Body Mass Index Within Multifactor Predictors of Ventral Hernia Recurrence: A Retrospective Cohort Study.
| Autor: | Alansari AH Sr; General Surgery, King Abdulaziz University Hospital, Jeddah, SAU., Almalawi AM; Infectious Diseases, King Abdulaziz University Hospital, Jeddah, SAU., Alghamdi A; Infectious Diseases, King Abdulaziz University Hospital, Jeddah, SAU., Alghamdi MS; Family, King Abdulaziz University Hospital, Jeddah, SAU., Hazazi HA; Infectious Diseases, King Abdulaziz University Hospital, Jeddah, SAU., Aljabri AA; Pathology, King Abdulaziz University Hospital, Jeddah, SAU., Alsulami RA; Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU., Alkhoshi AM; Neurosurgery, King Abdulaziz University Hospital, Jeddah, SAU., Khinaifis F; Surgical Oncology, King Abdulaziz University Hospital, Jeddah, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jun 29; Vol. 15 (6), pp. e41148. Date of Electronic Publication: 2023 Jun 29 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.41148 |
| Abstrakt: | Background A ventral hernia is a protrusion of the peritoneum through the defective abdominal wall. Several risk factors increase the likelihood of hernial recurrence. One of the most common risk factors is obesity, defined by the World Health Organization (WHO) as increased body mass index (BMI). Few studies have explored the effects of BMI and other factors on hernia recurrence. Hence, we aimed to investigate the role of increased BMI in hernia recurrence in conjunction with various risk factors such as age, sex, type of hernia, the time elapsed between the occurrence and recurrence, complications of hernia, and procedure. Methods This retrospective cohort study was conducted at King Abdulaziz University Hospital (KAUH). All the patients were admitted between 2015-2022. A total of 1676 medical records were obtained from all patients who underwent hernia repair more than once or were diagnosed with a recurrent hernia during the study period. Results Our study revealed an insignificant correlation between a BMI of more than 25 kg/m 2 and the recurrence of inguinal hernias, predominantly indirect hernias. Furthermore, overweight and obese patients experience a longer interval between the first and second hernia repairs. Interestingly, all the patients with inguinal and umbilical hernias had the same diagnosis at the second presentation. However, the findings also included a significant increase in umbilical hernias in individuals with a high BMI and higher recurrence rates among male patients with inguinal hernias. Conclusion BMI higher than 25 kg/m 2 increases recurrence rates for umbilical hernias but decreases the recurrence of inguinal hernias. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alansari et al.) |
| Databáze: | MEDLINE |
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