Document Detail

Incidence and predisposing factors for incisional hernia in patients with liver transplantation.
MedLine Citation:
PMID:  12003043     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cirrhotic patients who are transplanted have a high risk of developing incisional hernia (IH). MATERIALS AND METHODS: We have analysed the incidence and treatment of IH in 465 patients with liver transplantation (LT). In order to find predisposing factors, we compared these patients with a similar group of patients with LT without IH. Fifty-four patients (11.6%) developed an IH. Forty-six of these (85%) were males, and in 37% the entire laparotomy incision was involved. Forty patients have been operated on for the hernia, three by primary repair and 37 (92.5%) with a polypropylene mesh. After a follow-up of 42 months, 6 (15%) IHs recurred. Comparing groups, IH patients were older (P<0.05), of male gender (P<0.001), and received more steroids (P<0.01). The IH rate was not related to suture material. CONCLUSIONS: Our rate of IH is perhaps reasonable in these high risk patients. It appears that IH can be reduced if steroids are reduced or avoided. We recommend a large mesh for repair.
R Gómez; M Hidalgo; E Marques; L Marin; C Loinaz; I Gonzalez; I Garcia; E Moreno
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  5     ISSN:  1265-4906     ISO Abbreviation:  Hernia     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-05-10     Completed Date:  2002-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  172-6     Citation Subset:  IM    
Service of Digestive Surgery and Abdominal Organ Transplantation, University Hospital 12 de Octubre, Madrid, Spain.
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MeSH Terms
Hernia, Ventral / epidemiology*,  etiology*
Liver Transplantation / adverse effects*
Middle Aged
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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