ArticleJournal of the American College of Surgeons2013
Risk of late-onset adhesions and incisional hernia repairs after surgery.
Article in Journal of the American College of Surgeons, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic versus open total pancreatectomy: a systematic review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- Effect of Negative Pressure Wound Therapy on Wound Complications Post-Pancreatectomy.The American surgeon · 2019Trial
- Endoscopic Management of Pouch Volvulus as a Complication of Ileal Pouch Anal Anastomosis in Patients With Ulcerative Colitis.ACG case reports journal · 2026Article
- Open versus laparoscopic techniques for incisional hernia repair: A systematic review and meta-analysis of randomized controlled trials.Journal of Taibah University Medical Sciences · 2025Review
- Adhesions After Laparoscopic IPOM-How Serious Is the Problem?Journal of abdominal wall surgery : JAWS · 2025Review
- Article
- Mechanical Properties of Smart Polypropylene Meshes: Effects of Mesh Architecture, Plasma Treatment, Thermosensitive Coating, and Sterilization Process.ACS biomaterials science & engineering · 2023Article
- Retroperitoneal versus Transperitoneal Approach for Open Repair of Complex Abdominal Aortic Aneurysms.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2022Article
- Construction and properties of the silk fibroin and polypropylene composite biological mesh for abdominal incisional hernia repair.Frontiers in bioengineering and biotechnology · 2022Article
- Does perfusion matter? Preoperative prediction of incisional hernia development.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report.Case reports in women's health · 2021Article
- Transabdominal open abdominal aortic aneurysm repair is associated with higher rates of late reintervention and readmission compared with the retroperitoneal approach.Journal of vascular surgery · 2020Article
- Transperitoneal versus retroperitoneal approach for open abdominal aortic aneurysm repair in the targeted vascular National Surgical Quality Improvement Program.Journal of vascular surgery · 2016Article
- Differential Effects of Intraoperative Positive End-expiratory Pressure (PEEP) on Respiratory Outcome in Major Abdominal Surgery Versus Craniotomy.Annals of surgery · 2016Observational
- Surgical mesh for ventral incisional hernia repairs: Understanding mesh design.Plastic surgery (Oakville, Ont.) · 2016Review
- Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population.The New England journal of medicine · 2015Article
- Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study.BMJ (Clinical research ed.) · 2015Observational
- Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study.Surgical endoscopy · 2015Article
- [Peritoneal adhesion formation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- Robotic Incisional Hernia Repair After Robotic-assisted Radical Prostatectomy (RARP): A 3-port Approach.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundLong-term adhesion-related complications and incisional hernias after abdominal surgery are common and costly. There are few data on the risk of these complications after different abdominal operations. STUDY
designWe identified Medicare beneficiaries who underwent endovascular repair of an abdominal aortic aneurysm from 2001-2008 who presumably are not at risk for laparotomy-related complications. We identified all laparoscopic and open operations involving the abdomen, pelvis, or retroperitoneum and categorized them into 5 groups according to invasiveness. We then identified laparotomy-related complications for up to 5 years after the index operation and compared these with the baseline rate of complications in a control group of patients who did not undergo an abdominal operation.
resultsWe studied 85,663 patients, 7,513 (8.8%) of which underwent a laparotomy, including 2,783 major abdominal operations, 709 minor abdominal operations, 963 ventral hernia repairs, 493 retroperitoneal/pelvic operations, and 2,565 laparoscopic operations. Mean age was 76.7 years and 82.0% were male. Major abdominal operations carried the highest risk for adhesion-related complications (14.3% and 25.0% at 2 and 5 years compared with 4.0% and 7.8% for the control group; p < 0.001) and incisional hernias (7.8% and 12.0% compared with 0.6% and 1.2% for the control group; p < 0.001). Laparoscopic operations (4.6% and 10.7% for adhesions, 1.9% and 3.2% for incisional hernias) carried the lowest risk.
conclusionsLate-onset laparotomy-related complications are frequent and their risk extends through 5 years beyond the perioperative period. With the advancement and expansion of laparoscopic techniques and its attendant lower risk for long-term complications, these results can alter the risk-to-benefit profile of various types of abdominal operations and can also strengthen the rationale for additional development of laparoscopic approaches to abdominal operations.
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