“Happy to close?” The relationship between surgical experience and incisional hernia rates following abdominal wall closure in colorectal surgery

• DOI: 10.1111/codi.16537
• Publication Date: 2023-03-25T19:49:38Z
• Authors: Laurie Smith; Alexandra Coxon‐M...; Michael Shinkwin; Julie Cornish; Alan Watkins; Greg Fegan; Jared Torkington
• Keywords: Incisional Hernia; Colorectal Surgery; Exploratory laparotomy

Incisional hernia (IH) is a common complication of colorectal surgery, affecting up to 30% patients at 2 years. Given the associated morbidity and high recurrence rates after attempted repair IH, emphasis should be placed on prevention. There an association between surgeon volume outcomes in yet there little evidence regarding impact seniority performing abdominal wall closure IH rate. The aim our study was assess 1 year following junior senior surgeons undergoing elective surgery.This exploratory analysis who underwent surgery for cancer 2014-2018 as part Hughes Abdominal Repair Trial (HART), prospective, multicentre randomised control trial comparing methods. Grade categorised into "trainee" "consultant" compared rate one year.A total 663 were included this retrospective HART trial. closed by trainees 20%, 12% those consultants (p = <0.001). When methods, significantly higher arm (20% vs. 12%, p 0.032), but not enough mass reach statistical significance (21% 13%, 0.058). On multivariate analysis, age 0.036, OR: 1.02, 95% CI: 1.00-1.04), Male sex 0.049, 1.61, 1.00-2.59) trainee 0.006, 1.85, 1.20-2.85) identified risk factors developing IH.Patients undergo training have increased when consultant. Further work needed determine supervised unsupervised rates, regarded opportunity its own right.