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Incisional hernia after ovarian debulking surgery
, 1, 1, 1, 1, 1
Affiliations- Department of Gyneacological Oncology, Istanbul Faculty of Medicine, Istanbul University, Türkiye, Türkiye
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Abstract
Objectives: The purpose of our study was to explore the incidence and contributing variables of an incisional hernia after debulking surgery for advanced ovarian cancer.
Material and methods: The imaging of patients who underwent debulking surgery with an extended vertical incision was re-evaluated for incisional hernias at one-year follow-up, and their medical records were reviewed. We performed univariate and multivariate analysis to find out the risk factors for an incisional hernia.
Results: The overall annual incidence of incisional hernia was 26.7 percent (46 of 172). Univariate analysis revealed a statistically significant relationship between age, body mass index (BMI), and the length of the incision and the incidence of an incisional hernia. The only factor identified by multivariate analysis as being independently related with the development of an incisional hernia within a year of the operation was BMI (OR 1.12, 95% CI 1.01–1.25, p = 0.04).
Conclusions: Incisional hernia rates were high after ovarian cancer surgeries, and BMI was the independent factor significantly linked to hernia formation. To reduce the high ratio of incisional hernia among these group of patients, preventative strategies should be researched and applied.
Abstract
Objectives: The purpose of our study was to explore the incidence and contributing variables of an incisional hernia after debulking surgery for advanced ovarian cancer.
Material and methods: The imaging of patients who underwent debulking surgery with an extended vertical incision was re-evaluated for incisional hernias at one-year follow-up, and their medical records were reviewed. We performed univariate and multivariate analysis to find out the risk factors for an incisional hernia.
Results: The overall annual incidence of incisional hernia was 26.7 percent (46 of 172). Univariate analysis revealed a statistically significant relationship between age, body mass index (BMI), and the length of the incision and the incidence of an incisional hernia. The only factor identified by multivariate analysis as being independently related with the development of an incisional hernia within a year of the operation was BMI (OR 1.12, 95% CI 1.01–1.25, p = 0.04).
Conclusions: Incisional hernia rates were high after ovarian cancer surgeries, and BMI was the independent factor significantly linked to hernia formation. To reduce the high ratio of incisional hernia among these group of patients, preventative strategies should be researched and applied.
Keywords
incisional hernia; ventral hernia; ovarian cancer; cytoreductive surgery
About this articleTitle
Incisional hernia after ovarian debulking surgery
Journal
Issue
Article type
Research paper
Pages
190-194
Published online
2023-10-12
Page views
283
Article views/downloads
298
DOI
Pubmed
Bibliographic record
Ginekol Pol 2024;95(3):190-194.
Keywords
incisional hernia
ventral hernia
ovarian cancer
cytoreductive surgery
Authors
Harika Yumru Celiksoy
Hamdullah Sozen
Muhterem Melis Canturk
Hatice Merve Baktiroglu
Yavuz Salihoglu
Samet Topuz
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