Risk of Complications From Enterotomy or Unplanned Bowel Resection During Elective Hernia Repair

摘要: Hypothesis Enterotomy or unplanned bowel resection (EBR) may occur during elective incisional hernia repair (IHR) and significantly affects surgical outcomes hospital resource use. Design Retrospective review of patients undergoing IHR between January 1998 December 2002. Setting Sixteen tertiary care Veterans Affairs medical centers. Patients A total 1124 repairs identified in the National Surgical Quality Improvement Program data set. Intervention Elective IHR. Main Outcome Measures Thirty-day postoperative complication rate, return to operating room, length stay, operative time. Results Of procedures, 74.1% were primary IHR, 13.3% recurrent prior mesh 12.6% suture. Overall, 7.3% had an EBR. The incidence EBR was increased with repair: 5.3% for repair, 5.7% suture, 20.3% ( P Conclusions is more likely complicate mesh. occurrence associated complications, risk enterocutaneous fistula, hospitalization,