gms | German Medical Science

127. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

20.04. - 23.04.2010, Berlin

Long term follow up for incisional hernia after severe secondary peritonitis – incidence and risk factors

Meeting Abstract

Suche in Medline nach

  • Mohammed Reza Moussavian - Universitätsklinikum des Saarlandes, Homburg, Klinik für Allgemeine Chirurgie, Viszeral-, Gefäß- und Kinderchirurgie, Homburg/Saar, Deutschland

Deutsche Gesellschaft für Chirurgie. 127. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 20.-23.04.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10dgch515

DOI: 10.3205/10dgch515, URN: urn:nbn:de:0183-10dgch5159

Veröffentlicht: 17. Mai 2010

© 2010 Moussavian.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: In patients with secondary peritonitis, infections of the abdominal cavity might render the abdominal wall susceptible to secondary complications like incisional hernias (IH).

Materials and methods: 198 patients treated for secondary peritonitis underwent midline laparotomy. 92 surviving patients accessible to clinical follow-up were examined for the occurrence of IH and risk factors at the time of surgery or during follow-up were determined.

Results: 54.3% of the patients developed an IH during a median follow-up of 6 years. A high body mass index, coronary heart disease, intense blood loss, requirement of intra- or postoperative transfusions and small bowel perforation as source of peritonitis were associated with IH.

Conclusion: IH occurs quite frequently after surgery for secondary peritonitis. Preexisting risk factors for IH and intraoperative blood loss or requirement of blood transfusions correlate with the development of IH. Interestingly, surgical technique did not correlate with the development of IH in this series.