1. Risk factors for recurrence in blunt traumatic abdominal wall hernias: A secondary analysis of a Western Trauma association multicenter study.
- Author
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Harrell KN, Grimes AD, Gill H, Reynolds JK, Ueland WR, Sciarretta JD, Todd SR, Trust MD, Ngoue M, Thomas BW, Ayuso SA, LaRiccia A, Spalding MC, Collins MJ, Collier BR, Karam BS, de Moya MA, Lieser MJ, Chipko JM, Haan JM, Lightwine KL, Cullinane DC, Falank CR, Phillips RC, Kemp MT, Alam HB, Udekwu PO, Sanin GD, Hildreth AN, Biffl WL, Schaffer KB, Marshall G, Muttalib O, Nahmias J, Shahi N, Moulton SL, and Maxwell RA
- Subjects
- Humans, Female, Laparotomy adverse effects, Risk Factors, Surgical Mesh adverse effects, Abdominal Injuries epidemiology, Abdominal Injuries surgery, Abdominal Injuries complications, Wounds, Nonpenetrating surgery, Wounds, Nonpenetrating complications, Hernia, Abdominal surgery, Abdominal Wall surgery, Hernia, Ventral surgery
- Abstract
Background: Few studies have investigated risk factors for recurrence of blunt traumatic abdominal wall hernias (TAWH)., Methods: Twenty trauma centers identified repaired TAWH from January 2012 to December 2018. Logistic regression was used to investigate risk factors for recurrence., Results: TAWH were repaired in 175 patients with 21 (12.0%) known recurrences. No difference was found in location, defect size, or median time to repair between the recurrence and non-recurrence groups. Mesh use was not protective of recurrence. Female sex, injury severity score (ISS), emergency laparotomy (EL), and bowel resection were associated with hernia recurrence. Bowel resection remained significant in a multivariable model., Conclusion: Female sex, ISS, EL, and bowel resection were identified as risk factors for hernia recurrence. Mesh use and time to repair were not associated with recurrence. Surgeons should be mindful of these risk factors but could attempt acute repair in the setting of appropriate physiologic parameters., Competing Interests: Declaration of competing interest The authors have no financial conflicts of interest to disclose., (Copyright © 2022. Published by Elsevier Inc.)
- Published
- 2023
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