Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections
Abstract Background There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. Methods Elective open and laparoscopic colon resections performed between February 2002 and...
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| Veröffentlicht in: | The American journal of surgery 2010-08, Vol.200 (2), p.265-269 |
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| creator | Llaguna, Omar H., M.D Avgerinos, Dimitrios V., M.D Lugo, Joanelle Z., M.D Matatov, Timothy, M.D Abbadessa, Benjamin, M.D Martz, Joseph E., M.D Leitman, I. Michael, M.D |
| description | Abstract Background There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. Methods Elective open and laparoscopic colon resections performed between February 2002 and May 2007 were reviewed. In the laparoscopic group, mesenteric transection was performed via intracorporeal division for left-sided colectomy and via extracorporeal technique for right-sided colectomy. The ileocolic anastomosis was performed by extracorporeal stapling for right colectomies and by intracorporeal for left colectomies. Results Two hundred eighteen patients (mean age 62 years, 52% male) underwent elective colon resection (50% open, 5% hand-assisted, and 45% laparoscopic). Six percent of the cases that started as laparoscopic were converted and are included in the open group. Mean follow-up was 26 months. The overall incisional hernia rate was 16% (open and minimally invasive group 17% vs 15%, P = .14). Hernia was not dependent on the type of resection, indication, or extraction site. Body mass index >36 kg/m2 , male gender, and surgical site infection were risk factors for hernia development. Conclusions Laparoscopic colectomy does not reduce the development of incisional hernia. |
| doi_str_mv | 10.1016/j.amjsurg.2009.08.044 |
| format | Article |
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Michael, M.D</creator><creatorcontrib>Llaguna, Omar H., M.D ; Avgerinos, Dimitrios V., M.D ; Lugo, Joanelle Z., M.D ; Matatov, Timothy, M.D ; Abbadessa, Benjamin, M.D ; Martz, Joseph E., M.D ; Leitman, I. Michael, M.D</creatorcontrib><description>Abstract Background There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. Methods Elective open and laparoscopic colon resections performed between February 2002 and May 2007 were reviewed. In the laparoscopic group, mesenteric transection was performed via intracorporeal division for left-sided colectomy and via extracorporeal technique for right-sided colectomy. The ileocolic anastomosis was performed by extracorporeal stapling for right colectomies and by intracorporeal for left colectomies. Results Two hundred eighteen patients (mean age 62 years, 52% male) underwent elective colon resection (50% open, 5% hand-assisted, and 45% laparoscopic). Six percent of the cases that started as laparoscopic were converted and are included in the open group. Mean follow-up was 26 months. The overall incisional hernia rate was 16% (open and minimally invasive group 17% vs 15%, P = .14). Hernia was not dependent on the type of resection, indication, or extraction site. Body mass index >36 kg/m2 , male gender, and surgical site infection were risk factors for hernia development. Conclusions Laparoscopic colectomy does not reduce the development of incisional hernia.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2009.08.044</identifier><identifier>PMID: 20122681</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Aged ; Anastomosis ; Body mass ; Body mass index ; Colectomy - adverse effects ; Colectomy - methods ; Colon ; Colon cancer ; Colorectal cancer ; Complication ; Elective Surgical Procedures ; Female ; Group dynamics ; Hernia ; Hernia, Ventral - epidemiology ; Hernia, Ventral - etiology ; Hernias ; Humans ; Incidence ; Incisional hernia ; Indication ; Infections ; Laparoscopic colectomy ; Laparoscopy ; Laparoscopy - adverse effects ; Male ; Middle Aged ; Multivariate analysis ; Risk analysis ; Risk Factors ; Studies ; Surgery ; Surgical site infections</subject><ispartof>The American journal of surgery, 2010-08, Vol.200 (2), p.265-269</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2010 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 1, 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-6414be163275f7dab79d643b104e9d2436d0fb130115a7ecd795b231d1cfcb0f3</citedby><cites>FETCH-LOGICAL-c513t-6414be163275f7dab79d643b104e9d2436d0fb130115a7ecd795b231d1cfcb0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1924860003?