Laparoscopic incisional hernia repair is feasible and safe after liver transplantation

Kurmann, Anita ; Beldi, Guido ; Vorburger, Stephan ; Seiler, Christian ; Candinas, Daniel

In: Surgical Endoscopy, 2010, vol. 24, no. 6, p. 1451-1455

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    Summary
    Background: Incisional hernia is a common complication after liver transplantation. The current study evaluated incidence and risk factors for incisional hernia and compared laparoscopic and open hernia repair in terms of feasibility and outcome. Methods: A cohort of 225 patients was prospectively investigated. The median follow-up period was 61months (range, 6-186months). The study cohort had 31 patients who underwent open repair and 13 who underwent laparoscopic repair. Results: Incisional hernia, found in 57 patients (25%), had occurred after a median of 17months (range, 5-138months). The significant risk factors were male gender (p = 0.001) and body mass index (BMI) greater than 25kg/m2 (p = 0.002). A trend toward a lower recurrence rate (15% vs 35%; p = 0.28) and fewer surgical complications (15% vs 19%; p = 0.99) was found in the laparoscopic group. Conclusions: Incisional hernia is a frequent complication after liver transplantation. Associated risk factors are male gender and a BMI greater than 25kg/m2. Laparoscopic hernia repair for such patients is feasible and safe