Obese individuals are at increased risk of recurrence following open closure of midline incisional hernia using retromuscular repair
Aim Obesity is considered a risk factor for recurrence following hernia surgery. However, data on long‐term recurrence following open closure of midline incisional hernia in obese patients are scarce. The present study was designed to investigate the rate of long‐term recurrence in patients with obe...
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| Veröffentlicht in: | Surgical practice 2018-11, Vol.22 (4), p.171-175 |
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| creator | Stodolski, Maciej Zirngibl, Hubert Ambe, Peter C. |
| description | Aim
Obesity is considered a risk factor for recurrence following hernia surgery. However, data on long‐term recurrence following open closure of midline incisional hernia in obese patients are scarce. The present study was designed to investigate the rate of long‐term recurrence in patients with obesity.
Patients and Methods
This was a single centre retrospective analysis. The outcomes of obese patients were compared with those of patients who were not obese. Outcomes included the duration of surgery, the rate of morbidity and the rate of recurrence. Retromuscular repair was used in all cases.
Results
The outcomes of 56 obese patients were compared to those of 59 patients who were not obese. No significant differences were seen among both groups with regard to the duration of surgery, length of hospital stay, rate of seroma formation, postoperative haematoma formation and surgical site infection. However, the rate of long‐term recurrence was significantly higher in obese patients (19.9 per cent vs 5.2 per cent, P = 0.04).
Conclusion
In our retrospective study, obese patients had an increased risk of long‐term recurrence following closure of midline incisional hernia with retromuscular repair. |
| doi_str_mv | 10.1111/1744-1633.12339 |
| format | Article |
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Obesity is considered a risk factor for recurrence following hernia surgery. However, data on long‐term recurrence following open closure of midline incisional hernia in obese patients are scarce. The present study was designed to investigate the rate of long‐term recurrence in patients with obesity.
Patients and Methods
This was a single centre retrospective analysis. The outcomes of obese patients were compared with those of patients who were not obese. Outcomes included the duration of surgery, the rate of morbidity and the rate of recurrence. Retromuscular repair was used in all cases.
Results
The outcomes of 56 obese patients were compared to those of 59 patients who were not obese. No significant differences were seen among both groups with regard to the duration of surgery, length of hospital stay, rate of seroma formation, postoperative haematoma formation and surgical site infection. However, the rate of long‐term recurrence was significantly higher in obese patients (19.9 per cent vs 5.2 per cent, P = 0.04).
Conclusion
In our retrospective study, obese patients had an increased risk of long‐term recurrence following closure of midline incisional hernia with retromuscular repair.</description><identifier>ISSN: 1744-1625</identifier><identifier>EISSN: 1744-1633</identifier><identifier>DOI: 10.1111/1744-1633.12339</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>hernia recurrence ; Hernias ; incisional hernia ; midline incisional hernia ; Obesity ; obesity, postoperative seroma ; retromuscular repair ; Risk factors ; Surgery ; Surgical outcomes</subject><ispartof>Surgical practice, 2018-11, Vol.22 (4), p.171-175</ispartof><rights>2018 College of Surgeons of Hong Kong</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2699-8025807f711b0b787c9edb3ab77497c7196cb977cdeb9f576023299fb87447e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1744-1633.12339$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1744-1633.12339$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Stodolski, Maciej</creatorcontrib><creatorcontrib>Zirngibl, Hubert</creatorcontrib><creatorcontrib>Ambe, Peter C.</creatorcontrib><title>Obese individuals are at increased risk of recurrence following open closure of midline incisional hernia using retromuscular repair</title><title>Surgical practice</title><description>Aim
Obesity is considered a risk factor for recurrence following hernia surgery. However, data on long‐term recurrence following open closure of midline incisional hernia in obese patients are scarce. The present study was designed to investigate the rate of long‐term recurrence in patients with obesity.
Patients and Methods
This was a single centre retrospective analysis. The outcomes of obese patients were compared with those of patients who were not obese. Outcomes included the duration of surgery, the rate of morbidity and the rate of recurrence. Retromuscular repair was used in all cases.
Results
The outcomes of 56 obese patients were compared to those of 59 patients who were not obese. No significant differences were seen among both groups with regard to the duration of surgery, length of hospital stay, rate of seroma formation, postoperative haematoma formation and surgical site infection. However, the rate of long‐term recurrence was significantly higher in obese patients (19.9 per cent vs 5.2 per cent, P = 0.04).
