Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

Objectives: To evaluate the incidence and risk factors for the development of flank incisional hernias or bulges following surgical flank approaches to the kidney. Patients and methods: In all, 100 consecutive adult patients who underwent variable renal surgeries via flank approaches were included i...

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Autores principales:	Tarek Osman, Ahmed Emam, Ahmed Farouk, Karim ElSaeed, Ahmed M. Tawfeek, Abdelawal AbuHalima
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/0a20ab14ac1a44e38c760364d6dc8989
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spelling	oai:doaj.org-article:0a20ab14ac1a44e38c760364d6dc89892021-12-02T10:11:40ZRisk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults2090-598X10.1016/j.aju.2018.06.001https://doaj.org/article/0a20ab14ac1a44e38c760364d6dc89892018-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300573https://doaj.org/toc/2090-598XObjectives: To evaluate the incidence and risk factors for the development of flank incisional hernias or bulges following surgical flank approaches to the kidney. Patients and methods: In all, 100 consecutive adult patients who underwent variable renal surgeries via flank approaches were included in this prospective study. The incidence and risk factors for flank hernias and bulges were studied at 1- and 6-months postoperatively. Results: At 6 months postoperatively, the incidence of flank bulge was 14% and for lumbar hernia was 10%. The univariate analysis showed 13 significant factors to be associated with the occurrence of a flank bulge or hernia following flank incisions. When the significant risk factors in the univariate analysis were studied by multivariate analysis, using a logistic regression analysis, four independent risk factors were identified. These were: body mass index (BMI) ≥26.3 kg/m2 (P = 0.04), the use of a self-retaining retractor during surgery (P = 0.02), not preserving or identifying the neurovascular bundle (NVB) during surgery (P = 0.028), and postoperative abdominal distention (P = 0.001). Moreover, all cases included in our study who underwent en masse wound closure, developed surgical wound infection or who had constipation developed postoperative flank bulge or hernia. Conclusion: High BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge. Keywords: Abdominal hernia, Flank, Hernia, Incisional hernia, Postoperative herniaTarek OsmanAhmed EmamAhmed FaroukKarim ElSaeedAhmed M. TawfeekAbdelawal AbuHalimaTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 4, Pp 453-459 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Tarek Osman Ahmed Emam Ahmed Farouk Karim ElSaeed Ahmed M. Tawfeek Abdelawal AbuHalima Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
description	Objectives: To evaluate the incidence and risk factors for the development of flank incisional hernias or bulges following surgical flank approaches to the kidney. Patients and methods: In all, 100 consecutive adult patients who underwent variable renal surgeries via flank approaches were included in this prospective study. The incidence and risk factors for flank hernias and bulges were studied at 1- and 6-months postoperatively. Results: At 6 months postoperatively, the incidence of flank bulge was 14% and for lumbar hernia was 10%. The univariate analysis showed 13 significant factors to be associated with the occurrence of a flank bulge or hernia following flank incisions. When the significant risk factors in the univariate analysis were studied by multivariate analysis, using a logistic regression analysis, four independent risk factors were identified. These were: body mass index (BMI) ≥26.3 kg/m2 (P = 0.04), the use of a self-retaining retractor during surgery (P = 0.02), not preserving or identifying the neurovascular bundle (NVB) during surgery (P = 0.028), and postoperative abdominal distention (P = 0.001). Moreover, all cases included in our study who underwent en masse wound closure, developed surgical wound infection or who had constipation developed postoperative flank bulge or hernia. Conclusion: High BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge. Keywords: Abdominal hernia, Flank, Hernia, Incisional hernia, Postoperative hernia
format	article
author	Tarek Osman Ahmed Emam Ahmed Farouk Karim ElSaeed Ahmed M. Tawfeek Abdelawal AbuHalima
author_facet	Tarek Osman Ahmed Emam Ahmed Farouk Karim ElSaeed Ahmed M. Tawfeek Abdelawal AbuHalima
author_sort	Tarek Osman
title	Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
title_short	Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
title_full	Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
title_fullStr	Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
title_full_unstemmed	Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
title_sort	risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/0a20ab14ac1a44e38c760364d6dc8989
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Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults

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