Incidence of incisional hernia following vertical banded gastroplasty

被引:19
作者
Arribas D. [1 ,2 ]
Elía M. [1 ]
Artigas C. [1 ]
Jiménez A. [1 ]
Aguilella V. [1 ]
Martínez M. [1 ]
机构
[1] Clinico Universitario Lozano Blesa, 50009 Zaragoza
[2] 50007 Zaragoza
关键词
Incisional hernia; Morbid obesity; Risk factors;
D O I
10.1007/s10029-003-0193-2
中图分类号
学科分类号
摘要
Background: Our aim was to determine which patient-related factors influence the incidence of incisional hernia after vertical banded gastroplasty for morbid obesity. Methods: We reviewed the medical records of 80 morbidly obese patients operated on between 1986 and 1993. All the operations were performed by only one surgeon, and the midline laparotomy was closed by means of continuous polyglactin 910 suture. Statistical analysis was performed using the Fisher exact test, and significance was assigned for values of P<0.05. Results: Incidence of incisional hernia in: obese 24%, superobese 51% (P=0.0165), men 40%, women 34% (P=0.7671), age<50 33%, age>50 50% (P=0.3137), nondiabetics 31%, diabetics 66% (P=0.0610), no wound infection 34%, wound infection 37% (P> 0.9999), no anemia 31%, anemia 50% (P=0.1675), no vomiting 39%, vomiting 32% (P=0.6350). Conclusion: The only patient-related factor that significantly influences the incidence of incisional hernia in morbidly obese patients is body mass index. © Springer-Verlag 2003.
引用
收藏
页码:135 / 137
页数:2
相关论文
共 16 条
[1]  
Hodgson N.C.F., Malthaner R.A., Ostbye T., The search for an ideal method of abdominal fascial closure. A meta-analysis, Ann. Surg., 231, pp. 436-442, (2000)
[2]  
Israelsson L.A., The surgeon as a risk factor for complication of midline incisions, Eur. J. Surg., 164, pp. 353-359, (1998)
[3]  
Gislason H., Soreide O., Viste A., Wound complications after major gastrointestinal operations. The surgeon as a risk factor, Dig. Surg., 16, pp. 512-514, (1999)
[4]  
Brolin R.E., Prospective randomized evaluation of midline fascial closure in gastric bariatric operations, Am. J. Surg., 172, pp. 328-331, (1996)
[5]  
Derzie A.J., Silvestri F., Liriano E., Benotti P., Wound closure technique and acute wound complications in gastric surgery for morbid obesity: A prospective randomized trial, J. Am. Coll. Surg., 191, pp. 238-243, (2000)
[6]  
Bucknall T.E., Ellis H., Abdominal wound closure - A comparison of monofilament nylon and polyglycolic acid, Surgery, 89, pp. 672-676, (1981)
[7]  
Van't Riet E., Steyerber E.W., Nellensteyn J., Bonjer H.J., Jeckel J., Meta-analysis of techniques for closure of midline abdominal incisions, Br. J. Surg., 89, pp. 1350-1356, (2002)
[8]  
Nightengale M.L., Sarr M.G., Kelly K.A., Jensen M.D., Zinsmeister A.R., Palumgo P.J., Prospective evaluation of vertical banded gastroplasty as primary operation for morbid obesity, Surgery, 106, pp. 750-756, (1991)
[9]  
Pans A., Elen P., Dew W., Desaive C., Long-term results of polyglactin mesh for the prevention of incisional hernias in obese patients, World J. Surg., 22, pp. 479-483, (1998)
[10]  
Israelsson L.A., Jonsson T., Overweight and healing of midline incisions: The importance of suture technique, Eur. J. Surg., 163, pp. 175-180, (1997)