{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:53:09Z","timestamp":1792803189589,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this work was to determine the rate of incisional hernia (IH) repair and risk factors for IH repair after laparotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This population\u2010based study used data extracted from the French Programme de M\u00e9dicalisation des Syst\u00e8mes d\u2019Informations (PMSI) database. All patients who had undergone a laparotomy in 2010, their hospital visits from 2010 to 2015 and patients who underwent a first IH repair in 2013 were included. Previously identified risk factors included age, gender, high blood pressure (HBP), obesity, diabetes and chronic obstructive pulmonary disease (COPD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 431\u00a0619 patients who underwent a laparotomy in 2010, 5% underwent IH repair between 2010 and 2015. A high\u2010risk list of the most frequent surgical procedures (&gt;100) with a significant risk of IH repair (&gt;10% at 5\u00a0years) was established and included 71\u00a0863 patients (17%; 65 procedures). The overall IH repair rate from this list was 17%. Gastrointestinal (GI) surgery represented 89% of procedures, with the majority of patients (72%) undergoing lower GI tract surgery. The IH repair rate was 56% at 1\u00a0year and 79% at 2\u00a0years. Risk factors for IH repair included obesity (31% vs 15% without obesity, <jats:italic>p<\/jats:italic>\u00a0 &lt; 0.001), COPD (20% vs 16% without COPD), HBP (19% vs 15% without HBP) and diabetes (19% vs 16% without diabetes). Obesity was the main risk factor for recurrence after IH repair (19% vs 13%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>From the PMSI database, the real rate of IH repair after laparotomy was 5%, increasing to 17% after digestive surgery. Obesity was the main risk factor, with an IH repair rate of 31% after digestive surgery. Because of the important medico\u2010economic consequences, prevention of IH after laparotomy in high\u2010risk patients should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15581","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T16:52:13Z","timestamp":1613062333000},"page":"1515-1523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Incidence and risk factors for incisional hernia and recurrence: Retrospective analysis of the French national database"],"prefix":"10.1111","volume":"23","author":[{"given":"Benoit","family":"Gignoux","sequence":"first","affiliation":[{"name":"Clinique de la Sauvegarde Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Bayon","sequence":"additional","affiliation":[{"name":"Sofradim Production, a Medtronic company Trevoux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Martin","sequence":"additional","affiliation":[{"name":"Ecole des Mines d'Albi Albi France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raksmey","family":"Phan","sequence":"additional","affiliation":[{"name":"Ecole des Mines de Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Augusto","sequence":"additional","affiliation":[{"name":"Ecole des Mines de Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Darnis","sequence":"additional","affiliation":[{"name":"Clinique de la Sauvegarde Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Sarazin","sequence":"additional","affiliation":[{"name":"Ecole des Mines de Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2018.00034"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"32","article-title":"Use of the KSVM\u2010based system for the definition, validation and identification of the incisional hernia recurrence risk factors","volume":"40","author":"Licari L","year":"2019","journal-title":"G Chir"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1258\/vasc.2011.oa0332"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138745"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800720127"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9364"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60238-5"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-017-0207-0"},{"issue":"3","key":"e_1_2_10_10_1","first-page":"175","article-title":"Overweight and healing of midline incisions: the importance of suture technique","volume":"163","author":"Israelsson LA","year":"1997","journal-title":"Eur J Surg"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.11.119"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.12.032"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.09.490"},{"issue":"5","key":"e_1_2_10_14_1","first-page":"333","article-title":"Six\u2010fold suture:wound length ratio for abdominal closure","volume":"81","author":"Varshney S","year":"1999","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800801020"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2020.02.016"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200301000-00018"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0999-x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-019-02015-6"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-019-01834-5"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.04.026"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5936-8"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-016-1480-z"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2017.05.004"},{"issue":"1","key":"e_1_2_10_25_1","first-page":"1","article-title":"The development of CCAM: the new French coding system of clinical procedures","volume":"31","author":"Trombert\u2010Paviot B","year":"2003","journal-title":"Health Inf Manag"},{"key":"e_1_2_10_26_1","unstructured":"ICD\u201010 Version.International Statistical Classification of Diseases and Related Health Problems 10th Revision;2019. 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