Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis.
Purpose: Body mass index (BMI) ≥ 35 kg/m2 is a known independent risk factor for complications following open ventral hernia repair (VHR). We sought to examine the relationship between BMI and minimally invasive VHR.Methods: The ACS-NSQIP database was queried for all patients age ≥ 18 years undergoi...
| Publicado en: | Hernia Vol. 23; no. 5; pp. 899 - 908 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Oct2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139546003&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139546003 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12654906 NQ8 jtl: Hernia issn: 12654906 maglogo: N pubinfo: dt: Oct2019 vid: 23 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139546003 139546003 143994518 NLM31006062 10.1007/s10029-019-01944-6 NLM31006062 139546003 ppf: 899 ppct: 9 formats: tig: atl: Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis. aug: au: Owei, L. Swendiman, R. A. Torres-Landa, S. Dempsey, D. T. Dumon, K. R. affil: Perelman School of Medicine, University of Pennsylvania, 19104, Philadelphia, PA, USA sug: subj: Herniorrhaphy Methods Herniorrhaphy Adverse Effects Hernia Surgery Postoperative Complications Epidemiology Hernia Epidemiology Body Mass Index Obesity, Morbid Diagnosis Obesity, Morbid Epidemiology Risk Assessment Adult Male Resource Databases Middle Age United States Risk Factors Comorbidity Female Minimally Invasive Procedures Methods Impact of Events Scale Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: Body mass index (BMI) ≥ 35 kg/m2 is a known independent risk factor for complications following open ventral hernia repair (VHR). We sought to examine the relationship between BMI and minimally invasive VHR.Methods: The ACS-NSQIP database was queried for all patients age ≥ 18 years undergoing minimally invasive VHR (2005-2015). Patients were stratified into seven BMI classes: underweight (BMI < 18.5 kg/m2), normal weight (BMI 18.5-24.9), overweight (25-29.9), obese (30-34.5), severely obese (35-39.9), morbidly obese (40-49.9), and super obese (BMI ≥ 50), as well as by hernia type (reducible vs. strangulated) and time of repair (initial vs. recurrent). Multivariate logistic regression was employed to assess the risk of complication by BMI class.Results: A total of 55,180 patients met inclusion criteria, and 61.4% had a BMI > 30 kg/m2. When stratified by BMI class, we found significant differences in age, gender, race, comorbidities, and pre-operative characteristics across groups. The overall complication rate was 4.0%, ranging from 3.0% for normal BMI patients, to 6.9% for patients with a BMI ≥ 50 kg/m2. Recurrent repairs and strangulated hernias both demonstrated higher complication rates. All complications (surgical and medical) were significantly associated with BMI class after adjustment (p < 0.0001). Patients with a BMI ≥ 50 kg/m2 had a 1.4 times greater risk for complications than patients with normal BMIs (18-24.9 kg/m2, p = 0.01).Conclusion: BMI ≥ 50 kg/m2 was determined to be an independent risk factor for surgical and medical complications after minimally invasive VHR. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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