Incisional Hernia Development after Live Donor Nephrectomy: Impact of Surgical Technique
Characteristics of incisional hernia (IH) formation after live donor nephrectomy (LDN) are not well-defined. The goal of this study was to describe the incidence of IH within 3 years after LDN and identify risk factors contributing to their formation. We performed a single-center, retrospective revi...
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| Veröffentlicht in: | Kidney360 2023-01, Vol.4 (1), p.78-82 |
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| creator | DuBray, Bernard J Tompson, Joshua J Shaffer, David Hale, Doug A Rega, Scott A Feurer, Irene D Forbes, Rachel C |
| description | Characteristics of incisional hernia (IH) formation after live donor nephrectomy (LDN) are not well-defined. The goal of this study was to describe the incidence of IH within 3 years after LDN and identify risk factors contributing to their formation.
We performed a single-center, retrospective review of all LDN between February 2013 and October 2018. Patients with and without IH were compared based on donor and operative variables. Data were analyzed using chi-square tests with column proportions. Multivariable logistic regression with backward elimination was used to evaluate the likelihood of IH on the basis of potential risk factors.
Three hundred one individuals underwent live donor nephrectomy. Twenty-eight patients (9.3%) developed an IH, with a median time to development of 7 months (range: 2-24 months). Obesity (body mass index ≥30), periumbilical hand port, and vertical infraumbilical hand port were associated with increased risk of IH development on univariate analysis. On multivariate analysis, obesity and periumbilical hand port location were persistent risk factors for IH.
The incidence of IH after LDN is prevalent and associated with obesity and operative technique. Placing the hand port infraumbilical with a transverse fascial incision may reduce the risk of IH after LDN. |
| doi_str_mv | 10.34067/KID.0005262022 |
| format | Article |
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We performed a single-center, retrospective review of all LDN between February 2013 and October 2018. Patients with and without IH were compared based on donor and operative variables. Data were analyzed using chi-square tests with column proportions. Multivariable logistic regression with backward elimination was used to evaluate the likelihood of IH on the basis of potential risk factors.
Three hundred one individuals underwent live donor nephrectomy. Twenty-eight patients (9.3%) developed an IH, with a median time to development of 7 months (range: 2-24 months). Obesity (body mass index ≥30), periumbilical hand port, and vertical infraumbilical hand port were associated with increased risk of IH development on univariate analysis. On multivariate analysis, obesity and periumbilical hand port location were persistent risk factors for IH.
The incidence of IH after LDN is prevalent and associated with obesity and operative technique. Placing the hand port infraumbilical with a transverse fascial incision may reduce the risk of IH after LDN.</description><identifier>ISSN: 2641-7650</identifier><identifier>EISSN: 2641-7650</identifier><identifier>DOI: 10.34067/KID.0005262022</identifier><identifier>PMID: 36700907</identifier><language>eng</language><publisher>United States: American Society of Nephrology</publisher><subject>Humans ; Incisional Hernia - epidemiology ; Incisional Hernia - etiology ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Living Donors ; Nephrectomy - adverse effects ; Nephrectomy - methods ; Obesity - epidemiology ; Obesity - etiology ; Original Investigation ; Transplantation</subject><ispartof>Kidney360, 2023-01, Vol.4 (1), p.78-82</ispartof><rights>Copyright © 2022 by the American Society of Nephrology.</rights><rights>Copyright © 2022 by the American Society of Nephrology 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-99b3a9a01ee35e59797732429f66153ef57d2adfb33248cb97c9009290e816c73</citedby><cites>FETCH-LOGICAL-c394t-99b3a9a01ee35e59797732429f66153ef57d2adfb33248cb97c9009290e816c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101573/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101573/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36700907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DuBray, Bernard J</creatorcontrib><creatorcontrib>Tompson, Joshua J</creatorcontrib><creatorcontrib>Shaffer, David</creatorcontrib><creatorcontrib>Hale, Doug A</creatorcontrib><creatorcontrib>Rega, Scott A</creatorcontrib><creatorcontrib>Feurer, Irene D</creatorcontrib><creatorcontrib>Forbes, Rachel C</creatorcontrib><title>Incisional Hernia Development after Live Donor Nephrectomy: Impact of Surgical Technique</title><title>Kidney360</title><addtitle>Kidney360</addtitle><description>Characteristics of incisional hernia (IH) formation after live donor nephrectomy (LDN) are not well-defined. The goal of this study was to describe the incidence of IH within 3 years after LDN and identify risk factors contributing to their formation.
We performed a single-center, retrospective review of all LDN between February 2013 and October 2018. Patients with and without IH were compared based on donor and operative variables. Data were analyzed using chi-square tests with column proportions. Multivariable logistic regression with backward elimination was used to evaluate the likelihood of IH on the basis of potential risk factors.
Three hundred one individuals underwent live donor nephrectomy. Twenty-eight patients (9.3%) developed an IH, with a median time to development of 7 months (range: 2-24 months). Obesity (body mass index ≥30), periumbilical hand port, and vertical infraumbilical hand port were associated with increased risk of IH development on univariate analysis. On multivariate analysis, obesity and periumbilical hand port location were persistent risk factors for IH.
