This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Incisional hernia rate 3 years after midline laparotomy. BJS 2014; 101: 51-54.

Published: 26th November 2013

Authors: C. Fink, P. Baumann, M. N. Wente, P. Knebel, T. Bruckner, A. Ulrich et al.

Background

Incisional hernia is the most frequent long‐term complication after visceral surgery, with an incidence of between 9 and 20 per cent 1 year after operation. Most controlled studies provide only short‐term follow‐up, and the actual incidence remains unclear. This study evaluated the incidence of incisional hernia up to 3 years after midline laparotomy in two prospective trials.

Method

Three‐year follow‐up data from the ISSAAC (prospective, multicentre, historically controlled) and INSECT (randomized, controlled, multicentre) trials focused on the rate of incisional hernia 1 and 3 years after surgery. Differences between the two groups were compared using t tests for continuous data and the χ² test for categorical data.

Results

Analysis of 775 patients included in the two trials suggested that the incisional hernia rate increased significantly from 12·6 per cent at 1 year to 22·4 per cent 3 years after surgery (P < 0.001), a relative increase of more than 60 per cent.

Conclusion

This follow‐up of two trials demonstrated that 1 year of clinical follow‐up for detection of incisional hernia is not sufficient; follow‐up for at least 3 years should be mandatory in any study evaluating the rate of postoperative incisional hernia after midline laparotomy.

Full text

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Network meta‐analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia.

Authors: J. H. H. Olsen, S. Öberg, K. Andresen, T. W. Klausen, J. Rosenberg

Original article

Outcomes of surgery for benign and malignant adrenal disease from the British Association of Endocrine and Thyroid Surgeons’ national registry. BJS 2019; 106: 1495-1503.

Authors: N. Patel, R. J. Egan, B. R. Carter, D. M. Scott‐Coombes, M. J. Stechman, A. Afzaal et al.

Incisional hernia rate 3 years after midline laparotomy. BJS 2014; 101: 51-54.

Background

Method

Results

Conclusion

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