Laparoscopic incisional hernia repair is feasible and safe after liver transplantation
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Incisional hernia is a common complication after liver transplantation. The current study evaluated incidence and risk factors for incisional hernia and compared laparoscopic and open hernia repair in terms of feasibility and outcome.
A cohort of 225 patients was prospectively investigated. The median follow-up period was 61 months (range, 6–186 months). The study cohort had 31 patients who underwent open repair and 13 who underwent laparoscopic repair.
Incisional hernia, found in 57 patients (25%), had occurred after a median of 17 months (range, 5–138 months). The significant risk factors were male gender (p = 0.001) and body mass index (BMI) greater than 25 kg/m2 (p = 0.002). A trend toward a lower recurrence rate (15% vs 35%; p = 0.28) and fewer surgical complications (15% vs 19%; p = 0.99) was found in the laparoscopic group.
Incisional hernia is a frequent complication after liver transplantation. Associated risk factors are male gender and a BMI greater than 25 kg/m2. Laparoscopic hernia repair for such patients is feasible and safe.
KeywordsIncidence Incisional hernia Laparoscopic surgery Liver transplantation Open surgery Risk factors
Drs. Anita Kurmann, Guido Beldi, Stephan A. Vorburger, Christian A. Seiler, and Daniel Candinas have no conflicts of interest or financial ties to disclose.
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