Incidence and risk factors for incisional hernia after open surgery for colorectal cancer

Hepatogastroenterology. 2014 Jul-Aug;61(133):1220-3.

Abstract

Background/aims: To confirm the incidence and risk factors of incisional hernia after colorectal cancer surgery, we analyzed the clinical data including the surveillance computed tomography (CT) examination.

Methodology: One hundred sixty seven patients with open abdominal surgery for colorectal cancer were analyzed retrospectively.

Results: Incisional hernia was recognized in 27 cases (16.2%), and occurred at median 7 (1-21) months after surgery. Multivariate analysis showed the risk factors for incisional hernia were female (p=0.0014), distal colon and rectal cancer (p=0.0038), high body mass index (p=0.0055) and lower serum albumin (p=0.0081).

Conclusions: Obesity, lower median incision and malnutrition might seem to relate to the incisional hernia after colorectal cancer surgery.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Body Mass Index
  • Colectomy / adverse effects*
  • Colorectal Neoplasms / epidemiology
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Female
  • Hernia, Abdominal / diagnosis
  • Hernia, Abdominal / epidemiology*
  • Humans
  • Incidence
  • Japan / epidemiology
  • Logistic Models
  • Male
  • Malnutrition / blood
  • Malnutrition / diagnosis
  • Malnutrition / epidemiology
  • Middle Aged
  • Multivariate Analysis
  • Obesity / diagnosis
  • Obesity / epidemiology
  • Retrospective Studies
  • Risk Factors
  • Serum Albumin / analysis
  • Serum Albumin, Human
  • Sex Factors
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • ALB protein, human
  • Biomarkers
  • Serum Albumin
  • Serum Albumin, Human