Outcomes of Combined Hernia Repair and Peritoneal Dialysis Catheter Placement: A NSQIP Analysis
| Autor: | Christian de Virgilio, Ashkan Moazzez, Eric R. Simms, Emily D. Dubina, Cynthia M. Tom |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Significant difference 030232 urology & nephrology General Medicine Hernia repair medicine.disease Peritoneal dialysis Surgery 03 medical and health sciences 0302 clinical medicine Ascites Peritoneal dialysis catheter Medicine Operative time Hernia 030212 general & internal medicine medicine.symptom business Catheter placement |
| Zdroj: | The American Surgeon. 84:1604-1607 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Historically, hernias were repaired before peritoneal dialysis (PD) catheter placement to obviate hernia complications, or after PD catheter placement once hernias became symptomatic or complicated. The aim of this study was to evaluate the outcomes and safety of combined hernia repair and PD catheter placement (HPD) compared with PD catheter placement alone. Within the NSQIP databases (2005–2014), 4406 patients who underwent PD catheter placement alone and 330 patients who underwent HPD were identified. Thirty-day outcomes were compared. Overall, HPD patients were older (61 vs 57 years, P < 0.001), male (72.4% vs 56.1%, P < 0.001), and more likely to have ascites (3.6% vs 1.0%, P < 0.001). Umbilical hernias (87.9%) were most commonly repaired. There was no significant difference in mortality, morbidity, superficial surgical site infection, deep SSI, organ/space SSI, readmission, or reoperation rates. HPD was associated with shorter length of stay (1.1 vs 1.7 days, P = 0.010) and longer mean operative time (66.1 vs 43.7 minutes, P < 0.001). On multivariate analyses, HPD was not an independent predictor of morbidity or mortality. In conclusion, HPD can be safely performed to prevent future complications and additional operations. |
| Databáze: | OpenAIRE |
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