TY  - BOOK
AU  - Alimi, Yewande
AU  - Bayasi, Mohammed
AU  - Fabrizio, Anne
AU  - Houlihan, Brenna K
AU  - Shao, Jenny M
TI  - Incisional Hernias After Major Abdominal Operations: Analysis Within a Large Health Care System
SN  - 0022-4804
PY  - 2020///
KW  - *Abdominal Wall/su [Surgery]
KW  - *Incisional Hernia/ep [Epidemiology]
KW  - *Surgical Procedures, Operative/ae [Adverse Effects]
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - District of Columbia/ep [Epidemiology]
KW  - Female
KW  - Humans
KW  - Incidence
KW  - Incisional Hernia/eh [Ethnology]
KW  - Male
KW  - Maryland/ep [Epidemiology]
KW  - Middle Aged
KW  - Retrospective Studies
KW  - MedStar Washington Hospital Center
KW  - Surgery
KW  - Surgery/Colorectal Surgery
KW  - Surgery/General Surgery
KW  - Journal Article
N2  - BACKGROUND: This will be the largest multi-institutional study looking at incidence of and duration to symptomatic hernia formation for major abdominal operations separated by malignant and benign disease process; CONCLUSIONS: Symptomatic incisional hernia repair rates after major gastrointestinal and hepatobiliary surgery range from 2.1% to 6.4%. There was no significant increase in hernia rates in patients undergoing surgery for malignancy. Copyright (c) 2019 Elsevier Inc. All rights reserved; METHODS: An IRB-approved retrospective study within the MedStar Hospital database was conducted, incorporating all isolated colectomy, hepatectomy, pancreatectomy, and gastrectomy procedures between the years 2002 and 2016. All patients were identified using ICD-9 and ICD-10 codes for relevant procedures, and then separated based on malignant or benign etiology. The rate of symptomatic incisional hernia rates was determined for each cohort based on subsequent hernia procedural codes identified; RESULTS: During this 15-year span, a total of 6448 major abdominal operations were performed at all 10 institutions, comprising 3835 colectomies, 1122 hepatectomies, 1165 pancreatectomies, and 326 gastrectomies. Total incidence of symptomatic incisional hernia occurrence requiring repair was 325 (5.0%). Separated by group, the overall incisional hernia repair rates for patients undergoing colectomy, hepatectomy, pancreatectomy, and gastrectomy are as follows, respectively: 6.4% (247), 2.5% (28), 3.6% (42), and 2.8% (9), P < 0.0001. The subsequent median duration to hernia repair was 498 d (interquartile range [IQR]: 312-924) for colectomy, 421 d (IQR: 340-518) for hepatectomy, 378 d (IQR: 284-527) for pancreatectomy, and 630 d (IQR: 419-1204) for gastrectomy (P = 0.03401)
UR  - https://dx.doi.org/10.1016/j.jss.2019.12.016
ER  -