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Incidence of incisional hernia after laparoscopic liver resection

Surgical Endoscopy Feb 19, 2021

Wabitsch S, Schulz P, Fröschle F, et al. - The incidence and potential risk factors for incisional hernia (IH) as well as health-related quality of life (HRQoL) after laparoscopic liver resections (LLR) are described. Researchers assessed 184 patients undergoing LLR between January 2014 and June 2017. The inclusion criteria were met by 161 patients (87.5%), of whom 49 (26.6%) participated in this study. They observed an overall IH incidence of 12% after a median time of 26 months after surgery. Benefits of laparoscopic surgery with respect to low rates of IH can be translated to minimally invasive liver surgery. Although low rates of IH were observed, they emphasize closely monitoring patients with poor performance status at the time of operation. While patients’ characteristics are hard to influence, focussing on surgical factors such as the approach and the closure of the umbilical site might aid in further lowering the rate of IH.

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