Incisional hernia after liver transplantation: mesh-based repair and what else?
Perrakis A, Knüttel D, Rahimli M, Andric M, Croner RS, Vassos N (2020)
Publication Type: Journal article
Publication year: 2020
Journal
DOI: 10.1007/s00595-020-02162-9
Abstract
Purpose: Incisional hernia (IH) is not uncommon after liver transplantation (LT). We investigated the long-term outcome of mesh-based hernia repair using an inlay-onlay technique. Methods: Our analysis was based on a prospective collected database of all LT recipients from our hospital over a period of 15 years. We analyzed clinical data including the period between LT and hernia development, the size and localization of the hernia, the length of in-hospital stay, immunosuppression, and postoperative morbidity, as well as follow-up data. The median follow-up period was 120 (range 12–200) months. Results: Among a total of 220 patients who underwent a collective 239 LTs, 29 (13%) were found to have an IH after a median period of 27.5 months (range 3–96 months). There were 12 (41%) men and 17 (59%) women, with a median age of 51 years. The median size of the IH was 13 cm (range 2–30 cm) and the median in-hospital stay was 6 days. Mild postoperative complications developed in seven patients, including two onlay mesh infections. One patient (3.4%) suffered recurrence. Conclusion: Mesh-based hernia repair using the inlay/onlay technique represents an effective and safe method for patients with an IH after LT, without additional risk from continuous immunosuppression.
Authors with CRIS profile
Involved external institutions
Germany (DE)How to cite
APA:
Perrakis, A., Knüttel, D., Rahimli, M., Andric, M., Croner, R.S., & Vassos, N. (2020). Incisional hernia after liver transplantation: mesh-based repair and what else? Surgery Today. https://doi.org/10.1007/s00595-020-02162-9
MLA:
Perrakis, Aristotelis, et al. "Incisional hernia after liver transplantation: mesh-based repair and what else?" Surgery Today (2020).
BibTeX: Download