Component separation and large incisional hernia: predictive factors of recurrence
| Autor: | José Bueno-Lledó, Fernando Carbonell-Tatay, S Bonafe-Diana, Antonio Torregrosa-Gallud, Salvador Pous-Serrano |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis Incisional hernia medicine.medical_treatment Physical examination Prosthesis Recurrence medicine Humans Incisional Hernia Surgical Wound Infection Hernia Herniorrhaphy Retrospective Studies medicine.diagnostic_test business.industry Abdominal Wall Retrospective cohort study Surgical Mesh medicine.disease Hernia Ventral Surgery Concomitant Abdominal wall repair Component separation Hernia Recurrence Risk factors business human activities Abdominal surgery |
| Zdroj: | Hernia : the journal of hernias and abdominal wall surgery r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 1248-9204 1265-4906 |
| Popis: | To clarify the factors related to recurrence after component separation technique (CST). A retrospective study was conducted of 381 patients who underwent CST between May 2006 and May 2017 at a tertiary center. All patients had a transverse hernia defect grade W3 in EHS classification. Recurrence rate was determined by clinical examination plus confirmation by abdominal CT scan. At a median of 61.6 months of postoperative follow-up, we reported 34 cases of hernia recurrence (8.9%). On multivariate analysis, BMI > 30 (OR 2.20; CI 1.10–3.91, p = 0.031), immunosuppressive drug use (OR 1.06 CI 1.48–2.75, p = 0.003) and development of surgical site infection (OR 2.7; CI 1.53–4.01, p = 0.002) were factors of recurrence after CST. There was no difference in recurrence rate among repairs of primary and recurrent hernias, urgent repair, operative time, type of prosthesis, or concomitant procedures, even planned or unplanned enterotomies. Obesity (BMI > 30), immunosuppressive drug use, and postoperative wound infections were predictors of recurrence after CST. |
| Databáze: | OpenAIRE |
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