Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Reduced rate of incisional hernia after standardized fascial closure in emergency laparotomy

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Treatment of longstanding groin pain: a systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Risk of incarceration in children with inguinal hernia: a systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. Dealing with the round ligament of uterus in laparoscopic groin hernia repair: a nationwide survey among experienced surgeons

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Comparison of hernia registries: the CORE project

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  1. Associations between blood cultures after surgery for colorectal cancer and long-term oncological outcomes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The clinical implication of the association between hypoxaemia and postoperative troponin I: a reply

    Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

  3. Circumferential Resection Margin After Laparoscopic and Open Rectal Resection: A Nationwide Propensity Score Matched Cohort Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

PURPOSE: Emergency laparotomy is a high-risk procedure, and incisional hernia is a common complication. This study aimed to investigate whether a standardized fascial closure technique, using slowly absorbable monofilament suture in a ratio of at least 1:4, could reduce the long-term occurrence of incisional hernia after emergency laparotomy.

METHODS: The single-center study was conducted as a questionnaire study including all patients who had an emergency laparotomy at Copenhagen University Hospital Herlev from May 2009 to May 2013 and June 2014 to November 2015. The historic cohort was used as a control. In the historic cohort of 2009-2013, different fascial closing techniques were used according to the preference of the individual surgeon. On June 1, 2014, we introduced a standardized method of fascial closure.

RESULTS: A total of 465 patients met our inclusion criteria. The response rate was 77%. In all, 104 patients developed an incisional hernia: 77(27.0%) in the historic group and 27(15.0%) in the 2014-2015 group (p = 0.02). At long-term follow-up, 104 patients had undergone elective incisional herniotomy or had an incisional hernia confirmed by a medical doctor. The rate of incisional hernia was reduced from 27.0 to 15.0% (p = 0.02) comparing years 2009-2013 with 2014-2015.

CONCLUSIONS: This study suggests that development of incisional hernia may be reduced significantly if a standardized technique is applied using slowly absorbable monofilament suture in a ratio of at least 1:4 in emergency laparotomies.

OriginalsprogEngelsk
TidsskriftHernia : the journal of hernias and abdominal wall surgery
Vol/bind23
Udgave nummer2
Sider (fra-til)341-346
Antal sider6
ISSN1265-4906
DOI
StatusUdgivet - apr. 2019

ID: 59309930