TY - JOUR
T1 - Outcome of incisional hernia repair in patients with Inflammatory Bowel Disease
AU - Heimann, Tomas M.
AU - Swaminathan, Santosh
AU - Greenstein, Adrian J.
AU - Greenstein, Alexander J.
AU - Steinhagen, Randolph M.
N1 - Publisher Copyright:
© 2017
PY - 2017/9
Y1 - 2017/9
N2 - Background Incisional Hernia (IH) repair in patients with Inflammatory Bowel Disease (IBD) has not been well studied. Methods Outcomes of 170 patients with IBD who underwent IH repair were included in the study. Results The incidence of recurrence after IH repair in IBD is 27%. Patients with Crohn's disease (CD) had larger defects at the time of repair, higher proportion of bowel resection and a longer postoperative stay when compared to Ulcerative colitis (UC). The only significant predictor of recurrence after IH repair was the number of previous bowel resections prior to hernia repair (HR 1.59, p < 0.01). Three cases (10%) of late onset enterocutaneous fistulas were identified in patients who underwent IH repair with synthetic mesh inlay. Conclusion Surgical repair results in a recurrence of IH in 27% of patients with IBD. The number of previous bowel resections is the only factor that correlates with development of recurrent IH in IBD.
AB - Background Incisional Hernia (IH) repair in patients with Inflammatory Bowel Disease (IBD) has not been well studied. Methods Outcomes of 170 patients with IBD who underwent IH repair were included in the study. Results The incidence of recurrence after IH repair in IBD is 27%. Patients with Crohn's disease (CD) had larger defects at the time of repair, higher proportion of bowel resection and a longer postoperative stay when compared to Ulcerative colitis (UC). The only significant predictor of recurrence after IH repair was the number of previous bowel resections prior to hernia repair (HR 1.59, p < 0.01). Three cases (10%) of late onset enterocutaneous fistulas were identified in patients who underwent IH repair with synthetic mesh inlay. Conclusion Surgical repair results in a recurrence of IH in 27% of patients with IBD. The number of previous bowel resections is the only factor that correlates with development of recurrent IH in IBD.
KW - Crohn's disease
KW - Enterocutaneous fistula
KW - Hernia recurrence
KW - Incisional hernia
KW - Mesh repair
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=85022016783&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2017.05.019
DO - 10.1016/j.amjsurg.2017.05.019
M3 - Article
C2 - 28693839
AN - SCOPUS:85022016783
SN - 0002-9610
VL - 214
SP - 468
EP - 473
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 3
ER -