SynthesisAnnals of the Royal College of Surgeons of England2020
Incisional hernia formation in hepatobiliary surgery using transverse and hybrid incisions: a systematic review and meta-analysis.
Synthesis in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Risk Factors for incisional hernia development after pancreatic surgeries: a systematic review and meta-analysis.Updates in surgery · 2026Review
- Incidence and risk factors for incisional hernia after partial liver resection via an inverted L-incision: a retrospective single-centre cohort study.BMC surgery · 2026Article
- Incisional hernia repair following liver transplantation: A meta-analysis.World journal of transplantation · 2025Article
- Wound complications in liver transplantation: effect of incision type and suture material.Proceedings (Baylor University. Medical Center) · 2025Article
- Minimally invasive endoscopic retromuscular technique with transversus abdominis release associated (eTEP-TAR) for right subcostal incisional hernias improves postoperative results when compared to conventional laparoscopic incisional hernia repair: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Incisional hernia repair following pancreatic surgery-open vs laparoscopic approach.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Minimizing Incision in Living Donor Liver Transplantation: Initial Experience and Comparative Analysis of Upper Midline Incision in 115 Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Incisional Hernia Following Open Pancreaticoduodenectomy: Incidence and Risk Factors at a Tertiary Care Centre.Current oncology (Toronto, Ont.) · 2023Article
- Low incisional hernia incidence using a large-bite, low-tension technique for celiotomy closure.Surgery open science · 2023Article
- Incisions in Hepatobiliopancreatic Surgery: Surgical Anatomy and its Influence to Open and Close the Abdomen.Journal of abdominal wall surgery : JAWS · 2023Review
- Comparison of open anterior component and open transversus abdominus release in repair of large subcostal hernias.PloS one · 2023Article
- How-we-do-it: the repair of postoperative ventral hernias after a Mercedes abdominal incision.Langenbeck's archives of surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEvidence suggests that midline incisions should be closed with the small-bite technique to reduce IH formation. No recommendations exist for the closure of transverse incisions used in hepatobiliary surgery. This work systematically summarises rates of IH formation and associated technical factors for these transverse incisions.
methodsA systematic search was undertaken. Studies describing the incidence of IH were included. Incisions were classified as transverse (two incision types) or hybrid (transverse with midline extension, comprising five incision types). The primary outcome measure was the pooled proportion of IH. Subgroup analysis based on minimum follow-up of two years and a priori definition of IH with clinical and radiological diagnosis was undertaken.
findingsThirteen studies were identified and included 5,427 patients; 1,427 patients (26.3%) underwent surgery for benign conditions, 3,465 (63.8%) for malignancy and 535 (9.9%) for conditions that were not stated or classified as 'other'. The pooled incidence of IH was 6.0% (2.0-10.0%) at a weighted mean follow-up of 17.5 months in the transverse group, compared with 15.0% (11.0-19.0%) at a weighted mean follow-up of 42.0 months in the hybrid group (
conclusionOwing to the limitations in study design and heterogeneity, there is limited evidence to guide incision choice and methods of closure in hepatopancreatobiliary surgery. There is an urgent need for a high-quality prospective cohort study to understand the techniques used and their outcomes, to inform future research.
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