). PATIENTS AND METHODS The study consisted of two parts: a radiological and a clinical assessment. All patients with a confirmed AAA on computerised tomography were included and compared with patients in whom AAA was excluded with imaging. Between-recti distance was measured using a computerised image viewer and clinical divarication was assessed by a surgical registrar or consultant. RESULTS In the radiological part of the study, 108 patients with AAA were compared with 84 with colorectal cancer. Median between-recti distance was 38 mm (range, 25-59 mm) in the AAA group and 27 mm (range, 20-44.5 mm) in the non-AAA group (P = 0.006). AAA diameter did not correlate with between-recti distance. The clinical study included 50 patients (25 AAA). The groups were well matched, with only a greater incidence of diabetes in the AAA group (20% vs 0%; P = 0.018). AAA patients were more likely to have clinically detected divarication of the recti (76% vs 36%; P = 0.004). CONCLUSIONS Patients with AAA have greater radiological and clinical evidence of divarication. It is suggested that patients with divarication be screened for AAA.

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Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair

Abstract: The incidence of incisional hernia was high after aortic aneurysm repair, but was lower in patients who had a transverse incision.

Cited by 83 publications

References 21 publications

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Late Complications Following Aortic Aneurysm Repair

An assessment of between-recti distance and divarication in patients with and without abdominal aortic aneurysm

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