Related Experiment Video
Updated: Jul 19, 2026
09:51
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Incisional hernia after liver transplantation
Andrew J Vardanian1, Douglas G Farmer, Rafik M Ghobrial
1Division of Liver and Pancreas Transplantation, Department of Surgery, Dumont-UCLA Transplant Center, David Geffen School of Medicine at UCLA, 650 C.E. Young Drive South, Los Angeles, CA 90095, USA.
Journal of the American College of Surgeons
|September 27, 2006
Summary
Incisional hernias are a late complication after orthotopic liver transplantation (OLT). Male gender and early OLT complications increase risk, with mesh repair showing lower recurrence rates.
Area of Science:
- Hepatology
- Surgical Oncology
- Gastroenterology
Background:
- Incisional hernia is a recognized complication following orthotopic liver transplantation (OLT).
- Various surgical techniques exist for incisional hernia repair post-OLT.
Purpose of the Study:
- To identify risk factors for incisional hernia development after OLT.
- To compare the outcomes of different incisional hernia repair methods in OLT patients.
Main Methods:
- Retrospective review of adult patients undergoing OLT between 1999 and 2005.
- Analysis of patient demographics, OLT complications, hernia presentation, and surgical repair techniques.
- Comparison of recurrence rates between different herniorrhaphy methods.
Main Results:
- Incisional hernias occurred in 4.6% of OLT patients, with a mean diagnosis 419 days post-transplant.
- Male gender and early post-OLT complications (e.g., reoperation, pulmonary issues) were identified as risk factors.
- Mesh reinforcement techniques demonstrated significantly lower recurrence rates (6%) compared to fascial repair alone (33%).
Conclusions:
- Incisional hernia is a significant late complication of OLT.
- Male sex and early post-transplant complications are key risk factors.
- Mesh-reinforced repair is the preferred method for incisional hernias post-OLT, offering better outcomes.
