OC-116 IMPACT ANALYSIS OF DIASTASIS RECTI ASSOCIATION IN PRIMARY VENTRAL HERNIA REPAIR. OUR EXPERIENCE

Autor: A Bravo Salva, G Bosch Silvela, M Perez Guitart, M Gimeno Lopez, M Pera Roman, J A Pereira Rodriguez, L Lorente Poch
Rok vydání: 2023
Předmět:
Zdroj: British Journal of Surgery. 110
ISSN: 1365-2168
0007-1323
DOI: 10.1093/bjs/znad080.123
Popis: Aim The aim of the study is to analyze concomitant diastasis recti impact in ventral hernia repair in our experience. Material and methods An observational single-center retrospective analysis was performed. We analyzed primary ventral hernia preperitoneal repairs in our Hospital from 2019 to 2021. Two groups were compared according to the presence of concomitant diastasis recti or not. We performed a descriptive analysis; comparative univariate analysis for complication and recurrence and risk factors analysis. Results From 312 ventral hernia repairs a total of 279 (89%) preperitoneal open hernia repairs were performed. 18 (6.5%) patients had diastasis recti. 236 (84.6%%) were day case surgery. 7 (13.4%) patients had surgical complications. There were no reoperations, 4 readmissions (1.4%%), and 1 death (0.3%) Diastasis recti group had no statistically significative difference with the control group except that more frequently were repaired by an abdominal wall surgeon specialist 1.2 vs 5.9%; p= 0.009) In complications risk factors univariate analysis higher size of mesh and hernia defect and lower mesh/defect ratio were associated with more complications. Recurrence was significatively lower in patients with chronic renal failure. No risk factors for recurrence were found. Conclusions In our ventral hernia repair serie small or medium size diastasis recti associated to ventral hernia repair seem not to impact in hernia repair outcomes. Diastasis repair should carefully take it into account when repairing an associated ventral hernia repair in order to not increase surgery complications. And mesh/hernia defect size ratio is related to complications.
Databáze: OpenAIRE
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