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
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
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV