Incidence, Risk Factors and Treatment of Incisional Hernia After Kidney Transplantation – An Analysis of 1564 Consecutive Patients.

L. Ooms,¹ J. Verhelst,¹ J. Jeekel,² J. IJzermans,¹ J. Lange,¹ T. Terkivatan.¹

¹Surgery, Erasmus MC, University Medical Center, Rotterdam, Netherlands
²Neuroscience, Erasmus MC, University Medical Center, Rotterdam, Netherlands.

Meeting: 2016 American Transplant Congress

Abstract number: C241

Keywords: Kidney transplantation, Post-operative complications, Risk factors

Topic:

Session Information

Session Name: Poster Session C: Poster Session 1: Kidney Complications-Other

Date: Monday, June 13, 2016

Session Time: 6:00pm-7:00pm

Presentation Time: 6:00pm-7:00pm

Location: Halls C&D

Purpose The objective was to evaluate the incidence and treatment of incisional hernia following kidney transplantation, and to identify potential risk factors.

Methods A retrospective cohort study was performed. All kidney transplant recipients between 2002 and 2012 were included. Two groups were identified: patients with incisional hernia and patients without. Risk factor analysis for development of incisional hernia was performed.

Results A total of 1564 kidney recipients were included. Fifty patients (3.2%) developed incisional hernia. On univariate analysis, female gender (54% vs. 35% p = 0.006), BMI>30 kg/m2 (38 % vs. 17%, p< 0.001), concurrent abdominal wall hernia (30% vs. 16%, p=0.007), multiple explorations of the ipsilateral iliac fossa (38% vs. 19%, p=0.001), left iliac fossa implantation (36% vs 24%, p=0.046), history of smoking (72% vs 57%,p=0.032) and duration of surgery (210 minutes vs. 188 minutes, p=0.020) were associated with the development of incisional hernia.In multivariate analyses female gender (HR 2.6), history of smoking (HR 2.2), obesity (BMI >30) (HR 2.9), multiple explorations of the ipsilateral iliac fossa (HR 2.0), duration of surgery (HR 1.007), and concurrent abdominal wall hernia (HR 2.3) were independent risk factors. Twenty-six of 50 patients (52%) underwent surgical repair, of which nine (35%) required emergency repair.

Conclusions The incidence of incisional hernia following kidney transplantation is 3.2%. We found obesity (BMI>30), female gender, concurrent abdominal wall hernias, history of smoking, duration of surgery, and multiple explorations to be independent risk factors for the development of incisional hernia after kidney transplantation. These risk factors should be taken into account to prevent incisional hernia.

CITATION INFORMATION: Ooms L, Verhelst J, Jeekel J, IJzermans J, Lange J, Terkivatan T. Incidence, Risk Factors and Treatment of Incisional Hernia After Kidney Transplantation – An Analysis of 1564 Consecutive Patients. Am J Transplant. 2016;16 (suppl 3).

To cite this abstract in AMA style:

Ooms L, Verhelst J, Jeekel J, IJzermans J, Lange J, Terkivatan T. Incidence, Risk Factors and Treatment of Incisional Hernia After Kidney Transplantation – An Analysis of 1564 Consecutive Patients. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/incidence-risk-factors-and-treatment-of-incisional-hernia-after-kidney-transplantation-an-analysis-of-1564-consecutive-patients/. Accessed July 28, 2021.

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