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Incidence, risk factors, and treatment of incisional hernia after kidney transplantation: An analysis of 1,564 consecutive patients
- Source :
- Surgery, 159(5), 1407-1411. Mosby Inc.
- Publication Year :
- 2015
-
Abstract
- Background. The objective was to evaluate the incidence and treatment of incisional hernia after kidney transplantation and to identify potential risk factors. Methods. A retrospective cohort study was performed. All kidney transplant recipients between 2002 and 2012 were included. Two groups were identified: patients with and without incisional hernia. An analysis of risk factors for the development of incisional hernia was performed. Results. A total of 1,564 kidney recipients were included. Fifty patients (3.2%) developed incisional hernia. On univariate analysis, female sex (54 vs 35 %), body mass index (BMI) >30 kg/m(2) (38 vs 17%), concurrent abdominal wall hernia (30 vs 16%), multiple explorations of the ipsilateral iliac fossa (38 vs 19%), left iliac fossa implantation (36 vs 24%), history of smoking (72 vs 57%), and duration of the kidney transplantation procedure (210 vs 188 minutes) were associated with the development of incisional hernia (P30; HR 2.9), multiple explorations of the ipsilateral iliac fossa (HR 2.0), duration of operation (HR 1.007), and concurrent abdominal wall hernia (HR 2.3) were independent risk factors. Twenty-six of 50 patients (52%) underwent operative repair, of whom 9 (35 %) required emergency repair. Conclusion. The incidence of incisional hernia after kidney transplantation with a median follow-up of 59 months is 3.2%. Obesity (BAIT >30), female sex, concurrent abdominal wall hernias, history of smoking, duration of surgery, and multiple explorations were independent risk factors for the development of incisional hernia after kidney transplantation. Attempts at preventing incisional hernias based on these risk factors should be explored.
- Subjects :
- Adult
Male
medicine.medical_specialty
Incisional hernia
Iliac fossa
030230 surgery
Abdominal wall
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Risk Factors
medicine
Humans
Incisional Hernia
Hernia
Kidney transplantation
Herniorrhaphy
Aged
Proportional Hazards Models
Retrospective Studies
Univariate analysis
business.industry
Incidence (epidemiology)
Incidence
Retrospective cohort study
Middle Aged
medicine.disease
Kidney Transplantation
Surgery
medicine.anatomical_structure
surgical procedures, operative
030220 oncology & carcinogenesis
Case-Control Studies
Regression Analysis
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15327361 and 00396060
- Volume :
- 159
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....2da8cf2990ceddd184303b33de2ee4e2