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Predictive factors for extraction site hernia after laparoscopic right colectomy
David Parés1, Awad Shamali2, Sam Stefan2
1Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK. dapares@gmail.com.
International Journal of Colorectal Disease
|June 4, 2016
Summary
Incisional hernia at the extraction site (ESIH) is a common complication after colorectal surgery. Obesity and longer incision length are significant risk factors for developing ESIH.
Area of Science:
- Colorectal Surgery
- Surgical Complications
- Hernia Research
Background:
- Incisional hernia at the extraction site (ESIH) is a frequent complication following laparoscopic colorectal resections.
- Standardized surgical techniques are crucial for managing and preventing post-operative complications.
Purpose of the Study:
- To determine the prevalence of incisional hernia at the extraction site (ESIH) in patients undergoing laparoscopic colorectal resection.
- To identify potential risk factors associated with the development of ESIH in a large cohort.
Main Methods:
- A cross-sectional study included patients who underwent elective laparoscopic right or extended right colectomy for cancer.
- A standardized surgical technique was employed, with follow-up including abdominal CT scans for at least one year.
Main Results:
- Out of 292 patients, 6.8% (20 patients) developed ESIH, with a median follow-up of 42 months.
- Obesity (OR=3.76) and increased incision length (OR=2.86) were identified as significant risk factors for ESIH development.
Conclusions:
- The risk of ESIH following colonic resections is significant.
- Obesity and incision length are key modifiable risk factors contributing to ESIH development.
