title: Association Between Delayed Graft Function and Incisional Hernia after Renal Transplant.
abstract: OBJECTIVE
  Incisional hernias can occur after any abdominal operation, including after renal transplant. Several risk factors have been identified in nonimmunosuppressed surgical patients. We aimed to identify whether specific risk factors correlated with the development of incisional hernias after renal transplant. The existence of associations between these risk factors and postoperative complications was also reviewed.
  
  
  METHODS
  We reviewed 969 kidney transplants performed between February 2000 and January 2011. Thirty-nine kidney transplant recipients who were treated with rapamycin were excluded. The following potential risk factors were evaluated: recipient age, sex, body mass index at transplant, delayed graft function, diabetes, albumin, postoperative platelet count, drain placement, donor body mass index, donor type, warm ischemic time, and cold ischemic time. We performed univariate and multivariate logistic regression tests.
  
  
  RESULTS
  In our patient group, a total of 52 (5.4%) transplants were complicated by incisional hernia. On univariate analysis, we found that delayed graft function (P = .001) and infection (P < .001) were statistically significant predictors for development of incisional hernia. Multivariate analyses revealed that delayed graft function and length of stay remained statistically significant predictors.
  
  
  CONCLUSIONS
  Delayed graft function and length of stay are significant predictors of incisional hernia after kidney transplant.
authors.affiliation: From the Department of Surgery, Einstein Healthcare Network, Philadelphia, Pennsylvania, USA.
authors.forename: Joel B
authors.initials: JB
authors.lastname: Durinka
authors.forename: Afshin
authors.initials: A
authors.lastname: Parsikia
authors.forename: Farah
authors.initials: F
authors.lastname: Karipineni
authors.forename: Stalin
authors.initials: S
authors.lastname: Campos
authors.forename: Khamran
authors.initials: K
authors.lastname: Khanmoradi
authors.forename: Radi
authors.initials: R
authors.lastname: Zaki
authors.forename: Amit R T
authors.initials: AR
authors.lastname: Joshi
authors.forename: Jorge
authors.initials: J
authors.lastname: Ortiz
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D016208:Databases, Factual; D051799:Delayed Graft Function / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D000069290:Incisional Hernia / Q000175:diagnosis / Q000209:etiology*; D053208:Kaplan-Meier Estimate; D016030:Kidney Transplantation / Q000009:adverse effects*; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome