Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis
| Autor: | Aldo Fafaj, Raha AlMarzooqi, Clayton C. Petro, Molly A. Olson, Michael J. Rosen, Shahed Tish, Thomas G. Stewart, David M. Krpata, Ajita S. Prabhu, Luciano Tastaldi |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ventral hernia repair business.industry medicine.medical_treatment Abdominal wall reconstruction 030230 surgery medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Concomitant medicine In patient Cholecystectomy Hernia business Laparoscopic cholecystectomy Abdominal surgery |
| Zdroj: | Hernia. 25:295-303 |
| ISSN: | 1248-9204 1265-4906 |
| Popis: | Unlike routine ventral hernia repair, abdominal wall reconstruction (AWR) can results in large pieces of mesh and extensive manipulation of the intra-abdominal contents, rendering subsequent laparoscopic cholecystectomy challenging. This study addresses the additional wound morbidity of concomitant cholecystectomy. The Americas Hernia Society Quality Collaborative (AHSQC) was retrospectively reviewed and logistic regression modeling was used to control for multiple covariates. Patients that underwent open AWR with cholecystectomy were compared to a similar group of patients undergoing uncomplicated, open, clean, AWR alone. 130 patients undergoing concomitant cholecystectomy were compared to a control group of 6440 patients. The addition of a cholecystectomy did not cause a significant change in wound morbidity (SSI: p = 0.16; SSOPI: p = 0.65). This study noted that a concomitant cholecystectomy does not increase the wound morbidity as compared to an uncomplicated, clean, AWR. This provides support for consideration of routine cholecystectomy in patients with cholelithiasis undergoing AWR. |
| Databáze: | OpenAIRE |
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