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Risk factors of severe incisional hernia after renal transplantation: a retrospective multicentric case–control study on 225 patients

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Abstract

Purpose

The aim of this study was to analyze the incidence of severe incisional hernias and find their specific risk factors in renal transplant patients.

Methods

This retrospective multicentric case–control study focused on 225 kidney transplant patients among 4348 patients transplanted during this period within two French university hospitals (Saint-Louis/Lariboisière in Paris and Tours, Loire Valley) from 2000 to 2014 and from 1995 to 2014, respectively. Forty-five patients developed a severe incisional hernia after renal transplantation. The primary outcome measure was the development of a severe incisional hernia after surgery. Statistical analysis included an univariate analysis and a multivariate analysis using a logistic regression according to the Cox model.

Results

Forty-five patients (1.03%) had a severe incisional hernia surgery after renal transplantation. The median follow-up was 55.5 months. In univariate analysis, smoking, the occurrence of a lymphocele and parietal closure in a single musculo-fascial layer was significantly associated with the occurrence of incisional hernia after renal transplantation. Former or active smoking (OR 2.32, p = 0.0370), lymphocele (OR 4.3903, p = 0.0018) and parietal musculo-fascial closure in one single layer (OR 3.37, p = 0.0088) significantly increased the risk of incisional hernia after kidney transplant in multivariate analysis.

Conclusions

We report in this study one of the largest series of patients who had incisional hernia after renal transplantation. Former or active smoking, lymphocele and parietal closure in one single musculo-fascial layer were independent risk factors for incisional hernia following kidney transplant.

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Authors’ contribution

EB, FB, FG and FD helped in protocol development and manuscript editing; EB was also involved in data collection and management, data analysis and manuscript writing.

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Authors and Affiliations

  1. Department of Urology and Renal Transplantation, Saint-Louis/Lariboisière University Hospital, Paris, France

    E. Broggi, F. Gaudez & F. Desgrandchamps

  2. Department of Urology and Renal Transplantation, Tours University Hospital, Loire Valley, France

    F. Bruyère

Authors
  1. E. Broggi
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  2. F. Bruyère
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  3. F. Gaudez
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  4. F. Desgrandchamps
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Correspondence to E. Broggi.

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The authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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For this type of study (retrospective), formal consent is not required.

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Broggi, E., Bruyère, F., Gaudez, F. et al. Risk factors of severe incisional hernia after renal transplantation: a retrospective multicentric case–control study on 225 patients. World J Urol 35, 1111–1117 (2017). https://doi.org/10.1007/s00345-016-1971-7

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  • DOI: https://doi.org/10.1007/s00345-016-1971-7

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