| Incisional hernia postrepair of abdominal aortic occlusive and aneurysmal disease: five-year incidence. | |
| | |
MedLine Citation:
|
PMID: 22983541 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
The aim of this study was to report the five-year incidence of incisional hernia after vascular repair of abdominal aortic occlusive (AOD) and aneurysmal disease (AAA), and to determine the factors associated with the development of this complication. Consecutive patients who underwent AAA and AOD at the University of Manitoba, Canada, between January 1999 and December 2002, were recruited and evaluated by clinical examination one week, one month and six months after the surgery, and through medical records review thereafter. The development of postoperative incisional hernia was recorded and analyzed. Two-hundred four patients, with a mean age of 70.1 years, provided consent for the study. The overall five-year incidence of incisional hernia was 69.1% and the overall median failure time was 48 months. The median failure time was 48 months for AOD and 36 months for AAA (P < 0.01). The urgent and ruptured AAA repair had a higher five-year incidence of incisional hernia as compared with AOD or elective AAA repair (P < 0.01). A history of bilateral inguinal hernia was significantly associated with incisional hernia (P < 0.05). Men and patients who were 65 years and older had a higher five-year incidence of incisional hernia (P < 0.01). Age ≥65 years, male gender, hypertension and past bilateral inguinal hernia repair double the risk for the development of incisional hernia (hazard ratio = 2.1. 2.2, 1.7 and 2.8, respectively). In conclusion, the five-year incidence of incisional hernia after vascular repair of AOD or AAA is 69.1%, and tends to occur late after vascular repair. |
| | |
Authors:
|
Sami Alnassar; Mohammed Bawahab; Ahmed Abdoh; Randolph Guzman; Talal Al Tuwaijiri; George Louridas |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-9-14 |
Journal Detail:
|
Title: Vascular Volume: - ISSN: 1708-5381 ISO Abbreviation: Vascular Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-9-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101196722 Medline TA: Vascular Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
College of Medicine, King Saud University, Riyadh 11427, Saudi Arabia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Chimney technique in the endovascular management of complex aortic disease.
Next Document: Subacute anterior spinal cord ischemia with lower limb monoplegia: a clinical dilemma and challengin...