A comparison of early-ocurring and late-occurring incisional hernias after trans-umbilical versus circumbilical midline laparotomy in gynecologic oncology patients

Traditionally, laparotomies in gynecologic oncology were performed via midline incisions that circumnavigate the umbilicus. The rationale for this approach relates to concerns for postoperative wound dehiscence and incisional hernia formation. This study evaluated the rate of early- and late-occurring incisional hernia formation after transumbilical and circumbilical (around the umbilicus) midline laparotomies in a cohort of gynecologic oncology patients.