Utility of a modified components separation for abdominal wall reconstruction in the liver and kidney transplant population
Archives of Plastic Surgery
;
: 462-469, 2019.
Article
in English
| WPRIM
| ID: wpr-762860
ABSTRACT
BACKGROUND:
Incisional hernia is a common complication following visceral organ transplantation. Transplant patients are at increased risk of primary and recurrent hernias due to chronic immune suppression and large incisions. We conducted a retrospective review of patients with a history of liver or kidney transplantation who underwent hernia repair to analyze outcomes and hernia recurrence.METHODS:
This is a single center, retrospective review of 19 patients who received kidney and/or liver transplantation prior to presenting with an incisional hernia from 2011 to 2017. All hernias were repaired with open component separation technique (CST) with biologic mesh underlay.RESULTS:
The mean age of patients was 61.0±8.3 years old, with a mean body mass index of 28.4±4.8 kg/m², 15 males (78.9%), and four females (21.1%). There were seven kidney, 11 liver, and one combined liver and kidney transplant patients. The most common comorbidities were hypertension (16 patients, 84.2%), diabetes (9 patients, 47.4%), and tobacco use (8 patients, 42.1%). Complications occurred in six patients (31.6%) including hematoma (1/19), abscess (1/19), seroma (2/19), and hernia recurrence (3/19) at mean follow-up of 28.7±22.8 months. With the exception of two patients with incomplete follow-up, all patients healed at a median time of 27 days.CONCLUSIONS:
This small, retrospective series of complex open CST in transplant patients shows acceptable rates of long-term hernia recurrence and healing. By using a multidisciplinary approach for abdominal wall reconstruction, we believe that modified open CST with biologic mesh is a safe and effective technique in the transplant population with complex abdominal hernias.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Surgical Mesh
/
Body Mass Index
/
Comorbidity
/
Retrospective Studies
/
Follow-Up Studies
/
Organ Transplantation
/
Immunosuppression Therapy
/
Kidney Transplantation
/
Liver Transplantation
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS