Predictors of wound infection in ventral hernia repair
- PMID: 16226938
- DOI: 10.1016/j.amjsurg.2005.06.041
Predictors of wound infection in ventral hernia repair
Abstract
Background: Postoperative wound infection is a significant risk factor for recurrence after ventral hernia repair (VHR). The current study examines patient- and procedure-specific variables associated with wound infection.
Methods: A cohort of subjects undergoing VHR from 13 regional Veterans Health Administration (VHA) sites was identified. Patient-specific risk variables were obtained from National Surgical Quality Improvement Program (NSQIP) data. Operative variables were obtained from physician-abstracted operative notes. Univariate and multivariable logistic regression analysis was used to model predictors of postoperative wound infection.
Results: A total of 1505 VHR cases were used for analysis; wound infection occurred in 5% (n = 74). Best-fit logistic regression models demonstrated that steroid use, smoking, prolonged operative time, and use of absorbable mesh, acting as a surrogate marker for a more complex procedure, were significant independent predictors of wound infection.
Conclusion: Permanent mesh placement was not associated with postoperative wound infection. Smoking was the only modifiable risk factor and preoperative smoking cessation may improve surgical outcomes in VHR.
Similar articles
-
Does a history of wound infection predict postoperative surgical site infection after ventral hernia repair?Am J Surg. 2012 Mar;203(3):370-4; discussion 374. doi: 10.1016/j.amjsurg.2011.12.001. Am J Surg. 2012. PMID: 22364903
-
Use of mesh during ventral hernia repair in clean-contaminated and contaminated cases: outcomes of 33,832 cases.Ann Surg. 2012 Jan;255(1):176-80. doi: 10.1097/SLA.0b013e31822518e6. Ann Surg. 2012. PMID: 21677561
-
Evaluation of high-risk, comorbid patients undergoing open ventral hernia repair with synthetic mesh.Surgery. 2013 Jan;153(1):120-5. doi: 10.1016/j.surg.2012.06.003. Epub 2012 Aug 3. Surgery. 2013. PMID: 22862901
-
[Prognosis and prophylaxis of wound complications after plastic repair of ventral hernias].Khirurgiia (Mosk). 2003;(11):54-60. Khirurgiia (Mosk). 2003. PMID: 15055195 Review. Russian. No abstract available.
-
Preoperative risk reduction: strategies to optimize outcomes.Surg Clin North Am. 2013 Oct;93(5):1041-55. doi: 10.1016/j.suc.2013.06.015. Epub 2013 Aug 6. Surg Clin North Am. 2013. PMID: 24035075 Review.
Cited by
-
Effect of topical gentamicin in preventing surgical site infection in elective incisional hernia repair in a randomized controlled trial.Sci Rep. 2024 Nov 20;14(1):28755. doi: 10.1038/s41598-024-80112-y. Sci Rep. 2024. PMID: 39567596 Free PMC article. Clinical Trial.
-
The impact of smoking on ventral and inguinal hernia repair: a systematic review and meta-analysis.Hernia. 2024 Dec;28(6):2079-2095. doi: 10.1007/s10029-024-03122-9. Epub 2024 Jul 31. Hernia. 2024. PMID: 39085514
-
Ventral Hernia Reconstruction with GORE ENFORM Biomaterial.Plast Surg (Oakv). 2024 May;32(2):321-328. doi: 10.1177/22925503221120575. Epub 2022 Aug 22. Plast Surg (Oakv). 2024. PMID: 38681247
-
Epidemiology and surgical management of 184 obturator hernias: a nationwide registry-based cohort study.Hernia. 2023 Dec;27(6):1451-1459. doi: 10.1007/s10029-023-02891-z. Epub 2023 Sep 25. Hernia. 2023. PMID: 37747656
-
Xenogeneic Mesh Provides Safe and Durable Long-Term Outcomes in Abdominal Wall Reconstruction of High-Risk Centers for Disease Control and Prevention Class III and IV Defects.Ann Surg Open. 2022 Apr 1;3(2):e152. doi: 10.1097/AS9.0000000000000152. eCollection 2022 Jun. Ann Surg Open. 2022. PMID: 37601613 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
