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Incisional hernia rate 3 years after midline laparotomy

Background: Incisional hernia is the most frequent long-term complication after visceral surgery, with an incidence of between 9 and 20 per cent 1 year after operation. Most controlled studies provide only short-term follow-up, and the actual incidence remains unclear. This study evaluated the incid...

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Main Authors: Fink, Christoph Andreas (Author) , Knebel, Phillip (Author) , Bruckner, Thomas (Author) , Ulrich, Alexis (Author) , Büchler, Markus W. (Author) , Diener, Markus K. (Author)
Format: Article (Journal)
Language:English
Published: 2014
In: The British journal of surgery
Year: 2014, Volume: 101, Issue: 2, Pages: 51-54
ISSN:1365-2168
DOI:10.1002/bjs.9364
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/bjs.9364
Verlag, lizenzpflichtig, Volltext: https://bjssjournals.onlinelibrary.wiley.com/doi/abs/10.1002/bjs.9364
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Author Notes:C. Fink, P. Baumann, M.N. Wente, P. Knebel, T. Bruckner, A. Ulrich, J. Werner, M.W. Büchler and M.K. Diener
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Summary:Background: Incisional hernia is the most frequent long-term complication after visceral surgery, with an incidence of between 9 and 20 per cent 1 year after operation. Most controlled studies provide only short-term follow-up, and the actual incidence remains unclear. This study evaluated the incidence of incisional hernia up to 3 years after midline laparotomy in two prospective trials. Methods: Three-year follow-up data from the ISSAAC (prospective, multicentre, historically controlled) and INSECT (randomized, controlled, multicentre) trials focused on the rate of incisional hernia 1 and 3 years after surgery. Differences between the two groups were compared using t tests for continuous data and the χ2 test for categorical data. Results: Analysis of 775 patients included in the two trials suggested that the incisional hernia rate increased significantly from 12·6 per cent at 1 year to 22·4 per cent 3 years after surgery (P < 0.001), a relative increase of more than 60 per cent. Conclusion: This follow-up of two trials demonstrated that 1 year of clinical follow-up for detection of incisional hernia is not sufficient; follow-up for at least 3 years should be mandatory in any study evaluating the rate of postoperative incisional hernia after midline laparotomy.
Item Description:First published: 26 November 2013
Gesehen am 24.09.2020
Physical Description:Online Resource
ISSN:1365-2168
DOI:10.1002/bjs.9364

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