Smoking Is a Risk Factor for Incisional Hernia
HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN...
Gespeichert in:
| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 2005-02, Vol.140 (2), p.119-123 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 123 |
|---|---|
| container_issue | 2 |
| container_start_page | 119 |
| container_title | Archives of surgery (Chicago. 1960) |
| container_volume | 140 |
| creator | Sørensen, Lars Tue Hemmingsen, Ulla B Kirkeby, Lene T Kallehave, Finn Jørgensen, Lars Nannestad |
| description | HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN Cohort study. Clinical follow-up study for incisional hernia 33 to 57 months following laparotomy for gastrointestinal disease. Variables predictive for incisional hernia were assessed by multiple regression analysis. SETTING Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. PATIENTS All 916 patients undergoing laparotomy from 1997 through 1998. Surgeons performed clinical examination in 310 patients; patients who failed to meet for examination, died, or were lost to follow-up were excluded. MAIN OUTCOME MEASURES Thirty-four variables related to patient history, preoperative clinical condition, operative severity and findings, and the surgeon’s training. RESULTS The incidence of incisional hernia was 26% (81/310). Smokers had a 4-fold higher risk of incisional hernia (odds ratio [OR], 3.93 [95% confidence interval (CI), 1.82-8.49]) independent of other risk factors and confounders. Relaparotomy was the strongest factor associated with hernia (OR, 5.89 [95% CI, 1.78-19.48]). Other risk factors were postoperative wound complications (OR, 3.91 [95% CI, 1.99-7.66]), age (OR, 1.04 [95% CI, 1.02-1.06]), and male sex (OR, 2.17 [95% CI, 1.21-3.91]). CONCLUSION Smoking is a significant risk factor for incisional hernia in line with relaparotomy, postoperative wound complications, older age, and male sex.Arch Surg. 2005;140:119-123--> |
| doi_str_mv | 10.1001/archsurg.140.2.119 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67449773</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>508337</ama_id><sourcerecordid>793564771</sourcerecordid><originalsourceid>FETCH-LOGICAL-a376t-d5c553c8b35ee56c76ededa4f8b7b45202829c982c7fcdaa1128ef83799f23393</originalsourceid><addsrcrecordid>eNpdkE1LAzEQhoMotlZ_gB5kEfS2az42m-QoxWqhIPhxDrPZbN12P2rSPfjvTelqwcMwA_PMy_AgdEVwQjAm9-DMp-_dMiEpTmhCiDpCY8KZjFmWpsdojDFO40DiETrzfhUmKhU9RSPCBWVKkTFK3ppuXbXLaO4jiF4rv45mYLadi8pQ89ZUvupaqKNn69oKztFJCbW3F0OfoI_Z4_v0OV68PM2nD4sYmMi2ccEN58zInHFreWZEZgtbQFrKXOQpp5hKqoyS1IjSFAAkPGZLyYRSJWVMsQm62-duXPfVW7_VTeWNrWtobdd7nYk0VUKwAN78A1dd78LDXlNGOedYyQDRPWRc572zpd64qgH3rQnWO5X6V6UOKjXVQWU4uh6S-7yxxeFkcBeA2wEAb6AuHexsHbiMZxTjXdDlnoMG_rYcS8YE-wHI34QV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232555098</pqid></control><display><type>article</type><title>Smoking Is a Risk Factor for Incisional Hernia</title><source>MEDLINE</source><source>American Medical Association Journals</source><source>Alma/SFX Local Collection</source><creator>Sørensen, Lars Tue ; Hemmingsen, Ulla B ; Kirkeby, Lene T ; Kallehave, Finn ; Jørgensen, Lars Nannestad</creator><creatorcontrib>Sørensen, Lars Tue ; Hemmingsen, Ulla B ; Kirkeby, Lene T ; Kallehave, Finn ; Jørgensen, Lars Nannestad</creatorcontrib><description>HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN Cohort study. Clinical follow-up study for incisional hernia 33 to 57 months following laparotomy for gastrointestinal disease. Variables predictive for incisional hernia were assessed by multiple regression analysis. SETTING Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. PATIENTS All 916 patients undergoing laparotomy from 1997 through 1998. Surgeons performed clinical examination in 310 patients; patients who failed to meet for examination, died, or were lost to follow-up were excluded. MAIN OUTCOME MEASURES Thirty-four variables related to patient history, preoperative clinical condition, operative severity and findings, and the surgeon’s training. RESULTS The incidence of incisional hernia was 26% (81/310). Smokers had a 4-fold higher risk of incisional hernia (odds ratio [OR], 3.93 [95% confidence interval (CI), 1.82-8.49]) independent of other risk factors and confounders. Relaparotomy was the strongest factor associated with hernia (OR, 5.89 [95% CI, 1.78-19.48]). Other risk factors were postoperative wound complications (OR, 3.91 [95% CI, 1.99-7.66]), age (OR, 1.04 [95% CI, 