Evidence map›Paper›PMID 41247463›Full record

ArticleSurgery today2026

Incidence of incisional hernia following open repair for an abdominal aortic aneurysm in Japanese patients.

Takahiro Ohmori, Arudo Hiraoka, Yuki Yoshioka, Satoru Kishimoto, Genta Chikazawa, Hidenori Yoshitaka

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Takahiro OhmoriDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan.
Arudo HiraokaDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan. bassbord1028@yahoo.co.jp.
Yuki YoshiokaDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan.
Satoru KishimotoDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan.
Genta ChikazawaDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan.
Hidenori YoshitakaDepartment of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-Ku, Okayama, 700-0804, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe actual incidence of incisional hernia (IH) after abdominal aortic aneurysm repair in Japanese patients is unknown. This study examined the incidence of IH after aortic reconstruction surgery.

methodsPatients who underwent elective midline laparotomy for AAA at a single institution between November 2012 and September 2021 were retrospectively analyzed. The primary endpoint was IH diagnosed by physical examination and CT.

resultsA total of 285 patients were analyzed. The median follow-up was 3.7 years (interquartile range: 1.6-5.9 years). 67 patients (23.5%) developed IH; of these patients, 16 (23.9%) underwent hernia repair. The cumulative incidence of IH was 28.0% at five years. According to a multivariate analysis, body mass index (BMI) was identified as an independent risk factor for IH (hazard ratio, 1.22; 95% confidence interval: 1.13-1.32, p < 0.001). Obese patients with BMI ≥ 25 kg/m

conclusionApproximately half of all obese patients developed IH within 5 years, although underweight patients had no IH.

Indexed as

Aortic Aneurysm, AbdominalIncisional HerniaLaparotomyPostoperative ComplicationsAgedAged, 80 and overBody Mass IndexEast Asian PeopleElective Surgical ProceduresFemaleFollow-Up StudiesHerniorrhaphyHumansIncidenceJapanMaleAbdominal aortic aneurysmBody mass indexComputed tomographyIncisional herniaObesity

Identifiers

PMID41247463

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.