RT Journal Article
SR Electronic
T1 Risk Factors for Incisional Hernia After Open Abdominal Aortic Aneurysm Repair
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 2803
OP 2807
DO 10.21873/invivo.13393
VO 37
IS 6
A1 ENDO, TAKASHI
A1 MIYAHARA, KAZUHIRO
A1 SHIRASU, TAKURO
A1 MOCHIZUKI, YASUAKI
A1 TANIGUCHI, RYOSUKE
A1 TAKAYAMA, TOSHIO
A1 HOSHINA, KATSUYUKI
YR 2023
UL http://iv.iiarjournals.org/content/37/6/2803.abstract
AB Background/Aim: Incisional hernia is among the most prevalent complications associated with open abdominal aortic aneurysm repair. However, risk factors for incisional hernias in patients with abdominal aortic aneurysm are multifactorial. Therefore, this study evaluated the risk factors of incisional hernia after open abdominal aortic aneurysm repair, including surgical factors. Patients and Methods: We retrospectively extracted data from patients with incisional hernias after abdominal aortic aneurysm repair between 2012 and 2019 and investigated their perioperative characteristics and wound closure techniques. Results: The mean follow-up periods were 41.5±30.3 months, and 30 of 131 (22.9%) patients suffered an incisional hernia. Regarding the underlying disease, only diabetes mellitus was significantly more common in the incisional hernia group (11 of 30 patients, 36.6%), and no significant differences were found in the patients’ perioperative data. Interrupted sutures were used in all 30 patients in the hernia group. Moreover, in 8 of the 101 remaining cases, barbed sutures were used, and no incisional hernia occurred in any of these cases. Conclusion: In addition to diabetes mellitus, abdominal aortic aneurysm is a significant risk factor for incisional hernia after abdominal aortic aneurysm repair. Therefore, employing the barbed suture technique may effectively prevent incisional hernias after abdominal aortic aneurysm repair.