Autor según el artículo: Memba R; Morató O; Estalella L; Pavel MC; Llàcer-Millán E; Achalandabaso M; Julià E; Padilla E; Olona C; O'Connor D; Jorba R
Departamento: Medicina i Cirurgia
Autor/es de la URV: Jorba Martin, Rosa Maria
Palabras clave: 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
Resumen: 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.
Áreas temáticas: Surgery Medicina iii Medicina ii Medicina i General medicine Gastroenterology & hepatology Gastroenterology Ciências biológicas i
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: rosamaria.jorba@urv.cat
Identificador del autor: 0000-0003-3307-4340
Fecha de alta del registro: 2024-09-07
Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
Enlace a la fuente original: https://www.karger.com/Article/FullText/521169
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Digestive Surgery. 39 (1): 6-16
Referencia 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 del artículo: 10.1159/000521169
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2022
Tipo de publicación: Journal Publications
Repositori URV