Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 25;30(8):7089-7098.
doi: 10.3390/curroncol30080514.

Incisional Hernia Following Open Pancreaticoduodenectomy: Incidence and Risk Factors at a Tertiary Care Centre

Carolina González-Abós  1   2 , Catalina Pineda  1 , Carlos Arrocha  1 , Jordi Farguell  1 , Ignacio Gil  1 , Fabio Ausania  1   2
Affiliations

Incisional Hernia Following Open Pancreaticoduodenectomy: Incidence and Risk Factors at a Tertiary Care Centre

Carolina González-Abós et al. Curr Oncol. .

Abstract

(1) Background: Incisional hernia (IH) is one of the most common complications following open abdominal surgery. There is scarce evidence on its real incidence following pancreatic surgery. The purpose of this study is to evaluate the incidence and the risk factors associated with IH development in patients undergoing pancreaticoduodenectomy (PD). (2) Methods: We retrospectively reviewed all patients undergoing PD between 2014 and 2020 at our centre. Data were extracted from a prospectively held database, including perioperative and long-term factors. We performed univariate and multivariate analysis to detect those factors potentially associated with IH development. (3) Results: The incidence of IH was 8.8% (19/213 patients). Median age was 67 (33-85) years. BMI was 24.9 (14-41) and 184 patients (86.4%) underwent PD for malignant disease. Median follow-up was 23 (6-111) months. Median time to IH development was 31 (13-89) months. Six (31.5%) patients required surgical repair. Following univariate and multivariate analysis, preoperative hypoalbuminemia (OR 3.4, 95% CI 1.24-9.16, p = 0.01) and BMI ≥ 30 kg/m2 (OR 2.6, 95% CI 1.06-8.14, p = 0.049) were the only factors independently associated with the development of IH. (4) Conclusions: The incidence of IH following PD was 8.8% in a tertiary care center. Preoperative hypoalbuminemia and obesity are independently associated with IH occurrence following PD.

Keywords: incidence; incisional hernia; pancreaticoduodenectomy.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Similar articles

See all similar articles

Cited by

References

    1. Gleeson E.M., Shaikh M.F., Shewokis P.A., Clarke J.R., Meyers W.C., Pitt H.A., Bowne W.B. WHipple-ABACUS, a simple, validated risk score for 30-day mortality after pancreaticoduodenectomy developed using the ACS-NSQIP database. Surgery. 2016;160:1279–1287. doi: 10.1016/j.surg.2016.06.040. - DOI - PubMed
    1. van Hilst J., de Rooij T., Bosscha K., Brinkman D.J., van Dieren S., Dijkgraaf M.G., Gerhards M.F., de Hingh I.H., Karsten T.M., Lips D.J., et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): A multicentre, patient-blinded, randomised controlled phase 2/3 trial. Lancet Gastroenterol. Hepatol. 2019;4:199–207. doi: 10.1016/S2468-1253(19)30004-4. - DOI - PubMed
    1. Ausania F., Martínez-Pérez A., Senra Del Rio P., Borin A., Melendez R., Casal-Nuñez J.E. Multifactorial mitigation strategy to reduce clinically relevant pancreatic fistula in high-risk pancreatojejunostomy following pancreaticoduodenectomy. Pancreatol. Off. J. Int. Assoc. Pancreatol. 2021;21:466–472. doi: 10.1016/j.pan.2020.12.019. - DOI - PubMed
    1. Ausania F., Gonzalez-Abós C., Martinez-Perez A., Arrocha C., Pineda-Garcés C., Landi F., Fillat C., Garcia-Valdecasas J.C. Postoperative day one systemic inflammatory response syndrome is a powerful early biomarker of clinically relevant pancreatic fistula. HPB Off. J. Int. Hepato Pancreato Biliary Assoc. 2023;25:73–80. doi: 10.1016/j.hpb.2022.08.016. - DOI - PubMed
    1. Lee J.S., Kim J.M., Kim K.S., Choi G.-S., Joh J.-W., Lee S.-K. Predictors of incisional hernia in adult liver transplant recipients. Hernia. 2019;23:61–65. doi: 10.1007/s10029-018-1845-6. - DOI - PubMed

LinkOut - more resources