Incisional Hernia Following Open Abdominal Aortic Aneurysm Repair: A Contemporary Review of Risk Factors and Prevention

Authors

  • Thuy-My Nguyen Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia Author
  • Saissan Rajendran Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia Author
  • Kilian GM Brown Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia; The Institute of Academic Surgery at Royal Prince Alfred Hospital, Sydney, Australia Author
  • Prakash Saha Academic Department of Vascular Surgery, King’s College London, UK Author
  • Raffi Qasabian Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia Author

Keywords:

Abdominal aortic aneurysm, incisional hernia, laparotomy, National Institute for Health and Care Excellence

Abstract

While the endovascular approach has been the treatment of choice for abdominal aortic aneurysm (AAA) repair in the modern era, open AAA repair remains a treatment option and may have a resurgence after the recent release of draft guidelines from the National Institute for Health and Care Excellence (NICE). Incisional hernia is a common long-term complication of open AAA repair and causes significant patient morbidity. As the number of patients undergoing open AAA repair increases, it is imperative that vascular surgeons are aware of and aim to reduce the complications associated with open surgery. This review article summarises current evidence, highlighting the risk factors for incisional hernia and the modern surgical techniques that can prevent complications

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Published

2020-06-30

Issue

Vol. 3 No. 1 (2020): Vascular & Endovascular Review

Section

Articles