Articles producció científica> Medicina i Cirurgia

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

  • Identification data

    Identifier: imarina:9258954
    Authors:
    Memba RMorató OEstalella LPavel MCLlàcer-Millán EAchalandabaso MJulià EPadilla EOlona CO'Connor DJorba R
    Abstract:
    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.
  • Others:

    Author, as appears in the 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
    Department: Medicina i Cirurgia
    URV's Author/s: Jorba Martin, Rosa Maria
    Keywords: 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
    Abstract: 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.
    Thematic Areas: Surgery Medicina iii Medicina ii Medicina i General medicine Gastroenterology & hepatology Gastroenterology Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: rosamaria.jorba@urv.cat
    Author identifier: 0000-0003-3307-4340
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://www.karger.com/Article/FullText/521169
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Digestive Surgery. 39 (1): 6-16
    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
    Article's DOI: 10.1159/000521169
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    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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