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Clinical importance of incisional hernia in patients resected for colorectal liver metastases : quality of life and abdominal wall symptoms

Holka, Peter Strandberg LU ; Lindell, Gert LU ; Tingstedt, Bobby LU and Sturesson, Christian LU (2025) In Langenbeck's Archives of Surgery 410(1).
Abstract

Purpose: Incisional hernia (IH) after open liver surgery is a well-recognized complication. The clinical importance of IH detected on computed tomography in terms of objective abdominal wall discomfort and impairment of quality of life (QoL) is less well known. Methods: Patients who underwent curative surgery for colorectal liver metastases between 2010 and 2015 at a single center and were alive in February 2017 were asked to complete a ventral hernia pain questionnaire and the EORTC QLQ-C30 QoL questionnaire. Results: A total of 105 patients (80%) completed the questionnaires. Forty-three patients (42%) developed IH. The majority (77%) of IHs were < 2.5 cm. Patients who had an IH before liver surgery developed a new IH to a greater... (More)

Purpose: Incisional hernia (IH) after open liver surgery is a well-recognized complication. The clinical importance of IH detected on computed tomography in terms of objective abdominal wall discomfort and impairment of quality of life (QoL) is less well known. Methods: Patients who underwent curative surgery for colorectal liver metastases between 2010 and 2015 at a single center and were alive in February 2017 were asked to complete a ventral hernia pain questionnaire and the EORTC QLQ-C30 QoL questionnaire. Results: A total of 105 patients (80%) completed the questionnaires. Forty-three patients (42%) developed IH. The majority (77%) of IHs were < 2.5 cm. Patients who had an IH before liver surgery developed a new IH to a greater extent (P = 0.001). There were no significant differences regarding abdominal wall symptoms and QoL between patients with and without IH. However, about half (48%) of all patients had abdominal wall symptoms after a median follow-up of 34 months. Conclusion: Radiologically detected IH after open liver surgery has low clinical importance. About half of all patients who underwent liver surgery experienced abdominal wall symptoms a long after surgery, but these symptoms were not related to IH.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Colorectal metastases, Incisional hernia, Liver resection
in
Langenbeck's Archives of Surgery
volume
410
issue
1
article number
67
publisher
Springer
external identifiers
  • pmid:39937298
  • scopus:85218467492
ISSN
1435-2443
DOI
10.1007/s00423-025-03638-3
language
English
LU publication?
yes
id
738984f4-c015-40ec-a65a-1df7770d62bb
date added to LUP
2025-06-10 09:00:26
date last changed
2025-07-08 11:57:31
@article{738984f4-c015-40ec-a65a-1df7770d62bb,
  abstract     = {{<p>Purpose: Incisional hernia (IH) after open liver surgery is a well-recognized complication. The clinical importance of IH detected on computed tomography in terms of objective abdominal wall discomfort and impairment of quality of life (QoL) is less well known. Methods: Patients who underwent curative surgery for colorectal liver metastases between 2010 and 2015 at a single center and were alive in February 2017 were asked to complete a ventral hernia pain questionnaire and the EORTC QLQ-C30 QoL questionnaire. Results: A total of 105 patients (80%) completed the questionnaires. Forty-three patients (42%) developed IH. The majority (77%) of IHs were &lt; 2.5 cm. Patients who had an IH before liver surgery developed a new IH to a greater extent (P = 0.001). There were no significant differences regarding abdominal wall symptoms and QoL between patients with and without IH. However, about half (48%) of all patients had abdominal wall symptoms after a median follow-up of 34 months. Conclusion: Radiologically detected IH after open liver surgery has low clinical importance. About half of all patients who underwent liver surgery experienced abdominal wall symptoms a long after surgery, but these symptoms were not related to IH.</p>}},
  author       = {{Holka, Peter Strandberg and Lindell, Gert and Tingstedt, Bobby and Sturesson, Christian}},
  issn         = {{1435-2443}},
  keywords     = {{Colorectal metastases; Incisional hernia; Liver resection}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Springer}},
  series       = {{Langenbeck's Archives of Surgery}},
  title        = {{Clinical importance of incisional hernia in patients resected for colorectal liver metastases : quality of life and abdominal wall symptoms}},
  url          = {{http://dx.doi.org/10.1007/s00423-025-03638-3}},
  doi          = {{10.1007/s00423-025-03638-3}},
  volume       = {{410}},
  year         = {{2025}},
}