{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T03:02:54Z","timestamp":1780628574890,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:00:00Z","timestamp":1555027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:00:00Z","timestamp":1555027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A registry\u2010based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120\u00a0incisional hernias had a non\u2010reducible incarceration. For primary hernias, a defect width of 3\u20134\u00a0cm compared to defects of 0\u20131\u00a0cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57\u20135.18, <jats:italic>p<\/jats:italic>\u2009=\u20090.0006). For incisional hernias, a defect width of 3\u20134\u00a0cm compared to defects of 0\u20132\u00a0cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07\u20134.31, <jats:italic>p<\/jats:italic>\u2009=\u20090.0324). For primary hernias, defects in the peri\u2010 and infra\u2010umbilical region portrayed a significantly increased odds for incarceration as compared to supra\u2010umbilical defects (OR 1.98, 95% CI 1.02\u20133.85, <jats:italic>p<\/jats:italic>\u2009=\u20090.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For primary and incisional hernias, mainly defects of 3\u20134\u00a0cm were associated with incarceration. For primary hernias, mainly defects located in the peri\u2010 and infra\u2010umbilical region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-04989-x","type":"journal-article","created":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T14:03:17Z","timestamp":1555077797000},"page":"1906-1913","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472\u00a0Patients"],"prefix":"10.1002","volume":"43","author":[{"given":"Dimitri","family":"Sneiders","sequence":"first","affiliation":[{"name":"Department of Surgery Erasmus University Medical Center Rotterdam The Netherlands"},{"name":"PO Box 2040 3000 CA Rotterdam The 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