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THE IMPACT OF ANEMIA ON THE DEVELOPMENT OF INCISIONAL HERNIA, PROSPECTIVE STUDY
E Diasamidze1, T Gvenetadze1, G Antadze2
11David Aghmashenebeli University of Georgia, Georgia.
Georgian Medical News
|February 13, 2026
Summary
Anemia significantly increases the risk of developing incisional hernias after abdominal surgery. Early anemia correction may prevent this common complication.
Area of Science:
- Abdominal Surgery
- Surgical Complications
- Anemia Research
Background:
- Incisional hernia is a frequent complication after abdominal surgery.
- Contributing factors include patient comorbidities and surgical techniques.
- The role of perioperative anemia in incisional hernia development is understudied.
Purpose of the Study:
- To investigate the association between anemia and incisional hernia development.
- To determine if perioperative anemia is a risk factor for incisional hernia.
Main Methods:
- Prospective study of patients undergoing abdominal surgery.
- Patients grouped by preoperative or early postoperative anemia.
- 18-month follow-up for incisional hernia development, wound complications, and recurrence.
Main Results:
- Incisional hernia incidence was 39.2% in anemic patients vs. 8.1% in non-anemic patients.
- Anemia, longer surgery duration, and female gender were significant risk factors for incisional hernia.
- Anemic patients experienced higher rates of surgical site infection and wound dehiscence, with longer hospital stays.
Conclusions:
- Perioperative anemia (preoperative or within 72 hours post-surgery) significantly elevates the risk of incisional hernia.
- Early identification and management of anemia can be a preventive strategy for at-risk surgical patients.
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