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International Journal of Colorectal Disease

Published in:

01-07-2016 | Original Article

Predictive factors for extraction site hernia after laparoscopic right colectomy

Authors: David Parés, Awad Shamali, Sam Stefan, Karen Flashman, Daniel O’Leary, John Conti, Asha Senapati, Amjad Parvaiz, Jim Khan

Published in: International Journal of Colorectal Disease | Issue 7/2016

Abstract

Purpose

Incisional hernia at the extraction site (ESIH) is a common complication after laparoscopic colorectal resections. The aim of this study was to evaluate the prevalence and potential risk factors for ESIH in a large cohort study having standardized technique.

Methods

A cross-sectional study was performed including all patients who underwent elective laparoscopic right or extended right colectomy for cancer from November 2006 to October 2013 using a standard technique. All patients have been followed up for a minimum of 1 year with abdominal CT scan.

Results

A total of 292 patients were included with a median follow-up of 42 months. Twenty patients (6.8 %) developed ESIH. Obesity (odds ratio (OR) = 3.76, 95 % confidence interval (CI) 1.39–10.15; p = 0.009) and incision length (OR 2.86, 95 % CI 1.077–7.60; p = 0.035) significantly predisposed to the development of ESIH.

Conclusion

This study identified that the risk of ESIH is significant after colonic resections and there are several risk factors responsible for the development of ESIH.

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Title: Predictive factors for extraction site hernia after laparoscopic right colectomy
Authors: David Parés
Awad Shamali
Sam Stefan
Karen Flashman
Daniel O’Leary
John Conti
Asha Senapati
Amjad Parvaiz
Jim Khan
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 7/2016
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-016-2610-x

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Predictive factors for extraction site hernia after laparoscopic right colectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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