Incisional hernia after abdominal surgery in infants: A retrospective analysis of incidence and risk factors

Topic overview

Retrospective study of 2,055 infants found a 5.2% incidence of incisional hernia after abdominal surgery, with highest rates in necrotizing enterocolitis (12%), gastroschisis (19%), and omphalocele (17%). Key risk factors include wound infection (OR 5.3), preterm birth (OR 4.2), and prior stoma (OR 1.7), with 15% resolving spontaneously without surgical intervention.

Key takeaways

Incisional hernia occurs in 5.2% of infants after abdominal surgery, higher than previously reported rates.
Necrotizing enterocolitis, gastroschisis, and omphalocele carry the highest risk (12-19% incidence) for developing incisional hernia.
Wound infection (OR 5.3), preterm birth (OR 4.2), and stoma history (OR 1.7) are independent risk factors for incisional hernia.
15% of incisional hernias in infants resolve spontaneously without surgical intervention.

Keywords

Incisional Hernia Pediatric Surgery Necrotizing Enterocolitis Gastroschisis Wound Infection Preterm Infants Abdominal Wall Defects

Hashtags

#PediatricSurgery #IncisionalHernia #NeonatalSurgery #Gastroschisis

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