{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T14:06:44Z","timestamp":1783174004421,"version":"3.54.6"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  BACKGROUND: Liver transplantation is a complex and valuable therapy. However, complications that burden postoperative quality of life, such as incisional hernia, are to be better elucidated, such as risk factors and prophylactic measures.  AIM: This study aimed to define the rate of incisional hernia in patients who underwent liver transplantation in a population in southern Brazil and to assess the related risk factors in order to establish measures for prior optimization and specific prophylactic care in the future.  METHODS: Patients undergoing adult Liver transplantation from January 2004 to November 2020 were retrospectively analyzed, assessing demographic features, surgical outcomes, and predisposing factors.  RESULTS: Among 261 liver transplantation patients included, incisional hernia was diagnosed in 71 (27.2%). Of the 71 incisional hernia patients, 28 (39.4%) developed IH during the first post-transplant. Majority of the patients were male (52\/71, 73.2%); of the 71 patients, 52 had hepatitis C virus (HCV) and 33 (46.5%) had hepatocellular carcinoma (HCC). Male gender (p=0.044), diabetes mellitus (p=0.008), and acute cellular rejection (p&lt;0.001) were risk factors for IH. In all, 28 (39.4%) patients were submitted for hernia repair with mesh, with a recurrence rate of 17.8%.  CONCLUSION: Incisional hernia after liver transplantation is a relatively common problem associated with male gender, diabetes, and acute cellular rejection. This is a problem that should not be trivialized in view of the complexity of liver transplantation, as it can lead to a reduction in quality of life as well as jeopardize late liver transplantation results and lead to incarceration and strangulation.<\/jats:p>","DOI":"10.1590\/0102-672020220002e1698","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T21:09:49Z","timestamp":1667596189000},"source":"Crossref","is-referenced-by-count":9,"title":["EARLY INCISIONAL HERNIA AFTER LIVER TRANSPLANTATION: RISK FACTORS AND HERNIA REPAIR RESULTS"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9503-4163","authenticated-orcid":false,"given":"Jo\u00e3o Victor Vecchi","family":"Ferri","sequence":"first","affiliation":[{"name":"Militar Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5180-3282","authenticated-orcid":false,"given":"Sofia Michele","family":"Dick","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-4343","authenticated-orcid":false,"given":"Tomaz de Jesus Maria","family":"Grezzana-Filho","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-2990","authenticated-orcid":false,"given":"Fl\u00e1via Heinz","family":"Feier","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1523-9263","authenticated-orcid":false,"given":"Lucas","family":"Prediger","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0379-2640","authenticated-orcid":false,"given":"Gl\u00f3ria Sulczinski","family":"Lazzaretti","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5942-712X","authenticated-orcid":false,"given":"Cleber Rosito Pinto","family":"Kruel","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-4445","authenticated-orcid":false,"given":"Carlos Otavio","family":"Corso","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2356-2789","authenticated-orcid":false,"given":"Leandro Totti","family":"Cavazzola","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6182-6963","authenticated-orcid":false,"given":"Marcio Fernandes","family":"Chedid","sequence":"additional","affiliation":[{"name":"University Hospital of Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"6","key":"ref1","first-page":"277","article-title":"Steroids, retinoids, and wound healing","volume":"11","author":"Anstead GM","year":"1998","journal-title":"Adv Wound Care"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.4254\/wjh.v7.i10.1347","article-title":"Liver transplantation as a management of hepatocellular carcinoma","volume":"7","author":"Azzam AZ","year":"2015","journal-title":"World J 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