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Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis
- Source :
- Hernia. 25:295-303
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Unlike routine ventral hernia repair, abdominal wall reconstruction (AWR) can results in large pieces of mesh and extensive manipulation of the intra-abdominal contents, rendering subsequent laparoscopic cholecystectomy challenging. This study addresses the additional wound morbidity of concomitant cholecystectomy. The Americas Hernia Society Quality Collaborative (AHSQC) was retrospectively reviewed and logistic regression modeling was used to control for multiple covariates. Patients that underwent open AWR with cholecystectomy were compared to a similar group of patients undergoing uncomplicated, open, clean, AWR alone. 130 patients undergoing concomitant cholecystectomy were compared to a control group of 6440 patients. The addition of a cholecystectomy did not cause a significant change in wound morbidity (SSI: p = 0.16; SSOPI: p = 0.65). This study noted that a concomitant cholecystectomy does not increase the wound morbidity as compared to an uncomplicated, clean, AWR. This provides support for consideration of routine cholecystectomy in patients with cholelithiasis undergoing AWR.
- Subjects :
- medicine.medical_specialty
Ventral hernia repair
business.industry
medicine.medical_treatment
Abdominal wall reconstruction
030230 surgery
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
Concomitant
medicine
In patient
Cholecystectomy
Hernia
business
Laparoscopic cholecystectomy
Abdominal surgery
Subjects
Details
- ISSN :
- 12489204 and 12654906
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Hernia
- Accession number :
- edsair.doi...........1444724271e79b2d5c58b4a1f3a73aa8