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Updated: Jan 20, 2026
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Incisional Hernia After Laparoscopic-Assisted Right Hemicolectomy
Charissa R Sabajo1, Pim B Olthof2,3,4, Daphne Roos1
1Department of Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2625 AD, Delft, The Netherlands.
World Journal of Surgery
|August 21, 2019
Summary
Incisional hernias (IH) after laparoscopic right colectomy (LARHC) occurred in 14% of patients, but most were not clinically significant. Factors like higher BMI, smoking history, and surgical site infection increased IH risk.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Minimally Invasive Surgery
Background:
- Laparoscopic right colectomy (LARHC) is a preferred surgical technique with varying outcomes.
- Incisional hernia (IH) is a potential complication following abdominal surgery.
- Understanding IH incidence and risk factors after LARHC is crucial for patient care.
Purpose of the Study:
- To determine the incidence and clinical relevance of incisional hernias (IH) after laparoscopic right colectomy (LARHC).
- To identify factors associated with the development of IH following LARHC.
- To inform shared decision-making regarding LARHC by providing data on IH rates.
Main Methods:
- A retrospective analysis of consecutive patients undergoing LARHC between January 2012 and December 2016.
- Data collected via the Dutch ColoRectal Audit, with IH assessed through physical examination and imaging.
- Logistic regression analysis employed to identify risk factors for IH development.
Main Results:
- A total of 170 patients underwent LARHC, with an IH incidence of 14% (24 patients) at a median of 7 months.
- Only 2% of patients with IH required surgical repair, indicating a low rate of clinically relevant hernias.
- Multivariable analysis identified elevated BMI, smoking history, and surgical site infection as significant risk factors for IH.
Conclusions:
- The incidence of incisional hernias after LARHC is notable, though the majority are not clinically significant.
- Risk factors for IH include higher BMI, smoking history, and surgical site infection.
- The low rate of clinically relevant IH does not negate the potential benefits of LARHC.
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