Incisional hernia rate 3 years after midline laparotomy

• Verfasst von: Fink, Christoph Andreas [VerfasserIn]
• Verfasst von: Knebel, Phillip [VerfasserIn]
• Verfasst von: Bruckner, Thomas [VerfasserIn]
• Verfasst von: Ulrich, Alexis [VerfasserIn]
• Verfasst von: Büchler, Markus W. [VerfasserIn]
• Verfasst von: Diener, Markus K. [VerfasserIn]
• Titel: Incisional hernia rate 3 years after midline laparotomy
• Verf.angabe: C. Fink, P. Baumann, M.N. Wente, P. Knebel, T. Bruckner, A. Ulrich, J. Werner, M.W. Büchler and M.K. Diener
• Jahr: 2014
• Umfang: 4 S.
• Fussnoten: First published: 26 November 2013 ; Gesehen am 24.09.2020
• Titel Quelle: Enthalten in: The British journal of surgery
• Ort Quelle: Oxford : Oxford University Press, 1913
• Jahr Quelle: 2014
• Band/Heft Quelle: 101(2014), 2, Seite 51-54
• ISSN Quelle: 1365-2168
• DOI: doi:10.1002/bjs.9364
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1733679936

Abstract

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.