Work

Predictors of Incisional Hernia After Cytoreductive Surgery and HIPEC: A Retrospective Analysis

Year: 2025

Type: article

Abstract: Background and Objectives: Incisional hernia is a common complication following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). This study aimed to identify patient and surgical factors associated with its occurrence. Materials and Methods: We conducted a retrospective analysis of 122 patients undergoing CRS and HIPEC. Logistic regression models were applied to identify predictors of incisional hernia development. Results: Incisional hernia occurred in 23.8% of patients. Hypertension was identified as an independent factor associated with increased risk. Peritoneal Cancer Index (PCI), operative time, and abdominal wall closure technique were not found to be significantly associated with hernia development. Conclusions: Preoperative identification of high-risk patients may support the adoption of targeted preventive strategies, including prophylactic mesh placement and enhanced postoperative surveillance.

Source: Medicina

DOI: 10.3390/medicina61081356

Authors: Daniela Di Pietrantonio, Fabrizio D’Acapito, Massimo Framarini, Giorgio Ercolani

Institutions: Azienda Unità Sanitaria Locale Della Romagna, Ospedale G.B. Morgagni - L.Pierantoni, University of Bologna

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,654