Naslov
Čimbenici koji utječu na pojavnost recidiva postoperativne ventralne hernije
(Factors affecting recurrence after incisional hernia repair)

Autori
Vidović, Dinko ; Jurišić, Darko ; Franjić Bjorn, Dario ; Glavan, Elizabet ; Ledinsky, Mario ; Bekavac-Bešlin, Miroslav

Izvornik
Hernia - The World Journal of Hernia and Abdominal Wall Surgery (1265-4906) 10 (2006); 322-325

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Incisional hernia; Mesh repair; Recurrence; Risk factor; Tissue repair

Sažetak
Abstract Incisional hernias occur primarily as a result of high tension and inadequate healing of a previous incision, the latter of which is frequently related to infection at the surgical site. Despite recent advances in operative techniques, the recurrence rate remains unacceptably high. To evaluate the impact of different predisposing factors for the recurrence of incisional hernia, we reviewed retrospectively the medical records of 297 patients who had undergone incisional herniorrhaphy (188 tissue repairs, 109 mesh repairs) in our hospital. Demographic data (age and gender), type of repair, body mass index, hernia size, presence of chronic illnesses and wound complications were evaluated in a univariate and multivariate manner analysis. The overall recurrence rate was 30.3%, with the recurrence rate in patients who underwent tissue repairbeing 39.4% and that in patients following prosthetic repair 14.6%. The recurrence rate was significantly influenced by type of repair, obesity, hernia size, wound healing disorders and some chronic comorbidities. We conclude that it is necessary to become familar with the risk factors for recurrence of incisional hernia in order to eliminate or decrease their effect on the positive outcome of incisional herniorrhaphy.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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