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1. EARLY INCISIONAL HERNIA AFTER LIVER TRANSPLANTATION: RISK FACTORS AND HERNIA REPAIR RESULTS

Author

João Victor Vecchi Ferri, Sofia Michele Dick, Tomaz de Jesus Maria Grezzana-Filho, Flávia Heinz Feier, Lucas Prediger, Glória Sulczinski Lazzaretti, Cleber Rosito Pinto Kruel, Carlos Otavio Corso, Leandro Totti Cavazzola, and Marcio Fernandes Chedid

Subjects
Liver Transplantation, Incisional Hernia, Abdominal Wall, Risk Factors, Postoperative Complications, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

ABSTRACT BACKGROUND: Liver transplantation is a complex and valuable therapy. However, complications that burden postoperative quality of life, such as incisional hernia, are to be better elucidated, such as risk factors and prophylactic measures. AIM: This study aimed to define the rate of incisional hernia in patients who underwent liver transplantation in a population in southern Brazil and to assess the related risk factors in order to establish measures for prior optimization and specific prophylactic care in the future. METHODS: Patients undergoing adult Liver transplantation from January 2004 to November 2020 were retrospectively analyzed, assessing demographic features, surgical outcomes, and predisposing factors. RESULTS: Among 261 liver transplantation patients included, incisional hernia was diagnosed in 71 (27.2%). Of the 71 incisional hernia patients, 28 (39.4%) developed IH during the first post-transplant. Majority of the patients were male (52/71, 73.2%); of the 71 patients, 52 had hepatitis C virus (HCV) and 33 (46.5%) had hepatocellular carcinoma (HCC). Male gender (p=0.044), diabetes mellitus (p=0.008), and acute cellular rejection (p

Published
2022
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2. HÉRNIA INCISIONAL PRECOCE APÓS TRANSPLANTE HEPÁTICO: FATORES DE RISCO E RESULTADOS DO REPARO CIRÚRGICO

Author

João Victor Vecchi Ferri, Sofia Michele Dick, Tomaz de Jesus Maria Grezzana-Filho, Flávia Heinz Feier, Lucas Prediger, Glória Sulczinski Lazzaretti, Cleber Rosito Pinto Kruel, Carlos Otavio Corso, Leandro Totti Cavazzola, and Marcio Fernandes Chedid

Subjects
Fatores de Risco, Adult, Male, Carcinoma, Hepatocellular, Abdominal Wall, Liver Neoplasms, General Medicine, Surgical Mesh, Hernia, Ventral, Liver Transplantation, Parede Abdominal, Complicações Pós-Operatórias, Postoperative Complications, Risk Factors, Recurrence, Quality of Life, Humans, Incisional Hernia, Transplante de Fígado, Female, Neoplasm Recurrence, Local, Herniorrhaphy, Hérnia Incisional, Retrospective Studies
Abstract

BACKGROUND: Liver transplantation is a complex and valuable therapy. However, complications that burden postoperative quality of life, such as incisional hernia, are to be better elucidated, such as risk factors and prophylactic measures. AIM: This study aimed to define the rate of incisional hernia in patients who underwent liver transplantation in a population in southern Brazil and to assess the related risk factors in order to establish measures for prior optimization and specific prophylactic care in the future. METHODS: Patients undergoing adult Liver transplantation from January 2004 to November 2020 were retrospectively analyzed, assessing demographic features, surgical outcomes, and predisposing factors. RESULTS: Among 261 liver transplantation patients included, incisional hernia was diagnosed in 71 (27.2%). Of the 71 incisional hernia patients, 28 (39.4%) developed IH during the first post-transplant. Majority of the patients were male (52/71, 73.2%); of the 71 patients, 52 had hepatitis C virus (HCV) and 33 (46.5%) had hepatocellular carcinoma (HCC). Male gender (p=0.044), diabetes mellitus (p=0.008), and acute cellular rejection (p

Published
2022

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