ArticleHernia : the journal of hernias and abdominal wall surgery2019
Incisional hernia in hepatobiliary and pancreatic surgery: incidence and risk factors.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- The long-term follow-up of the living liver donors.Updates in surgery · 2025Pooled it
- Incisional hernia formation in hepatobiliary surgery using transverse and hybrid incisions: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2020Pooled it
- External validation of the Penn hernia risk calculator: an evaluation of model transportability for incisional hernia prediction in open pancreatic surgery.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Clinical importance of incisional hernia in patients resected for colorectal liver metastases: quality of life and abdominal wall symptoms.Langenbeck's archives of surgery · 2025Article
- Significance of Specimen Extraction Site in Minimizing Hernia Risk After Distal Pancreatectomy.Annals of surgical oncology · 2024Article
- Evaluating the relationship between standing height, body mass index, body fat percentage with risk of inguinal hernia: a Mendelian randomization study.Scientific reports · 2024Article
- Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Incisional hernia repair following pancreatic surgery-open vs laparoscopic approach.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases.Frontiers in medicine · 2024Article
- Quality of life, post-operative complications, and hernia recurrence following enhanced-view Totally Extra-Peritoneal (eTEP) Rives-Stoppa for incisional and primary ventral hernia repair.Updates in surgery · 2023Article
- Incisional Hernia Following Open Pancreaticoduodenectomy: Incidence and Risk Factors at a Tertiary Care Centre.Current oncology (Toronto, Ont.) · 2023Article
- Incisional hernia rates following midline laparotomy in the obese patient: a retrospective review.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Defining High-Risk Patients Suitable for Incisional Hernia Prevention.Journal of abdominal wall surgery : JAWS · 2023Article
- Incisions in Hepatobiliopancreatic Surgery: Surgical Anatomy and its Influence to Open and Close the Abdomen.Journal of abdominal wall surgery : JAWS · 2023Review
- Hepatobiliary surgery based on intelligent image segmentation technology.Open life sciences · 2023Article
- Subcutaneous Fat Obesity in a High Body Mass Index Donor Is Not a Contraindication to Living Donor Hepatectomy.Case reports in hepatology · 2023Article
- The Role of Preoperative Platelet-to-Lymphocyte Ratio as a Predictor for Incisional Hernias after Hand-Assisted Laparoscopic Liver Surgery for Metastatic Colorectal Cancer.Journal of personalized medicine · 2022Article
- Incidence of incisional hernia after laparoscopic liver resection.Surgical endoscopy · 2021Article
- Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- Biocellulose for Incisional Hernia Repair-An Experimental Pilot Study.Nanomaterials (Basel, Switzerland) · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe occurrence of incisional hernia (IH) is one of the main complications after open abdominal surgery. However, its incidence in hepatobiliary and pancreatic surgery is not known. Studies on hepatectomy and necrotizing pancreatitis show that the incidence can reach up to 42%. This study aims at evaluating the incidence of IH and its risk factors.
methodsPatients submitted to open hepatobiliary and pancreatic surgery at our centre between 2010 and 2016 were selected. IH was defined as discontinuity in the abdominal fascia reported during physical examination or on computed tomography. Variables analysed range from individual characteristics and medical history to surgical and postoperative aspects.
resultsThe cumulative incidence of IH was 21.6% at 72 months. In pancreatic surgery, this incidence was 11.6%, while hepatobiliary patients presented an incidence of 27.0%. Cox regression showed that height (p = 0.028), subcutaneous fat (p = 0.037), wound dehiscence (p = 0.001) and superficial surgical site infection (p = 0.001) correlate positively with IH in pancreatic surgery patients. BMI (p = 0.037) and perirenal fat (p = 0.043) associated independently with IH in hepatobiliary surgery.
conclusionsHeight, obesity and wound complications are risk factors for IH in patients submitted to pancreatic surgery, whereas obesity presents as risk factor in hepatobiliary surgery patients. The incidence of IH goes up to 12% in patients submitted to pancreatic surgery, while this risk is higher in the hepatobiliary group (27%). It is suggested the adoption of strategies in the clinical practice prevents this high incidence, namely in high-risk patients.
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