World J Vasc Surg | Volume 1, Issue 1 | Research Article | Open Access
Piero Brustia*, Renato Cassatella and Michele Aronici
Department of Vascular Surgery, University Hospital “Maggiore della Carità”, Italy
*Correspondance to: Piero Brustia
Fulltext PDFBackground: This study investigated the incidence of Incisional Hernias (IHs) in patients undergoing abdominal aortic reconstructive surgery through a Left Subcostal Minilaparotomy (LSM) as a part of an enhanced perioperative recovery program.
Methods: Patients with AAA or AOD from three major institutions were retrospectively examined. Data collected included demographic, operative data and cardiopulmonary risk factors. At a minimum of 6 months after LSM patients were evaluated clinically for a new incision hernia.
Results: We treated 689 patients with a mean age of 70.6 years (range 40-89), including 631 men (91.7%) and 58 women (8.3%). Twelve patients died in the perioperative period (1.7%). The duration of follow-up was two years, and 25 patients dropped out from the control program. We found 17 IHs (2.6%) and 5 diastases of the surgical wound without involvement of the rectus sheath (0.8%).
Conclusion: LSM ensures a good seal of the abdominal-wall repair and reduces the invasiveness of the surgery without compromising the treatment of aorta-iliac diseases.
Incisional hernias; Abdominal aortic surgery; Minilaparotomy; Enhanced recovery
Brustia P, Cassatella R, Aronici M. Incidence of Incisional Hernias in Patients Undergoing Abdominal Aortic Surgery through a Left Subcostal Minilaparotomy and Enhanced Recovery Protocol. World J Vasc Surg. 2018; 1(1): 1002.