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Sökning: onr:"swepub:oai:lup.lub.lu.se:47f1b123-a838-4d28-8001-a568a1afb1cf" > Cumulative incidenc...

Cumulative incidence of midline incisional hernia and its surgical treatment after radical cystectomy and urinary diversion for bladder cancer : A nation-wide population-based study

Liedberg, Fredrik (författare)
Lund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Skåne University Hospital,Department of Urology Skåne University Hospital, Malmö, Sweden; Institution of Translational Medicine, Lund University, Malmö, Sweden,Skane Univ Hosp, Sweden; Lund Univ, Sweden,Skane Univ Hosp, Dept Urol, Malmö, Sweden.;Lund Univ, Inst Translat Med, Malmö, Sweden.
Hagberg, Oskar (författare)
Lund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Region Skåne,Institution of Translational Medicine, Lund University, Malmö, Sweden; Regional Cancer Centre South, Region Skåne, Lund, Sweden,Lund Univ, Sweden; Reg Canc Ctr South, Sweden,Lund Univ, Inst Translat Med, Malmö, Sweden.;Reg Canc Ctr South, Lund, Region Skane, Sweden.
Aljabery, Firas (författare)
Linköping University,Division of Urology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden,Linköping Univ, Dept Clin & Expt Med, Div Urol, Linköping, Sweden.
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Gårdmark, Truls (författare)
Karolinska Institutet,Danderyd Hospital,Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden,Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.
Jahnson, Staffan (författare)
Linköpings universitet,Linköping University,Division of Urology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Urologiska kliniken i Östergötland,Linköping Univ, Dept Clin & Expt Med, Div Urol, Linköping, Sweden.
Jerlström, Tomas (författare)
Örebro universitet,Örebro University,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Urol, Örebro, Sweden.
Montgomery, Agneta (författare)
Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Institution of Clinical Sciences Malmö, Surgical Research Unit, Lund University, Lund, Sweden,Lund Univ, Sweden,Lund Univ, Inst Clin Sci Malmö, Surg Res Unit, Lund, Sweden.
Sherif, Amir (författare)
Umeå universitet,Umeå University,Urologi och andrologi,Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden,Umea Univ, Sweden,Umeå Univ, Dept Surg & Perioperat Sci Urol & Androl, Umeå, Sweden.
Ströck, Viveka (författare)
University of Gothenburg,Sahlgrenska University Hospital,Department of Urology, Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Urol, Gothenburg, Sweden.;Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Gothenburg, Sweden.
Häggström, Christel (författare)
Uppsala universitet,Umeå universitet,Uppsala University,Umeå University,Enheten för biobanksforskning,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Department of Biobank Research, Umeå University, Umeå, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Endokrinkirurgi,Umeå Univ, Dept Biobank Res, Umeå, Sweden.
Holmberg, Lars (författare)
Uppsala universitet,Uppsala University,King's College London,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; School of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom,Uppsala Univ, Sweden; Kings Coll London, England,Endokrinkirurgi,Kings Coll London, Sch Canc & Pharmaceut Sci, London, England.
Gardmark, Truls (författare)
Karolinska Inst, Sweden
Jerlstrom, Tomas (författare)
Orebro Univ, Sweden
Haggstrom, Christel (författare)
Umea Univ, Sweden; Uppsala Univ, Sweden
Abdul-Sattar Aljabery, Firas (författare)
Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Neurologiska kliniken i Linköping
Strock, Viveka (författare)
Univ Gothenburg, Sweden
Liedberg, F (författare)
Jahnson, S (författare)
Haggstrom, C (författare)
Jerlstrom, T (författare)
Strock, V (författare)
Aljabery, F (författare)
Gardmark, T (författare)
Hagberg, O (författare)
Montgomery, A (författare)
Holmberg, L (författare)
Sherif, A (författare)
visa färre...
 (creator_code:org_t)
Public Library of Science, 2021
2021
Engelska.
Ingår i: PLoS ONE. - : Public Library of Science. - 1932-6203. ; 16:2 February
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background and objective To study the cumulative incidence and surgical treatment of midline incisional hernia (MIH) after cystectomy for bladder cancer. Methods In the nationwide Bladder Cancer Data Base Sweden (BladderBaSe), cystectomy was performed in 5646 individuals. Cumulative incidence MIH and surgery for MIH were investigated in relation to age, gender, comorbidity, previous laparotomy and/or inguinal hernia repair, operative technique, primary/secondary cystectomy, postoperative wound dehiscence, year of surgery, and period-specific mean annual hospital cystectomy volume (PSMAV). Results Three years after cystectomy the cumulative incidence of MIH and surgery for MIH was 8% and 4%, respectively. The cumulative incidence MIH was 12%, 9% and 7% in patients having urinary diversion with continent cutaneous pouch, orthotopic neobladder and ileal conduit. Patients with postoperative wound dehiscence had a higher three-year cumulative incidence MIH (20%) compared to 8% without. The corresponding cumulative incidence surgery for MIH three years after cystectomy was 9%, 6%, and 4% for continent cutaneous, neobladder, and conduit diversion, respectively, and 11% for individuals with postoperative wound dehiscence (vs 4% without). Using multivariable Cox regression, secondary cystectomy (HR 1.3 (1.0-1.7)), continent cutaneous diversion (HR 1.9 (1.1-2.4)), robot-assisted cystectomy (HR 1.8 (1-3.2)), wound dehiscence (HR 3.0 (2.0-4.7)), cystectomy in hospitals with PSMAV 10-25 (HR 1.4 (1.0-1.9)), as well as cystectomy during later years (HRs 2.5- 3.1) were all independently associated with increased risk of MIH. Conclusions The cumulative incidence of MIH was 8% three years postoperatively, and increase over time. Avoiding postoperative wound dehiscence after midline closure is important to decrease the risk of MIH.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

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