title: Predictive factors for extraction site hernia after laparoscopic right colectomy.
abstract: OBJECTIVE
  Incisional hernia at the extraction site (ESIH) is a common complication after laparoscopic colorectal resections. The aim of this study was to evaluate the prevalence and potential risk factors for ESIH in a large cohort study having standardized technique.
  
  
  METHODS
  A cross-sectional study was performed including all patients who underwent elective laparoscopic right or extended right colectomy for cancer from November 2006 to October 2013 using a standard technique. All patients have been followed up for a minimum of 1 year with abdominal CT scan.
  
  
  RESULTS
  A total of 292 patients were included with a median follow-up of 42 months. Twenty patients (6.8 %) developed ESIH. Obesity (odds ratio (OR) = 3.76, 95 % confidence interval (CI) 1.39-10.15; p = 0.009) and incision length (OR 2.86, 95 % CI 1.077-7.60; p = 0.035) significantly predisposed to the development of ESIH.
  
  
  CONCLUSIONS
  This study identified that the risk of ESIH is significant after colonic resections and there are several risk factors responsible for the development of ESIH.
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK. dapares@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Parés
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Awad
authors.initials: A
authors.lastname: Shamali
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Sam
authors.initials: S
authors.lastname: Stefan
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Flashman
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: O'Leary
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: John
authors.initials: J
authors.lastname: Conti
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Asha
authors.initials: A
authors.lastname: Senapati
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Amjad
authors.initials: A
authors.lastname: Parvaiz
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital Portsmouth NHS Trust, Southwick Hill Road Cosham, Portsmouth, UK.
authors.forename: Jim
authors.initials: J
authors.lastname: Khan
mesh_terms: D000368:Aged; D003082:Colectomy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D015999:Multivariate Analysis; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
keywords: Incisional hernia; Laparoscopic right colectomy; Predictive factors