EARLY INCISIONAL HERNIA AFTER LIVER TRANSPLANTATION: RISK FACTORS AND HERNIA REPAIR RESULTS

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 RESUMO elucidated, -such Racional: as risk O factors tratamento and de prophylactic escolha measures. para AIM:pacientesThis studycom aimed tohipertensao define theportal rate esquistossomotica com sangramento de varizes e a desconexao azigo-portal mis of incisional hernia in patients who underwent liver transplantation in a population in southern Brazil esplenectomia (DAPE) associada a terapia endoscopica. Porem, estudos mostram aumento 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 do calibre das varizes em alguns pacientes durante o seguimento em longo prazo. Objetivo: January 2004 to November 2020 were retrospectively analyzed, assessing demographic features, Avaliar o impacto da DAPE e tratament endoscopico pos-operatorio no comportamento surgical outcomes, and predisposing factors. RESULTS: Among 261 liver transplantation patients das included,varizes inciinalesofagicas hernia e wasrecidiva diagnosedhemorragica, in 71 de (27.2%). pacientesOf the 71 incisionalesquistossomoticos. hernia patients,Metodos: 28 Foram estudados 36 pacientes com seguimento superior a cinco anos, distribuidos em (39.4%) developed IH during the first post-transplant. Majority of the patients were male (52/71, dois grupos: queda da pressao portal abaixo de 30% e acima de 30% comparados com o 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 calibre das varizes esofagicas no pos-operatorio precoce e tardio alem do indice de recidiva (p<0.001) were risk factors for IH. In all, 28 (39.4%) patients were submitted for hernia repair with hemorragic. Reuultadou mesh, with a recurrence rate of 17.8%. CONCLUSION: Incisional hernia after liver transplantation is a esofagicasrelatively que,common duranteproblem o seguimentoassociated with maleaumentaram gender, de calibrediabetes, e and foramacute cellularcontroladas rejection.com This is a problem that should not be trivialized in view of the complexity of liver transplantation, as o comportamento do calibre das varizes no pos-operatorio precoce nem tardio nem os it can lead to a reduction in quality of life as well as jeopardize late liver transplantation results and lead to incarceration and strangulation.