The incidence of IH after LDN is prevalent and associated with obesity and operative technique. Placing the hand port infraumbilical with a transverse fascial incision may reduce the risk of IH after LDN.</description><subject>Humans</subject><subject>Incisional Hernia - epidemiology</subject><subject>Incisional Hernia - etiology</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Living Donors</subject><subject>Nephrectomy - adverse effects</subject><subject>Nephrectomy - methods</subject><subject>Obesity - epidemiology</subject><subject>Obesity - etiology</subject><subject>Original Investigation</subject><subject>Transplantation</subject><issn>2641-7650</issn><issn>2641-7650</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUFPAjEQhRujEYKcvZkevSDdlrbUizGiQiR6EBNvTSmzULO7XduFxH9vI4iYHqaZefPmJR9C5xm5YgMiZP9pMroihHAqKKH0CLWpGGQ9KTg5Pvi3UDfGj6SjitIhE6eoxYQkRBHZRu-TyrrofGUKPIZQOYNHsIHC1yVUDTZ5AwFP3QbwyFc-4GeoVwFs48uvazwpa2Mb7HP8ug5LZ5PHDOyqcp9rOEMnuSkidHe1g94e7md349705XFydzvtWaYGTU-pOTPKkAyAceBKKikZHVCVC5FxBjmXC2oW-Zyl7tDOlbQqRaeKwDATVrIOutn61ut5CQubUgdT6Dq40oQv7Y3T_yeVW-ml3-iMpMclSw6XO4fgU_DY6NJFC0VhKvDrqKkUSimZcZ6k_a3UBh9jgHx_JyP6h4lOTPQfk7RxcRhvr_8lwL4BjzeHDQ</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>DuBray, Bernard J</creator><creator>Tompson, Joshua J</creator><creator>Shaffer, David</creator><creator>Hale, Doug A</creator><creator>Rega, Scott A</creator><creator>Feurer, Irene D</creator><creator>Forbes, Rachel C</creator><general>American Society of Nephrology</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230101</creationdate><title>Incisional Hernia Development after Live Donor Nephrectomy: Impact of Surgical Technique</title><author>DuBray, Bernard J ; Tompson, Joshua J ; Shaffer, David ; Hale, Doug A ; Rega, Scott A ; Feurer, Irene D ; Forbes, Rachel C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-99b3a9a01ee35e59797732429f66153ef57d2adfb33248cb97c9009290e816c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Humans</topic><topic>Incisional Hernia - epidemiology</topic><topic>Incisional Hernia - etiology</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Living Donors</topic><topic>Nephrectomy - adverse effects</topic><topic>Nephrectomy - methods</topic><topic>Obesity - epidemiology</topic><topic>Obesity - etiology</topic><topic>Original Investigation</topic><topic>Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DuBray, Bernard J</creatorcontrib><creatorcontrib>Tompson, Joshua J</creatorcontrib><creatorcontrib>Shaffer, David</creatorcontrib><creatorcontrib>Hale, Doug A</creatorcontrib><creatorcontrib>Rega, Scott A</creatorcontrib><creatorcontrib>Feurer, Irene D</creatorcontrib><creatorcontrib>Forbes, Rachel C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Kidney360</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DuBray, Bernard J</au><au>Tompson, Joshua J</au><au>Shaffer, David</au><au>Hale, Doug A</au><au>Rega, Scott A</au><au>Feurer, Irene D</au><au>Forbes, Rachel C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incisional Hernia Development after Live Donor Nephrectomy: Impact of Surgical Technique</atitle><jtitle>Kidney360</jtitle><addtitle>Kidney360</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>4</volume><issue>1</issue><spage>78</spage><epage>82</epage><pages>78-82</pages><issn>2641-7650</issn><eissn>2641-7650</eissn><abstract>Characteristics of incisional hernia (IH) formation after live donor nephrectomy (LDN) are not well-defined. The goal of this study was to describe the incidence of IH within 3 years after LDN and identify risk factors contributing to their formation.
We performed a single-center, retrospective review of all LDN between February 2013 and October 2018. Patients with and without IH were compared based on donor and operative variables. Data were analyzed using chi-square tests with column proportions. Multivariable logistic regression with backward elimination was used to evaluate the likelihood of IH on the basis of potential risk factors.
Three hundred one individuals underwent live donor nephrectomy. Twenty-eight patients (9.3%) developed an IH, with a median time to development of 7 months (range: 2-24 months). Obesity (body mass index ≥30), periumbilical hand port, and vertical infraumbilical hand port were associated with increased risk of IH development on univariate analysis. On multivariate analysis, obesity and periumbilical hand port location were persistent risk factors for IH.
The incidence of IH after LDN is prevalent and associated with obesity and operative technique. Placing the hand port infraumbilical with a transverse fascial incision may reduce the risk of IH after LDN.</abstract><cop>United States</cop><pub>American Society of Nephrology</pub><pmid>36700907</pmid><doi>10.34067/KID.0005262022</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Humans Incisional Hernia - epidemiology Incisional Hernia - etiology Laparoscopy - adverse effects Laparoscopy - methods Living Donors Nephrectomy - adverse effects Nephrectomy - methods Obesity - epidemiology Obesity - etiology Original Investigation Transplantation |
| title | Incisional Hernia Development after Live Donor Nephrectomy: Impact of Surgical Technique |
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