Author: Ross Samuel W. Oommen Bindhu Huntington Ciara Walters Amanda L. Lincourt Amy E. Kercher Kent W. Augenstein Vedra A. Heniford B. Todd
Publisher: Southeastern Surgical Congress
E-ISSN: 1555-9823|81|8|778-785
ISSN: 0003-1348
Source: The American Surgeon, Vol.81, Iss.8, 2015-08, pp. : 778-785
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Abstract
Modern adjuncts to complex, open ventral hernia repair often include component separation (CS) and/or panniculectomy (PAN). This study examines nationwide data to determine how these techniques impact postoperative complications. The National Surgical Quality Improvement Program database was queried from 2005 to 2013 for inpatient, elective open ventral hernia repairs (OVHR). Cases were grouped by the need for and type of concomitant advancement flaps: OVHR alone (OVHRA), OVHR with CS, OVHR with panniculectomy (PAN), or both CS and PAN (BOTH). Multivariate regression to control for confounding factors was conducted. There were 58,845 OVHR: 51,494 OVHRA, 5,357 CS, 1,617 PAN, and 377 BOTH. Wound complications (OVHRA 8.2%, CS 12.8%, PAN 14.4%, BOTH 17.5%), general complications (15.2%, 24.9%, 25.2%, 31.6%), and major complications (6.9%, 11.4%, 7.2%, 13.5%) were different between groups (
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