Articles producció científica> Medicina i Cirurgia

Prevention of Incisional Hernia after Open Hepato-Pancreato-Biliary Surgery: A Systematic Review

  • Dades identificatives

    Identificador: imarina:9258954
    Autors:
    Memba RMorató OEstalella LPavel MCLlàcer-Millán EAchalandabaso MJulià EPadilla EOlona CO'Connor DJorba R
    Resum:
    Introduction: Most hepato-pancreato-biliary (HPB) procedures are still performed through open approach. Incisional hernia (IH) is one of the most common complications after open surgery. To date, published data on IH after HPB surgery are scarce; therefore, the aim of this study was to assess the current evidence regarding incidence, risk factors, and prevention. Methods: Medline/PubMed (1946-2020), EMBASE (1947-2020), and the Cochrane library (1995-2020) were searched for studies on IH in open HPB surgery. Animal studies, editorials, letters, reviews, comments, short case series and liver transplant, laparoscopic, or robotic procedures were excluded. The protocol was registered with PROSPERO (CRD42020163296). Results: A total of 5,079 articles were retrieved. Eight studies were finally included for the analysis. The incidence of IH after HPB surgery ranges from 7.7% to 38.8%. The identified risk factors were body mass index, surgical site infection, ascites, Mercedes or reversed T incisions, and previous IH. Prophylactic mesh might be safe and effective. Conclusions: IH after open HPB surgery is still an important matter. Some of the risk factors are specific for the HPB operations and the incision type should be carefully considered. Randomized controlled trials are required to confirm the role of prophylactic mesh after HPB operations.
  • Altres:

    Autor segons l'article: Memba R; Morató O; Estalella L; Pavel MC; Llàcer-Millán E; Achalandabaso M; Julià E; Padilla E; Olona C; O'Connor D; Jorba R
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Jorba Martin, Rosa Maria
    Paraules clau: Subcostal incision Risk-factors Prophylactic mesh Mesh reinforcement Incisional hernia Hepato-pancreatobiliary surgery subcostal incision resections quality prophylactic mesh predictors metaanalysis mesh reinforcement hepato-pancreato-biliary surgery complications closure
    Resum: Introduction: Most hepato-pancreato-biliary (HPB) procedures are still performed through open approach. Incisional hernia (IH) is one of the most common complications after open surgery. To date, published data on IH after HPB surgery are scarce; therefore, the aim of this study was to assess the current evidence regarding incidence, risk factors, and prevention. Methods: Medline/PubMed (1946-2020), EMBASE (1947-2020), and the Cochrane library (1995-2020) were searched for studies on IH in open HPB surgery. Animal studies, editorials, letters, reviews, comments, short case series and liver transplant, laparoscopic, or robotic procedures were excluded. The protocol was registered with PROSPERO (CRD42020163296). Results: A total of 5,079 articles were retrieved. Eight studies were finally included for the analysis. The incidence of IH after HPB surgery ranges from 7.7% to 38.8%. The identified risk factors were body mass index, surgical site infection, ascites, Mercedes or reversed T incisions, and previous IH. Prophylactic mesh might be safe and effective. Conclusions: IH after open HPB surgery is still an important matter. Some of the risk factors are specific for the HPB operations and the incision type should be carefully considered. Randomized controlled trials are required to confirm the role of prophylactic mesh after HPB operations.
    Àrees temàtiques: Surgery Medicina iii Medicina ii Medicina i General medicine Gastroenterology & hepatology Gastroenterology Ciências biológicas i
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: rosamaria.jorba@urv.cat
    Identificador de l'autor: 0000-0003-3307-4340
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
    Enllaç font original: https://www.karger.com/Article/FullText/521169
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Digestive Surgery. 39 (1): 6-16
    Referència de l'ítem segons les normes APA: Memba R; Morató O; Estalella L; Pavel MC; Llàcer-Millán E; Achalandabaso M; Julià E; Padilla E; Olona C; O'Connor D; Jorba R (2022). Prevention of Incisional Hernia after Open Hepato-Pancreato-Biliary Surgery: A Systematic Review. Digestive Surgery, 39(1), 6-16. DOI: 10.1159/000521169
    DOI de l'article: 10.1159/000521169
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2022
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Gastroenterology,Gastroenterology & Hepatology,Surgery
    Subcostal incision
    Risk-factors
    Prophylactic mesh
    Mesh reinforcement
    Incisional hernia
    Hepato-pancreatobiliary surgery
    subcostal incision
    resections
    quality
    prophylactic mesh
    predictors
    metaanalysis
    mesh reinforcement
    hepato-pancreato-biliary surgery
    complications
    closure
    Surgery
    Medicina iii
    Medicina ii
    Medicina i
    General medicine
    Gastroenterology & hepatology
    Gastroenterology
    Ciências biológicas i
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