Related Experiment Video
Updated: Aug 13, 2026
Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
[Incisional hernia in colorectal cancer surgery. Associated risk factors]
Raúl Adell-Carceller1, M Angeles Segarra-Soria, Vicente Pellicer-Castell
1Servicio de Cirugía General, Hospital Comarcal de Vinaròs, Servei Valencià de Salut, Vinaròs, Castellón, Spain. socraul@msn.es
Background:
Incisional hernia is one of the most common complications in abdominal surgery. The aim of this retrospective study was to examine the true incidence of incisional hernia and its risk factors in patients undergoing surgery for colorectal cancer.
Patients And Method:
Two hundred ninety-five patients who underwent colorectal cancer surgery between 1993 and 2003 were included. The mean follow-up was 37.5 +/- 22 months.
Results:
Forty-three patients developed incisional hernia, representing 14.5% of the total. The cumulative percentage of patients developing incisional hernia was 7% at 6 months, 16% at 1 year, 21% at 2 years and 33% at 5 and 10 years. The only significant independent risk factors were chronic obstructive pulmonary disease (COPD) (2-year cumulative incidence of incisional hernia of 53%, p = 0.04) and abdominal wound infection (2-year cumulative incidence of incisional hernia of 28%; p = 0.02).
Conclusion:
COPD and abdominal wound infection predispose to incisional hernia in colorectal surgery. Abdominal wound infection is the only factor over which the surgeon can act preventively by using antibiotic prophylaxis and an aseptic technique.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:27Diverticular Disease of the Colon
01:30Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...