Vol 95, No 3 (2024)
Research paper
Published online: 2023-10-12

open access

Page views 368
Article views/downloads 392
Get Citation

Connect on Social Media

Connect on Social Media

Incisional hernia after ovarian debulking surgery

Harika Yumru Celiksoy1, Hamdullah Sozen1, Muhterem Melis Canturk1, Hatice Merve Baktiroglu1, Yavuz Salihoglu1, Samet Topuz1
Pubmed: 37842992
Ginekol Pol 2024;95(3):190-194.

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.

Article available in PDF format

View PDF Download PDF file

References

  1. Baucom RB, Ousley J, Beveridge GB, et al. Cancer Survivorship: Defining the Incidence of Incisional Hernia After Resection for Intra-Abdominal Malignancy. Ann Surg Oncol. 2016; 23(Suppl 5): 764–771.
  2. van Ramshorst GH, Nieuwenhuizen J, Hop WCJ, et al. Abdominal wound dehiscence in adults: development and validation of a risk model. World J Surg. 2010; 34(1): 20–27.
  3. Colombo N, Sessa C, du Bois A, et al. ESMO-ESGO Ovarian Cancer Consensus Conference Working Group. ESMO-ESGO consensus conference recommendations on ovarian cancer: pathology and molecular biology, early and advanced stages, borderline tumours and recurrent disease†. Ann Oncol. 2019; 30(5): 672–705.
  4. Guitarte C, Grant J, Zhao H, et al. Incisional hernia formation and associated risk factors on a gynecologic oncology service: an exploratory analysis. Arch Gynecol Obstet. 2016; 294(4): 805–811.
  5. Long KC, Levinson KL, Diaz JP, et al. Ventral hernia following primary laparotomy for ovarian, fallopian tube, and primary peritoneal cancers. Gynecol Oncol. 2011; 120(1): 33–37.
  6. Spencer RJ, Hayes KD, Rose S, et al. Risk factors for early-occurring and late-occurring incisional hernias after primary laparotomy for ovarian cancer. Obstet Gynecol. 2015; 125(2): 407–413.
  7. Cascales Campos PA, González-Gil A, Gómez-Ruiz AJ, et al. Risk factors and management of incisional hernia after cytoreduction and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with peritoneal surface malignancies. Hernia. 2020; 24(2): 257–263.
  8. van Rooijen MMJ, Lange JF. Preventing incisional hernia: closing the midline laparotomy. Tech Coloproctol. 2018; 22(8): 623–625.
  9. Deerenberg EB, Harlaar JJ, Steyerberg EW, et al. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015; 386(10000): 1254–1260.
  10. Jairam AnP, Timmermans L, Eker HH, et al. PRIMA Trialist Group. Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. Lancet. 2017; 390(10094): 567–576.
  11. Depuydt M, Allaeys M, de Carvalho LA, et al. Prophylactic Mesh After Midline Laparotomy: Evidence is out There, but why do Surgeons Hesitate? World J Surg. 2021; 45(5): 1349–1361.
  12. Deerenberg EB, Henriksen NA, Antoniou GA, et al. Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg. 2022; 109(12): 1239–1250.