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Subxiphoid incisional hernias post median sternotomy: A Literature review
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  • Jeremy Chan,
  • James O’Hanlon,
  • Joshua McKenna,
  • Shwe Oo
Jeremy Chan
Bristol Medical School
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James O’Hanlon
Swansea University Medical School
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Joshua McKenna
Swansea University Medical School
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Shwe Oo
Bristol Royal Infirmary
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Abstract

Background: Subxiphoid incisional hernias are one of the complications following a median sternotomy, a surgical procedure to provide access to the mediastinum. Incidence has been reported between 1-4%, although the true incidence is not well known due to its asymptomatic nature. Method: A comprehensive search was performed on multiple sites. Keywords included “incisional hernia OR Subxiphoid hernia” AND “Median sternotomy OR Cardiac Surgery OR Coronary artery bypass graft OR Transplant OR Valve replacement”. Articles up to 1st of August 2020 were included in this study. Results: 8 articles were included in the study, with a total number of 132 patient identified. The incidence ranged from 0.81% to 3.44%. There was a mixture of repair method and follow up period reported. Recurrence post-repair ranged from 10% to 43%. Conclusion: Subxiphoid incisional hernias remains challenging to manage. We have discussed the incidence, risk factors, preventions, and management of subxiphoid incisional hernias including both the open and laparoscopic technique.

Peer review status:IN REVISION

23 Aug 2020Submitted to Journal of Cardiac Surgery
24 Aug 2020Assigned to Editor
24 Aug 2020Submission Checks Completed
21 Sep 2020Review(s) Completed, Editorial Evaluation Pending
21 Sep 2020Editorial Decision: Revise Minor