Risk factors for recurrence in blunt traumatic abdominal wall hernias: A secondary analysis of a Western Trauma association multicenter study

被引：1

作者：

Harrell, Kevin N. ^{[1
]}

Grimes, Arthur D. ^{[2
]}

Gill, Harkanwar ^{[2
]}

Reynolds, Jessica K. ^{[3
]}

Ueland, Walker R. ^{[3
]}

Sciarretta, Jason D. ^{[4
]}

Todd, Samual R. ^{[4
]}

Trust, Marc D. ^{[5
]}

Ngoue, Marielle ^{[5
]}

Thomas, Bradley W. ^{[6
]}

Ayuso, Sullivan A. ^{[6
]}

LaRiccia, Aimee ^{[7
]}

Spalding, M. Chance ^{[7
]}

Collins, Michael J. ^{[8
]}

Collier, Bryan R. ^{[8
]}

Karam, Basil S. ^{[9
]}

de Moya, Marc A. ^{[9
]}

Lieser, Mark J. ^{[10
]}

Chipko, John M. ^{[10
]}

Haan, James M. ^{[11
]}

Lightwine, Kelly L. ^{[11
]}

Cullinane, Daniel C. ^{[12
]}

Falank, Carolyne R. ^{[12
]}

Phillips, Ryan C. ^{[13
]}

Kemp, Michael T. ^{[14
]}

Alam, Hasan B. ^{[14
]}

Udekwu, Pascal O. ^{[15
]}

Sanin, Gloria D. ^{[16
]}

Hildreth, Amy N. ^{[16
]}

Biffl, Walter L. ^{[17
]}

Schaffer, Kathryn B. ^{[17
]}

Marshall, Gary ^{[18
]}

Muttalib, Omaer ^{[19
]}

Nahmias, Jeffry ^{[19
]}

Shahi, Niti ^{[20
]}

Moulton, Steven L. ^{[20
]}

Maxwell, Robert A. ^{[1
]}

机构：

[1] Univ Tennessee, Coll Med Chattanooga, 979 E 3rd St Suite B 401, Chattanooga, TN 37403 USA

[2] Univ Oklahoma, 800 Stanton L Young Blvd 9000, Oklahoma City, OK 73104 USA

[3] Univ Kentucky, Sch Med, 800 Rose St,MN268A, Lexington, KY 40536 USA

[4] Grady Hlth Syst, 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303 USA

[5] Univ Texas Austin, 1501 Red River St, Austin, TX 78712 USA

[6] Atrium Hlth Carolinas Med Ctr, 1000 Blythe Blvd, Charlotte, NC 28203 USA

[7] Grant Med Ctr, 111 S Grant Ave, Columbus, OH 43215 USA

[8] Caril Clin, 1906 Belleview Ave SE, Roanoke, VA 24014 USA

[9] Med Coll Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI 53226 USA

[10] Med Res Ctr, 2316 E Meyer Blvd, Kansas City, MO 64132 USA

[11] Ascens Via Christi St Francis Hosp, 929 St Francis, Wichita, KS 67214 USA

[12] Maine Med Ctr, 22 Bramhall St, Portland, ME 04102 USA

[13] Denver Hlth Med Ctr, 777 Bannock St, Denver, CO 80204 USA

[14] Univ Michigan, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA

[15] WakeMed Hlth, 3000 New Bern Ave, Raleigh, NC 27610 USA

[16] Wake Forest Sch Med, 1 Med Ctr Blvd, Winston Salem, NC 27157 USA

[17] Scripps Mem Hosp La Jolla, 9888 Genesee Ave, La Jolla, CA 92037 USA

[18] Med City Plano Hosp, 3901 W 15th St, Plano, TX 75075 USA

[19] Univ Calif Irvine, 101 City Dr S, Orange, CA 92868 USA

[20] Childrens Hosp Colorado, 13123 E 16th Ave, Aurora, CO 80045 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2023年 / 225卷 / 06期

关键词：

Trauma; Abdominal trauma; Hernia; Traumatic abdominal wall hernia; LAPAROSCOPIC REPAIR; MANAGEMENT; INJURIES;

D O I：

10.1016/j.amjsurg.2022.12.006

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：1069 / 1073

页数：5

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