Skip to main content

Advertisement

SpringerLink
Log in

Incisional hernia after open versus laparoscopic sigmoid resection

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Incisional hernia after open surgery is a well-known complication with an incidence of up to 20% after a 10-year period. Data regarding the long-term hernia risk after laparoscopic colonic surgery are lacking in the literature. In the present study we compared the long-term hernia incidence after laparoscopic versus open sigmoid resection.

Methods

The study included patients undergoing laparoscopic sigmoid resection in the period January 1995 to December 2004 in the eastern part of Denmark. This group was matched with a consecutive group of patients undergoing open surgery in our department in the same period. Patients were contacted by telephone, and a questionnaire was completed for each patient. If the patient was believed to have a hernia or if there was any suspicion of a hernia, a consultant surgeon examined the patient and completed the questionnaire. Factors related to the primary operation, the hernia and general risk factors were registered for all patients.

Results

A total of 201 patients answered the questionnaire (95.3%). The laparoscopy group was comprised of 58 patients and 143 patients were included in the laparotomy group. The patients had a median follow-up of 4.6 years (range 2.4–11.7 years) and 4.9 years (range 2.4–8.5 years) after laparoscopic and open surgery, respectively (P = 0.326). Incisional hernia was found in two of 58 patients (3.4%, 95% CI -1.4–7.4) in the laparoscopic surgery group compared with 21 of 143 patients (14.7%, 95% CI 8.9–20.5) in the open surgery group (P = 0.026). There were no significant differences in demographic data or the occurrence of risk factors between the two groups.

Conclusion

Laparoscopic sigmoid resection leads to a significantly lower incidence of incisional hernia compared with the open surgical technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Höer J, Stumpf M, Rosch R, Klinge U, Schmpelick V (2002) Prophylaxe der Narbenhernie. Chirurg 73:881–887

    Article  PubMed  Google Scholar 

  2. Höer J, Lawong G, Klinge U, Schumpelick V (2002) Einflussfaktoren der Narbenhernienentstehung Retrospektive Untersuchung an 2.983 laparotomierten Patienten über einen Zeitraum von 10 Jahren. Chirurg 73:474–480

    Article  PubMed  Google Scholar 

  3. Grantcharov TP, Rosenberg J (2001) Vertical compared with transverse incisions in abdominal surgery. Eur J Surg 167:260–267

    Article  PubMed  CAS  Google Scholar 

  4. Mingoli A, Puggioni A, Sgarzini G, Luciani G, Corzani F, Ciccarone F, Baldassarre E, Modini C (1999) Incidence of incisional hernia following emergency abdominal surgery. Ital J Gastroenterol Hepatol 31:449–453

    PubMed  CAS  Google Scholar 

  5. Israelsson LA, Jonsson T (1996) Incisional hernia after midline laparotomy: a prospective study. Eur J Surg 162:125–129

    PubMed  CAS  Google Scholar 

  6. Yahchouchy-Chouillard E, Aura T, Picone O, Etienne J-C, Fingerhut A (2003) Incisional hernias. Dig Surg 20:3–9

    Article  PubMed  Google Scholar 

  7. Sørensen LT, Hemmingsen UB, Kirkeby LT, Kirkeby LT, Kallehave F, Jørgensen LN (2005) Smoking is a risk factor for incisional hernia. Arch Surg 140:119–123

    Article  PubMed  Google Scholar 

  8. Israelsson LA, Jonsson T (1997) Overweight and healing of midline incisions: the importance of suture technique. Eur J Surg 163:175–180

    PubMed  CAS  Google Scholar 

  9. Adell-Carceller R, Segarra-Soria MA, Pellicer-Castell V, Marcote-Valdivieso E, Gamón-Giner R, Martin-Franco MA, Ibáñez-Palacin F, Torner-Pardo A (2006) Incisional hernia in colorectal cancer surgery: associated risk factors. Cir Esp 79:42–45

    Article  PubMed  Google Scholar 

  10. Luijendijk RW, Hop WCJ, Petrousjka Van Den Tol M, de lange DC, Braaksma MM, Ijzermans JN, Boelhouwer RU, de Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398

    Article  PubMed  CAS  Google Scholar 

  11. Regnard JF, Hay JM, Rea S, Fingerhut A, Flamant Y, Maillard JN (1988) Ventral incisional hernias: incidence, date of recurrence, localization and risk factors. Ital J Surg Sci 18:259–265

    PubMed  CAS  Google Scholar 

  12. Tjandra JJ, Chan MKY (2006) Systematic review on the short-term outcome of laparoscopic resection for colon and rectosigmoid cancer. Dis Colon Rectum 8:375–388

    CAS  Google Scholar 

  13. Duepree HJ, Senagore AJ, Delaney CP, Fazio VW (2003) Does means of access affect the incidence of small bowel obstruction and ventral hernia after bowel resection? Laparoscopy versus laparotomy. J Am Coll Surg 197:177–181

    Article  PubMed  Google Scholar 

  14. Ihedioha U, Mackay G, Leung E, Molloy RG, O’Dwyer PJ (2007) Laparoscopic colorectal resection does not reduce incisional hernia rates when compared with open colorectal resection. Surg Endosc, DOI 10.1007/s00464-007-9462-y

  15. López-Cano M, Vilallonga R, Sáncez JL, Hermosilla E, Armengol M (2007) Short postal questionnaire and selective clinical examination combined with repeat mailing and telephone reminders as a method of follow-up in hernia surgery. Hernia 11:397–402

    Article  PubMed  Google Scholar 

  16. Øberg E, Jakobsen B, Rosenberg J (2005) Chronic pain and recurrence after laparoscopic inguinal herniorrhaphy. Surg Laparosc Endosc Percutan Tech 15:267–270

    Article  PubMed  Google Scholar 

  17. Menakuru SR, Philip T, Ravindranath N, Fisher PW (2006) Outcome of inguinal hernia repair at two rural hospitals in northern Scotland. Surgeon 4:343–345

    Article  PubMed  CAS  Google Scholar 

  18. Sandblom G, Gruber G, Kald A, Nilsson E (2000) Audit and recurrence rates after hernia surgery. Eur J Surg 166:154–158

    Article  PubMed  CAS  Google Scholar 

  19. Ürschel JD, Scott PG, Williams HTG (1988) Etiology of late developing hernias: the positive role of mechanical stress. Med Hypotheses 25:31–34

    Article  PubMed  Google Scholar 

  20. Bonjer HJ, Hop WCJ, Nelson H, Sargent DJ, Lacy AM, Castells A, Guillou PJ, Thorpe H, Brown J, Delgardo S, Kuhrij E, Hagling E, Påhlman L (2007) Laparoscopically assisted vs open colectomy for colon cancer. Arch Surg 142:298–303

    Article  PubMed  Google Scholar 

  21. Breukink S, Pierie J, Wiggers T (2006) Laparoscopic versus open total mesorectal excision for rectal cancer. Cochrane Database Syst Rev Oct 18(4):CD005200

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, 2900, Hellerup, Denmark

    Lars Peter Holst Andersen, Mads Klein, Ismail Gögenur & Jacob Rosenberg

Authors
  1. Lars Peter Holst Andersen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mads Klein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ismail Gögenur
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jacob Rosenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lars Peter Holst Andersen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Andersen, L.P.H., Klein, M., Gögenur, I. et al. Incisional hernia after open versus laparoscopic sigmoid resection . Surg Endosc 22, 2026–2029 (2008). https://doi.org/10.1007/s00464-008-9924-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-008-9924-x

Keywords

Search

Navigation