ArticleScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society2021
Computed Tomography Verified Prevalence of Incisional Hernia 1 Year Postoperatively after Colorectal Cancer Resection.
Article in Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 5 citations in OpenAlex.
- Reinforced tension-line suture after laparotomy: long-term results of Rein4CeTo1 randomized clinical trial.BJS open · 2025Trial
- Reinforced tension-line suture after laparotomy: early results of the Rein4CeTo1 randomized clinical trial.The British journal of surgery · 2024Trial
- CT-Derived Predictors of Incisional Hernia Following Colorectal Cancer Resection: A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- Standardised Pfannenstiel versus supraumbilical muscle-sparing transverse extraction sites in colon cancer surgery: An IDEAL stage 4 report.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Analysis of morphological patterns in incisional hernias following different surgical approaches.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Association between adjuvant chemotherapy and risk of incisional hernia after colorectal cancer resection - a single-centre cohort study.Langenbeck's archives of surgery · 2025Article
- Comparison of virtual and true non-contrast images from dual-layer spectral detector computed tomography (CT) in patients with colorectal cancer.Quantitative imaging in medicine and surgery · 2024Article
- Introduction of Small Stitch Small Bite technique: a retrospective long-term follow-up.Langenbeck's archives of surgery · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
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Abstract
BACKGROUND AND
objectiveIncisional hernia is a frequent negative outcome after open and minimal invasive surgery of colorectal cancer. This study aimed to determine computed tomography-verified incisional hernia prevalence 1-year post colorectal cancer surgical resection in patients sutured with standardized small stich 4:1 technique, identify risk factors for incisional hernia and assess to what extent incisional hernia required surgical correction.
methodsAll patients subjected to resectional colorectal cancer surgery during 2012-2016 at Skåne University Hospital were identified in the Swedish Colorectal Cancer Registry. The 1-year follow-up computed tomography was re-evaluated to establish the presence of incisional hernia. Clinical data were collected from Swedish Colorectal Cancer Registry and the patients' medical charts were reviewed. Non-parametric tests and binary logistic regression analysis were used for statistical analysis.
resultsIn total, 1744 tumors were identified resulting in 1231 patients meeting the inclusion criteria. In total, 25.9% (n = 319) had incisional hernia at the 1-year follow-up computed tomography and 13.2% (n = 162) of the colorectal cancer resections were minimal invasive surgery, and there was non-significant incisional hernia prevalence difference between open and minimal invasive surgery. However, for converted and non-converted minimal invasive surgery, the incisional hernia frequencies were 43.9% (n = 18) and 24.1% (n = 39), respectively (p = 0.012). Significant risk factors for incisional hernia were body mass index, wound rupture, and procedure time. During the follow-up time, 14.1% (n = 45) needed incisional hernia corrective surgery.
conclusionsIncisional hernia after colorectal cancer surgery is common despite standardized small stich 4:1 closure, but few incisional hernias are surgically corrected. Incisional hernia is equally frequent after open surgery and minimal invasive surgery. However, the risk of incisional hernia is considerably higher after minimal invasive surgery conversion.
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