Conclusion
In our retrospective study, obese patients had an increased risk of long‐term recurrence following closure of midline incisional hernia with retromuscular repair.</description><subject>hernia recurrence</subject><subject>Hernias</subject><subject>incisional hernia</subject><subject>midline incisional hernia</subject><subject>Obesity</subject><subject>obesity, postoperative seroma</subject><subject>retromuscular repair</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>1744-1625</issn><issn>1744-1633</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkDFPwzAQhS0EEqUws1pibhvbTRyPVQUUqVIHYLYc5wIuaRzODVV3fjgOQV3xcvbpe893j5BblkxZPDMm5_MJy4SYMi6EOiOjU-f8dOfpJbkKYZskQuZSjMj3poAA1DWl-3JlZ-pADQI1-9iyCCZASdGFD-orimA7RGgs0MrXtT-45o36Fhpqax-6KIvQzpW1a3pH64LzjanpO2DjDO1CzyPs0e-6YLvaYHy1xuE1uajiz3DzV8fk9eH-ZbmarDePT8vFemJ5ptQkT3iaJ7KSjBVJEee3CspCmELKuZJWMpXZQklpSyhUlcos4YIrVRV5XF4CE2NyN_i26D87CHu99R3GEYPmjOVZxjjvqdlAWfQhIFS6RbczeNQs0X3Uug9T98Hq36ijIh0UB1fD8T9cL55Xg-4H_fCCPw</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Stodolski, Maciej</creator><creator>Zirngibl, Hubert</creator><creator>Ambe, Peter C.</creator><general>Wiley Publishing Asia Pty Ltd</general><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>201811</creationdate><title>Obese individuals are at increased risk of recurrence following open closure of midline incisional hernia using retromuscular repair</title><author>Stodolski, Maciej ; Zirngibl, Hubert ; Ambe, Peter C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2699-8025807f711b0b787c9edb3ab77497c7196cb977cdeb9f576023299fb87447e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>hernia recurrence</topic><topic>Hernias</topic><topic>incisional hernia</topic><topic>midline incisional hernia</topic><topic>Obesity</topic><topic>obesity, postoperative seroma</topic><topic>retromuscular repair</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stodolski, Maciej</creatorcontrib><creatorcontrib>Zirngibl, Hubert</creatorcontrib><creatorcontrib>Ambe, Peter C.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Surgical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stodolski, Maciej</au><au>Zirngibl, Hubert</au><au>Ambe, Peter C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obese individuals are at increased risk of recurrence following open closure of midline incisional hernia using retromuscular repair</atitle><jtitle>Surgical practice</jtitle><date>2018-11</date><risdate>2018</risdate><volume>22</volume><issue>4</issue><spage>171</spage><epage>175</epage><pages>171-175</pages><issn>1744-1625</issn><eissn>1744-1633</eissn><abstract>Aim
Obesity is considered a risk factor for recurrence following hernia surgery. However, data on long‐term recurrence following open closure of midline incisional hernia in obese patients are scarce. The present study was designed to investigate the rate of long‐term recurrence in patients with obesity.
Patients and Methods
This was a single centre retrospective analysis. The outcomes of obese patients were compared with those of patients who were not obese. Outcomes included the duration of surgery, the rate of morbidity and the rate of recurrence. Retromuscular repair was used in all cases.
Results
The outcomes of 56 obese patients were compared to those of 59 patients who were not obese. No significant differences were seen among both groups with regard to the duration of surgery, length of hospital stay, rate of seroma formation, postoperative haematoma formation and surgical site infection. However, the rate of long‐term recurrence was significantly higher in obese patients (19.9 per cent vs 5.2 per cent, P = 0.04).
Conclusion
In our retrospective study, obese patients had an increased risk of long‐term recurrence following closure of midline incisional hernia with retromuscular repair.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><doi>10.1111/1744-1633.12339</doi><tpages>5</tpages></addata></record> |
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| source | Wiley Blackwell Single Titles |
| subjects | hernia recurrence Hernias incisional hernia midline incisional hernia Obesity obesity, postoperative seroma retromuscular repair Risk factors Surgery Surgical outcomes |
| title | Obese individuals are at increased risk of recurrence following open closure of midline incisional hernia using retromuscular repair |
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