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: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2014
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| 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 |
MARC
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| 245 | 1 | 0 | |a Incisional hernia rate 3 years after midline laparotomy |c 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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| 520 | |a 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. | ||
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