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Title: Incisional hernias post renal transplant: a systematic review and meta-analysis.
Austin Authors: Mac Curtain, B M;Qian, W;Temperley, H C;O'Mahony, A;Ng, Z Q;He, B
Affiliation: School of Medicine, University of Galway, Galway, Ireland.;Dept. of Surgery, St John of God Subiaco Hospital, Subiaco, WA, Australia.
Dept. of Surgery, St John of God Subiaco Hospital, Subiaco, WA, Australia.
St James' University Hospital, Dublin, Ireland.
University Hospital Limerick, Limerick, Ireland.
Dept. of General Surgery, Royal Perth Hospital, Perth, WA, Australia.
Victorian Liver Transplant Unit
Issue Date: 15-Sep-2023
Date: 2023
Publication information: Hernia : the Journal of Hernias and Abdominal Wall Surgery 2023-09-15
Abstract: Incisional hernia (IH) post renal transplant (RT) is relatively uncommon and can be challenging to manage clinically due to the presence of the kidney graft and patient immunosuppression. This systematic review and meta-analysis synthesises the current literature in relation to IH rates, risk factors and outcomes post RT. PubMed, EMBASE, and Cochrane Central Registry of Controlled Trials (CENTRAL) were searched up to July 2023. The most up to date Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines were followed. Pertinent clinical information was synthesised. A meta-analysis of the pooled proportions of IH rates, the rates of patients requiring surgical repair and the rates of recurrence post RT are reported. Twenty studies comprising 16,018 patients were included in this analysis. The pooled rate of IH occurrence post RT was 4% (CI 3-5%). The pooled rate of IH repair post RT was 61% (CI 14-100%). The pooled rate of IH recurrence after repair was 16% (CI 9-23%). Risk factors identified for IH development post RT are BMI, immunosuppression, age, smoking, incision type, reoperation, concurrent abdominal wall hernia, lymphocele formation and pulmonary disease. IH post RT is uncommon and the majority of IH post RT are repaired surgically on an elective basis.
DOI: 10.1007/s10029-023-02879-9
ORCID: 0000-0003-4534-2795
Journal: Hernia : the Journal of Hernias and Abdominal Wall Surgery
PubMed URL: 37715026
ISSN: 1248-9204
Type: Journal Article
Subjects: Incisional hernia
Kidney transplant
Renal transplant
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