Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
03 12 2020
Historique:
received: 15 05 2020
accepted: 04 11 2020
entrez: 4 12 2020
pubmed: 5 12 2020
medline: 17 3 2021
Statut: epublish

Résumé

Incisional hernia (IH) in children could result in life-threatening complications, including incarceration and bowel strangulation. The incidence and risk factors of IH in infants are scarcely reported. Since IH-correction may require extensive surgery and a long recovery program, identifying infants and birth defects at risk, may lead to a different approach during the primary surgery. Therefore, the aim of this review is to systematically review the available data on the incidence of IH following surgery for congenital anomalies in infants. All studies describing IH were considered eligible. PubMed and Embase were searched and risk of bias was assessed. Primary outcome was the incidence of IH, secondary outcomes were difference in IH occurrence between disease severity (complex vs simple) and closure method (SILO vs primary closure) in gastroschisis patients. A meta-analysis was performed to pool the reported incidences in total and per congenital anomaly separately. Subgroup analysis within gastroschisis articles was performed. The 50 included studies represent 3140 patients. The pooled proportion of IH was 0.03 (95% CI 0.02-0.05; I

Identifiants

pubmed: 33273483
doi: 10.1038/s41598-020-77976-1
pii: 10.1038/s41598-020-77976-1
pmc: PMC7713071
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

21170

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Auteurs

Laurens D Eeftinck Schattenkerk (LD)

Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centre, University of Amsterdam and Vrije Universiteit Amsterdam, Meibergdreef 9, 1005 AZ, Amsterdam, The Netherlands. l.d.eeftinkckschattenkerk@amsterdamumc.nl.
Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. l.d.eeftinkckschattenkerk@amsterdamumc.nl.

Gijsbert D Musters (GD)

Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centre, University of Amsterdam and Vrije Universiteit Amsterdam, Meibergdreef 9, 1005 AZ, Amsterdam, The Netherlands.

David J Nijssen (DJ)

Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centre, University of Amsterdam and Vrije Universiteit Amsterdam, Meibergdreef 9, 1005 AZ, Amsterdam, The Netherlands.

Wouter J de Jonge (WJ)

Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Department of General, Visceral-, Thoracic and Vascular Surgery, University Hospital Bonn, Bonn, Germany.

Ralph de Vries (R)

Medical Library, Vrije Universiteit, Amsterdam, The Netherlands.

L W Ernest van Heurn (LWE)

Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centre, University of Amsterdam and Vrije Universiteit Amsterdam, Meibergdreef 9, 1005 AZ, Amsterdam, The Netherlands.
Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Joep Pm Derikx (JP)

Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centre, University of Amsterdam and Vrije Universiteit Amsterdam, Meibergdreef 9, 1005 AZ, Amsterdam, The Netherlands.
Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

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