From the Journals

Defining incisional hernia risk in IBD surgery

 

Key clinical point: Patients with IBD have a high incidence of incisional hernia after open bowel resection.

Major finding: The overall incidence of incisional hernia after open bowel resection was 20%.

Data source: One thousand patients who had undergone open bowel surgery for IBD at Mount Sinai Medical Center, New York, between January 1976 and December 2014.

Disclosures: Dr. Heimann and his coauthors reported having no financial disclosures.

Source: Heimann T et al. Ann Surg. 2018 Mar;267(3):532-6.


 

FROM ANNALS OF SURGERY

Open surgery for inflammatory bowel disease (IBD) has been known to carry a high risk of incisional hernia, but the risk factors have not been well understood.

A review of 1,000 operations performed over nearly 40 years at a high-volume, nationally recognized center has identified five patient factors that can raise the risk of incisional hernia in these operations by 50% or more, according to a study published in the Annals of Surgery.

VILevi/Thinkstock

The study followed the patients for an average of 8 years after their operations, which were performed between January 1976 and December 2014 at Mount Sinai Medical Center in New York. The overall incidence of incisional hernia was 20%-21% for patients with ulcerative colitis and 20% for those with Crohn’s disease.

Next Article: