Risk Factors for Surgical Complications in Ventral Hernia Repair

作者: Mikael Lindmark , Karin Strigård , Thyra Löwenmark , Ursula Dahlstrand , Ulf Gunnarsson

DOI: 10.1007/S00268-018-4642-6

关键词:

摘要: The aim of this study was to identify risk factors for an adverse event, i.e. early surgical complication, need ICU care and readmission, following ventral hernia repair. Our hypothesis that there is association between increased complication rate repair specific factors, including size, BMI > 35, concomitant bowel surgery, ASA-class, age, gender method Data from a database with prospectively entered data on 408 patients operated 2007 2014 at two Swedish university hospitals were analysed. A 3-month follow-up complications, intensive performed by reviewing the medical records. Eighty-one (20%) had registered complication. Fifty-eight (14%) these classed as Clavien I–IIIa, in 19 cases IIIb–IV reported. Large size associated Kendall Tau test analysis revealed proportional relationship modified outcome class (p < 0.001). Morbid obesity, method, recurrence, age surgery not statistically significant predictors events. Assessment aperture great importance preoperative evaluation consider post-operative complications. These results suggest careful attitude when applying watchful waiting concepts postponing achieve weight loss. delaying may result complications caused increasing size.

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