1.02-1.06]), and male sex (OR, 2.17 [95% CI, 1.21-3.91]). CONCLUSION Smoking is a significant risk factor for incisional hernia in line with relaparotomy, postoperative wound complications, older age, and male sex.Arch Surg. 2005;140:119-123--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.140.2.119</identifier><identifier>PMID: 15723991</identifier><identifier>CODEN: ARSUAX</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Aged ; Biological and medical sciences ; Clinical outcomes ; Female ; General aspects ; Hernia, Abdominal - epidemiology ; Hernia, Abdominal - physiopathology ; Hernias ; Humans ; Laparotomy ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - epidemiology ; Risk Factors ; Smoking ; Smoking - adverse effects ; Smoking - physiopathology ; Studies ; Tobacco, tobacco smoking ; Toxicology ; Wound Healing - physiology</subject><ispartof>Archives of surgery (Chicago. 1960), 2005-02, Vol.140 (2), p.119-123</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright American Medical Association Feb 2005</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a376t-d5c553c8b35ee56c76ededa4f8b7b45202829c982c7fcdaa1128ef83799f23393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.140.2.119$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.140.2.119$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,780,784,3340,27924,27925,76489,76492</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16562009$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15723991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sørensen, Lars Tue</creatorcontrib><creatorcontrib>Hemmingsen, Ulla B</creatorcontrib><creatorcontrib>Kirkeby, Lene T</creatorcontrib><creatorcontrib>Kallehave, Finn</creatorcontrib><creatorcontrib>Jørgensen, Lars Nannestad</creatorcontrib><title>Smoking Is a Risk Factor for Incisional Hernia</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN Cohort study. Clinical follow-up study for incisional hernia 33 to 57 months following laparotomy for gastrointestinal disease. Variables predictive for incisional hernia were assessed by multiple regression analysis. SETTING Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. PATIENTS All 916 patients undergoing laparotomy from 1997 through 1998. Surgeons performed clinical examination in 310 patients; patients who failed to meet for examination, died, or were lost to follow-up were excluded. MAIN OUTCOME MEASURES Thirty-four variables related to patient history, preoperative clinical condition, operative severity and findings, and the surgeon’s training. RESULTS The incidence of incisional hernia was 26% (81/310). Smokers had a 4-fold higher risk of incisional hernia (odds ratio [OR], 3.93 [95% confidence interval (CI), 1.82-8.49]) independent of other risk factors and confounders. Relaparotomy was the strongest factor associated with hernia (OR, 5.89 [95% CI, 1.78-19.48]). Other risk factors were postoperative wound complications (OR, 3.91 [95% CI, 1.99-7.66]), age (OR, 1.04 [95% CI, 1.02-1.06]), and male sex (OR, 2.17 [95% CI, 1.21-3.91]). CONCLUSION Smoking is a significant risk factor for incisional hernia in line with relaparotomy, postoperative wound complications, older age, and male sex.Arch Surg. 2005;140:119-123--></description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>General aspects</subject><subject>Hernia, Abdominal - epidemiology</subject><subject>Hernia, Abdominal - physiopathology</subject><subject>Hernias</subject><subject>Humans</subject><subject>Laparotomy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Smoking - physiopathology</subject><subject>Studies</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>Wound Healing - physiology</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LAzEQhoMotlZ_gB5kEfS2az42m-QoxWqhIPhxDrPZbN12P2rSPfjvTelqwcMwA_PMy_AgdEVwQjAm9-DMp-_dMiEpTmhCiDpCY8KZjFmWpsdojDFO40DiETrzfhUmKhU9RSPCBWVKkTFK3ppuXbXLaO4jiF4rv45mYLadi8pQ89ZUvupaqKNn69oKztFJCbW3F0OfoI_Z4_v0OV68PM2nD4sYmMi2ccEN58zInHFreWZEZgtbQFrKXOQpp5hKqoyS1IjSFAAkPGZLyYRSJWVMsQm62-duXPfVW7_VTeWNrWtobdd7nYk0VUKwAN78A1dd78LDXlNGOedYyQDRPWRc572zpd64qgH3rQnWO5X6V6UOKjXVQWU4uh6S-7yxxeFkcBeA2wEAb6AuHexsHbiMZxTjXdDlnoMG_rYcS8YE-wHI34QV</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Sørensen, Lars Tue</creator><creator>Hemmingsen, Ulla B</creator><creator>Kirkeby, Lene T</creator><creator>Kallehave, Finn</creator><creator>Jørgensen, Lars Nannestad</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050201</creationdate><title>Smoking