Age, Preoperative Subcutaneous Fat Area, and Open Laparotomy are Risk Factors for Incisional Hernia following Colorectal Cancer Surgery

Toru Yamada, Koji Okabayashi, Hirotoshi Hasegawa, Masashi Tsuruta, Yuta Abe, Takashi Ishida, Shimpei Matsui, Yuukou Kitagawa

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Abstract

Background: Although incisional hernia (IH) is a common complication of abdominal surgery, the incidence rate and risk factors are not well known. The objectives of this study are to determine the incidence rate of IH following colorectal cancer surgery and to describe the associated risk factors.

Methods: Between 2005 and 2010, patients who underwent surgery to treat colorectal cancer were examined. The diagnosis of IH was performed by CT scan, and the visceral fat area (VFA) and subcutaneous fat area (SFA) at the level of the umbilicus were calculated using a 3D-image analysis system. Survival analysis was used to assess the incidence and risk factors of IH.

Results: A total of 626 patients (326 open, 300 laparoscopic) were included in this study, with median follow-up of 54 (range 2–97) months. Forty patients were diagnosed with postoperative IH, and the cumulative, 5-year incidence of IH was 7.3 %. Univariate analysis revealed that age, body mass index, waist circumference, hip circumference, open laparotomy, wound infection, VFA, and SFA were significantly associated with incidence of IH. Multivariate analysis revealed that age [hazard ratio (HR) 1.043 (1.005–1.083), p = 0.027], open laparotomy [HR 4.410 (1.018–19.095), p = 0.047], and SFA [HR 1.013 (1.004–1.022), p = 0.005] were significant risk factors for developing IH.

Conclusions: Higher age and SFA, along with open surgery, are risk factors for developing IH.

Original languageEnglish
JournalAnnals of Surgical Oncology
DOIs
Publication statusAccepted/In press - 2015 Mar 6

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Colorectal Surgery
Subcutaneous Fat
Laparotomy
Colorectal Neoplasms
Incidence
Intra-Abdominal Fat
Incisional Hernia
Umbilicus
Waist Circumference
Wound Infection
Survival Analysis
Hip
Body Mass Index
Multivariate Analysis

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

@article{b80ea09b20b14294b7483de8ec0ca7a3,
title = "Age, Preoperative Subcutaneous Fat Area, and Open Laparotomy are Risk Factors for Incisional Hernia following Colorectal Cancer Surgery",
abstract = "Background: Although incisional hernia (IH) is a common complication of abdominal surgery, the incidence rate and risk factors are not well known. The objectives of this study are to determine the incidence rate of IH following colorectal cancer surgery and to describe the associated risk factors.Methods: Between 2005 and 2010, patients who underwent surgery to treat colorectal cancer were examined. The diagnosis of IH was performed by CT scan, and the visceral fat area (VFA) and subcutaneous fat area (SFA) at the level of the umbilicus were calculated using a 3D-image analysis system. Survival analysis was used to assess the incidence and risk factors of IH.Results: A total of 626 patients (326 open, 300 laparoscopic) were included in this study, with median follow-up of 54 (range 2–97) months. Forty patients were diagnosed with postoperative IH, and the cumulative, 5-year incidence of IH was 7.3 {\%}. Univariate analysis revealed that age, body mass index, waist circumference, hip circumference, open laparotomy, wound infection, VFA, and SFA were significantly associated with incidence of IH. Multivariate analysis revealed that age [hazard ratio (HR) 1.043 (1.005–1.083), p = 0.027], open laparotomy [HR 4.410 (1.018–19.095), p = 0.047], and SFA [HR 1.013 (1.004–1.022), p = 0.005] were significant risk factors for developing IH.Conclusions: Higher age and SFA, along with open surgery, are risk factors for developing IH.",
author = "Toru Yamada and Koji Okabayashi and Hirotoshi Hasegawa and Masashi Tsuruta and Yuta Abe and Takashi Ishida and Shimpei Matsui and Yuukou Kitagawa",
year = "2015",
month = "3",
day = "6",
doi = "10.1245/s10434-015-4462-y",
language = "English",
journal = "Annals of Surgical Oncology",
issn = "1068-9265",
publisher = "Springer New York",

}

TY - JOUR

T1 - Age, Preoperative Subcutaneous Fat Area, and Open Laparotomy are Risk Factors for Incisional Hernia following Colorectal Cancer Surgery

AU - Yamada, Toru

AU - Okabayashi, Koji

AU - Hasegawa, Hirotoshi

AU - Tsuruta, Masashi

AU - Abe, Yuta

AU - Ishida, Takashi

AU - Matsui, Shimpei

AU - Kitagawa, Yuukou

PY - 2015/3/6

Y1 - 2015/3/6

N2 - Background: Although incisional hernia (IH) is a common complication of abdominal surgery, the incidence rate and risk factors are not well known. The objectives of this study are to determine the incidence rate of IH following colorectal cancer surgery and to describe the associated risk factors.Methods: Between 2005 and 2010, patients who underwent surgery to treat colorectal cancer were examined. The diagnosis of IH was performed by CT scan, and the visceral fat area (VFA) and subcutaneous fat area (SFA) at the level of the umbilicus were calculated using a 3D-image analysis system. Survival analysis was used to assess the incidence and risk factors of IH.Results: A total of 626 patients (326 open, 300 laparoscopic) were included in this study, with median follow-up of 54 (range 2–97) months. Forty patients were diagnosed with postoperative IH, and the cumulative, 5-year incidence of IH was 7.3 %. Univariate analysis revealed that age, body mass index, waist circumference, hip circumference, open laparotomy, wound infection, VFA, and SFA were significantly associated with incidence of IH. Multivariate analysis revealed that age [hazard ratio (HR) 1.043 (1.005–1.083), p = 0.027], open laparotomy [HR 4.410 (1.018–19.095), p = 0.047], and SFA [HR 1.013 (1.004–1.022), p = 0.005] were significant risk factors for developing IH.Conclusions: Higher age and SFA, along with open surgery, are risk factors for developing IH.

AB - Background: Although incisional hernia (IH) is a common complication of abdominal surgery, the incidence rate and risk factors are not well known. The objectives of this study are to determine the incidence rate of IH following colorectal cancer surgery and to describe the associated risk factors.Methods: Between 2005 and 2010, patients who underwent surgery to treat colorectal cancer were examined. The diagnosis of IH was performed by CT scan, and the visceral fat area (VFA) and subcutaneous fat area (SFA) at the level of the umbilicus were calculated using a 3D-image analysis system. Survival analysis was used to assess the incidence and risk factors of IH.Results: A total of 626 patients (326 open, 300 laparoscopic) were included in this study, with median follow-up of 54 (range 2–97) months. Forty patients were diagnosed with postoperative IH, and the cumulative, 5-year incidence of IH was 7.3 %. Univariate analysis revealed that age, body mass index, waist circumference, hip circumference, open laparotomy, wound infection, VFA, and SFA were significantly associated with incidence of IH. Multivariate analysis revealed that age [hazard ratio (HR) 1.043 (1.005–1.083), p = 0.027], open laparotomy [HR 4.410 (1.018–19.095), p = 0.047], and SFA [HR 1.013 (1.004–1.022), p = 0.005] were significant risk factors for developing IH.Conclusions: Higher age and SFA, along with open surgery, are risk factors for developing IH.

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U2 - 10.1245/s10434-015-4462-y

DO - 10.1245/s10434-015-4462-y

M3 - Article

C2 - 25743333

AN - SCOPUS:84954370823

JO - Annals of Surgical Oncology

JF - Annals of Surgical Oncology

SN - 1068-9265

ER -