umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Risk Factors for Surgical Complications in Ventral Hernia Repair
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. (Clister)
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. (Clister)
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
(Clister)
Show others and affiliations
2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 42, no 11, p. 3528-3536Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: The aim of this study was to identify risk factors for an adverse event, i.e. early surgical complication, need for ICU care and readmission, following ventral hernia repair. Our hypothesis was that there is an association between an increased complication rate following ventral hernia repair and specific factors, including hernia size, BMI > 35, concomitant bowel surgery, ASA-class, age, gender and method of hernia repair.

METHODS: Data from a hernia database with prospectively entered data on 408 patients operated for ventral hernia between 2007 and 2014 at two Swedish university hospitals were analysed. A 3-month follow-up of complications, need for intensive care and readmission, was performed by reviewing the medical records.

RESULTS: Eighty-one of 408 patients (20%) had a registered complication. Fifty-eight (14%) of these were classed as Clavien I-IIIa, and in 19 cases a Clavien IIIb-IV complication was reported. Large hernia size was associated with increased risk for early complication. A Kendall Tau test analysis revealed a proportional relationship between hernia size and modified Clavien outcome class (p < 0.001). Morbid obesity, ASA-class, method, hernia recurrence, age and concomitant bowel surgery were not statistically significant predictors of adverse events.

CONCLUSIONS: Assessment of hernia aperture size is of great importance in the preoperative evaluation of ventral hernia patients to consider risk for post-operative complications. These results suggest a careful attitude when applying watchful waiting concepts and when postponing hernia surgery to achieve weight loss. A delaying attitude may result in increased risk of complications caused by increasing hernia size.

Place, publisher, year, edition, pages
Springer, 2018. Vol. 42, no 11, p. 3528-3536
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-148354DOI: 10.1007/s00268-018-4642-6PubMedID: 29700567OAI: oai:DiVA.org:umu-148354DiVA, id: diva2:1213120
Funder
Västerbotten County Council, VLL-567051Available from: 2018-06-04 Created: 2018-06-04 Last updated: 2018-11-01Bibliographically approved

Open Access in DiVA

fulltext(749 kB)2 downloads
File information
File name FULLTEXT01.pdfFile size 749 kBChecksum SHA-512
dbdd638a33b0c035a14fa20d781a6d6b8a3dc4d616ba6b0d9c7d9e88d41303c517d93ef780532276a6637e6cf83872fac9d85618c26c2f6a56355d81d7973891
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Lindmark, MikaelStrigård, KarinGunnarsson, Ulf

Search in DiVA

By author/editor
Lindmark, MikaelStrigård, KarinGunnarsson, Ulf
By organisation
Surgery
In the same journal
World Journal of Surgery
Surgery

Search outside of DiVA

GoogleGoogle Scholar
Total: 2 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 5 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf