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01-11-2020 | Laparotomy | Original Article

Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer

Authors: Sheryl Valencia, Koji Shindo, Taiki Moriyama, Kenoki Ohuchida, Daisuke Tsurumaru, Michael Chua, Hsiang-Chih Chen, Lei Yao, Takao Ohtsuka, Shuji Shimizu, Masafumi Nakamura

Published in: Surgery Today | Issue 11/2020

Abstract

Purpose

To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.

Methods

We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2–L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.

Results

After applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years: P = .013, odds ratio: 9.116, 95% confidence interval 1.581–52.553; L4 SFA ≥ 124 cm²: P = .004, odds ratio: 13.752, 95% confidence interval 2.290–82.582).

Conclusion

Age and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer.

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Title: Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer
Authors: Sheryl Valencia
Koji Shindo
Taiki Moriyama
Kenoki Ohuchida
Daisuke Tsurumaru
Michael Chua
Hsiang-Chih Chen
Lei Yao
Takao Ohtsuka
Shuji Shimizu
Masafumi Nakamura
Publication date: 01-11-2020
Publisher: Springer Singapore
Keywords: Laparotomy
Laparotomy
Gastrectomy
Gastric Cancer
Gastric Cancer
Gastrectomy
Incisional Hernia
Published in: Surgery Today / Issue 11/2020
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-020-02039-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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