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20122681$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Llaguna, Omar H., M.D</creatorcontrib><creatorcontrib>Avgerinos, Dimitrios V., M.D</creatorcontrib><creatorcontrib>Lugo, Joanelle Z., M.D</creatorcontrib><creatorcontrib>Matatov, Timothy, M.D</creatorcontrib><creatorcontrib>Abbadessa, Benjamin, M.D</creatorcontrib><creatorcontrib>Martz, Joseph E., M.D</creatorcontrib><creatorcontrib>Leitman, I. Michael, M.D</creatorcontrib><title>Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. Methods Elective open and laparoscopic colon resections performed between February 2002 and May 2007 were reviewed. In the laparoscopic group, mesenteric transection was performed via intracorporeal division for left-sided colectomy and via extracorporeal technique for right-sided colectomy. The ileocolic anastomosis was performed by extracorporeal stapling for right colectomies and by intracorporeal for left colectomies. Results Two hundred eighteen patients (mean age 62 years, 52% male) underwent elective colon resection (50% open, 5% hand-assisted, and 45% laparoscopic). Six percent of the cases that started as laparoscopic were converted and are included in the open group. Mean follow-up was 26 months. The overall incisional hernia rate was 16% (open and minimally invasive group 17% vs 15%, P = .14). Hernia was not dependent on the type of resection, indication, or extraction site. Body mass index >36 kg/m2 , male gender, and surgical site infection were risk factors for hernia development. Conclusions Laparoscopic colectomy does not reduce the development of incisional hernia.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Anastomosis</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Colectomy - adverse effects</subject><subject>Colectomy - methods</subject><subject>Colon</subject><subject>Colon cancer</subject><subject>Colorectal cancer</subject><subject>Complication</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Group dynamics</subject><subject>Hernia</subject><subject>Hernia, Ventral - epidemiology</subject><subject>Hernia, Ventral - etiology</subject><subject>Hernias</subject><subject>Humans</subject><subject>Incidence</subject><subject>Incisional hernia</subject><subject>Indication</subject><subject>Infections</subject><subject>Laparoscopic colectomy</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surgical site infections</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkktv1TAQhSMEopfCTwBZYsEqYfzIawOqKh6VKrEA1pZjT1qnvnawk4u646fj6F5A6oaVNdJ3xjrnTFG8pFBRoM3bqVL7Ka3xpmIAfQVdBUI8Kna0a_uSdh1_XOwAgJV9Q-GseJbSlEdKBX9anDGgjDUd3RW_rry2Br1Gorwh0aY7Miq9hJjIGCJZbpEYPKAL8x79QsJIbFYkG7xy5BajtyqDzoWf1t8QdKgXe0Di1KxiSDrMVpMDxrQmEmb0RAcXPImYNjD49Lx4MiqX8MXpPS--f_zw7fJzef3l09XlxXWpa8qXshFUDEgbztp6bI0a2t40gg8UBPaGCd4YGAfKs8NatahN29cD49RQPeoBRn5evDnunWP4sWJa5N4mjc4pj2FNshVdzzlwkcnXD8gprDHbTZL2THRNzpFnqj5SOttMEUc5R7tX8V5SkFtDcpKnhuTWkIRO5oay7tVp-zrs0fxV_akkA--PAOY0DhajTNpuBRkbc2bSBPvfL9492KCd9VYrd4f3mP65kYlJkF-3M9muBHqAthcN_w1ZT7un</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Llaguna, Omar H., M.D</creator><creator>Avgerinos, Dimitrios V., M.D</creator><creator>Lugo, Joanelle Z., M.D</creator><creator>Matatov, Timothy, M.D</creator><creator>Abbadessa, Benjamin, M.D</creator><creator>Martz, Joseph E., M.D</creator><creator>Leitman, I. Michael, M.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections</title><author>Llaguna, Omar H., M.D ; Avgerinos, Dimitrios V., M.D ; Lugo, Joanelle Z., M.D ; Matatov, Timothy, M.D ; Abbadessa, Benjamin, M.D ; Martz, Joseph E., M.D ; Leitman, I. 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Michael, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>200</volume><issue>2</issue><spage>265</spage><epage>269</epage><pages>265-269</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract Background There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. Methods Elective open and laparoscopic colon resections performed between February 2002 and May 2007 were reviewed. In the laparoscopic group, mesenteric transection was performed via intracorporeal division for left-sided colectomy and via extracorporeal technique for right-sided colectomy. The ileocolic anastomosis was performed by extracorporeal stapling for right colectomies and by intracorporeal for left colectomies. Results Two hundred eighteen patients (mean age 62 years, 52% male) underwent elective colon resection (50% open, 5% hand-assisted, and 45% laparoscopic). Six percent of the cases that started as laparoscopic were converted and are included in the open group. Mean follow-up was 26 months. The overall incisional hernia rate was 16% (open and minimally invasive group 17% vs 15%, P = .14). Hernia was not dependent on the type of resection, indication, or extraction site. Body mass index >36 kg/m2 , male gender, and surgical site infection were risk factors for hernia development. Conclusions Laparoscopic colectomy does not reduce the development of incisional hernia.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20122681</pmid><doi>10.1016/j.amjsurg.2009.08.044</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdomen Aged Anastomosis Body mass Body mass index Colectomy - adverse effects Colectomy - methods Colon Colon cancer Colorectal cancer Complication Elective Surgical Procedures Female Group dynamics Hernia Hernia, Ventral - epidemiology Hernia, Ventral - etiology Hernias Humans Incidence Incisional hernia Indication Infections Laparoscopic colectomy Laparoscopy Laparoscopy - adverse effects Male Middle Aged Multivariate analysis Risk analysis Risk Factors Studies Surgery Surgical site infections |
| title | Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections |
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