Outcome of incisional hernia repair in patients with Inflammatory Bowel Disease

Tomas M. Heimann, Santosh Swaminathan, Adrian J. Greenstein, Alexander J. Greenstein, Randolph M. Steinhagen

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)468-473
Number of pages6
JournalAmerican Journal of Surgery
Volume214
Issue number3
DOIs
StatePublished - Sep 2017

Keywords

  • Crohn's disease
  • Enterocutaneous fistula
  • Hernia recurrence
  • Incisional hernia
  • Mesh repair
  • Ulcerative colitis

Fingerprint

Dive into the research topics of 'Outcome of incisional hernia repair in patients with Inflammatory Bowel Disease'. Together they form a unique fingerprint.

Cite this