We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Laparoscopic incisional hernia repair is feasible and safe after liver transplantation.
- Authors
Kurmann, Anita; Beldi, Guido; Vorburger, Stephan A.; Seiler, Christian A.; Candinas, Daniel
- Abstract
Incisional hernia is a common complication after liver transplantation. The current study evaluated incidence and risk factors for incisional hernia and compared laparoscopic and open hernia repair in terms of feasibility and outcome. A cohort of 225 patients was prospectively investigated. The median follow-up period was 61 months (range, 6–186 months). The study cohort had 31 patients who underwent open repair and 13 who underwent laparoscopic repair. Incisional hernia, found in 57 patients (25%), had occurred after a median of 17 months (range, 5–138 months). The significant risk factors were male gender ( p = 0.001) and body mass index (BMI) greater than 25 kg/m2 ( p = 0.002). A trend toward a lower recurrence rate (15% vs 35%; p = 0.28) and fewer surgical complications (15% vs 19%; p = 0.99) was found in the laparoscopic group. Incisional hernia is a frequent complication after liver transplantation. Associated risk factors are male gender and a BMI greater than 25 kg/m2. Laparoscopic hernia repair for such patients is feasible and safe.
- Subjects
HERNIA surgery; LIVER transplantation; LAPAROSCOPIC surgery; COHORT analysis; BODY mass index
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2010, Vol 24, Issue 6, p1451
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-009-0799-2