In:
Clinical Transplantation, Wiley, Vol. 28, No. 7 ( 2014-07), p. 829-836
Abstract:
The aim of this cross‐sectional study was to analyze the incidence of incisional hernia after liver transplantation ( LT ), to determine potential risk factors for their development, and to assess their impact on health‐related quality of life ( HRQ oL). Patients who underwent LT through a J‐shaped incision with a minimum follow‐up of three months were included. Follow‐up was conducted at the outpatient clinic. Short Form 36 ( SF ‐36) and body image questionnaire ( BIQ ) were used for the assessment of HRQ oL. A total of 140 patients was evaluated. The mean follow‐up period was 33 ( SD 20) months. Sixty patients (43%) were diagnosed with an incisional hernia. Multivariate analysis revealed surgical site infection ( OR 5.27, p = 0.001), advanced age ( OR 1.05, p = 0.003), and prolonged ICU stay ( OR 1.54, p = 0.022) to be independent risk factors for development of incisional hernia after LT . Patients with an incisional hernia experienced significantly diminished HRQ oL with respect to physical, social, and mental aspects. In conclusion, patients who undergo LT exhibit a high incidence of incisional hernia, which has a considerable impact on HRQ oL. Development of incisional hernia was shown to be related to surgical site infection, advanced age, and prolonged ICU stay.
Type of Medium:
Online Resource
ISSN:
0902-0063
,
1399-0012
DOI:
10.1111/ctr.2014.28.issue-7
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2739458-X
detail.hit.zdb_id:
2004801-4
Permalink