Is a Risk Factor for Incisional Hernia</title><author>Sørensen, Lars Tue ; Hemmingsen, Ulla B ; Kirkeby, Lene T ; Kallehave, Finn ; Jørgensen, Lars Nannestad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a376t-d5c553c8b35ee56c76ededa4f8b7b45202829c982c7fcdaa1128ef83799f23393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>General aspects</topic><topic>Hernia, Abdominal - epidemiology</topic><topic>Hernia, Abdominal - physiopathology</topic><topic>Hernias</topic><topic>Humans</topic><topic>Laparotomy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Smoking - physiopathology</topic><topic>Studies</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>Wound Healing - physiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Sørensen, Lars Tue</creatorcontrib><creatorcontrib>Hemmingsen, Ulla B</creatorcontrib><creatorcontrib>Kirkeby, Lene T</creatorcontrib><creatorcontrib>Kallehave, Finn</creatorcontrib><creatorcontrib>Jørgensen, Lars Nannestad</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sørensen, Lars Tue</au><au>Hemmingsen, Ulla B</au><au>Kirkeby, Lene T</au><au>Kallehave, Finn</au><au>Jørgensen, Lars Nannestad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smoking Is a Risk Factor for Incisional Hernia</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>140</volume><issue>2</issue><spage>119</spage><epage>123</epage><pages>119-123</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><coden>ARSUAX</coden><abstract>HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN Cohort study. Clinical follow-up study for incisional hernia 33 to 57 months following laparotomy for gastrointestinal disease. Variables predictive for incisional hernia were assessed by multiple regression analysis. SETTING Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. PATIENTS All 916 patients undergoing laparotomy from 1997 through 1998. Surgeons performed clinical examination in 310 patients; patients who failed to meet for examination, died, or were lost to follow-up were excluded. MAIN OUTCOME MEASURES Thirty-four variables related to patient history, preoperative clinical condition, operative severity and findings, and the surgeon’s training. RESULTS The incidence of incisional hernia was 26% (81/310). Smokers had a 4-fold higher risk of incisional hernia (odds ratio [OR], 3.93 [95% confidence interval (CI), 1.82-8.49]) independent of other risk factors and confounders. Relaparotomy was the strongest factor associated with hernia (OR, 5.89 [95% CI, 1.78-19.48]). Other risk factors were postoperative wound complications (OR, 3.91 [95% CI, 1.99-7.66]), age (OR, 1.04 [95% CI, 1.02-1.06]), and male sex (OR, 2.17 [95% CI, 1.21-3.91]). CONCLUSION Smoking is a significant risk factor for incisional hernia in line with relaparotomy, postoperative wound complications, older age, and male sex.Arch Surg. 2005;140:119-123--></abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>15723991</pmid><doi>10.1001/archsurg.140.2.119</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-0010 |
| ispartof | Archives of surgery (Chicago. 1960), 2005-02, Vol.140 (2), p.119-123 |
| issn | 0004-0010 2168-6254 1538-3644 2168-6262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67449773 |
| source | MEDLINE; American Medical Association Journals; Alma/SFX Local Collection |
| subjects | Aged Biological and medical sciences Clinical outcomes Female General aspects Hernia, Abdominal - epidemiology Hernia, Abdominal - physiopathology Hernias Humans Laparotomy Logistic Models Male Medical sciences Middle Aged Postoperative Complications - epidemiology Risk Factors Smoking Smoking - adverse effects Smoking - physiopathology Studies Tobacco, tobacco smoking Toxicology Wound Healing - physiology |
| title | Smoking Is a Risk Factor for Incisional Hernia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T08%3A39%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Smoking%20Is%20a%20Risk%20Factor%20for%20Incisional%20Hernia&rft.jtitle=Archives%20of%20surgery%20(Chicago.%201960)&rft.au=S%C3%B8rensen,%20Lars%20Tue&rft.date=2005-02-01&rft.volume=140&rft.issue=2&rft.spage=119&rft.epage=123&rft.pages=119-123&rft.issn=0004-0010&rft.eissn=1538-3644&rft.coden=ARSUAX&rft_id=info:doi/10.1001/archsurg.140.2.119&rft_dat=%3Cproquest_cross%3E793564771%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=232555098&rft_id=info:pmid/15723991&rft_ama_id=508337&rfr_iscdi=true |