Obesity Stratification Predicts Short-Term Complications After Parastomal Hernia Repair
While previous studies have documented adverse outcomes among obese patients undergoing ventral and inguinal hernia repairs, there is a lack of literature regarding the impact of obesity on parastomal hernia (PSH) repair. This retrospective study aims to determine the value of obesity stratification...
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| Veröffentlicht in: | The Journal of surgical research 2022-12, Vol.280, p.27-34 |
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| creator | Khan, Mustafa Tamim Alam Patnaik, Ronit Hausman-Cohen, Lee Panchal, Olivia Ewart, Mackenzie Lovely, Rehana Sultana Rajesh, Aashish |
| description | While previous studies have documented adverse outcomes among obese patients undergoing ventral and inguinal hernia repairs, there is a lack of literature regarding the impact of obesity on parastomal hernia (PSH) repair. This retrospective study aims to determine the value of obesity stratification in predicting postoperative complications in patients undergoing PSH repair.
Outcomes of elective PSH repairs from 2010 to 2020 in the American College of Surgeons National Surgical Quality Improvement Program database were analyzed. Patient demographics, preoperative characteristics, and postoperative outcomes were compared using bivariate analysis and multivariable regression models.
A total of 2972 patients were retrospectively analyzed. Multivariable regression found, compared to nonobese patients, patients of obesity class ≥ II were 1.37 times more likely to develop complications overall (P = 0.006) and 1.55 times more likely to develop wound complications (P |
| doi_str_mv | 10.1016/j.jss.2022.07.002 |
| format | Article |
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Outcomes of elective PSH repairs from 2010 to 2020 in the American College of Surgeons National Surgical Quality Improvement Program database were analyzed. Patient demographics, preoperative characteristics, and postoperative outcomes were compared using bivariate analysis and multivariable regression models.
A total of 2972 patients were retrospectively analyzed. Multivariable regression found, compared to nonobese patients, patients of obesity class ≥ II were 1.37 times more likely to develop complications overall (P = 0.006) and 1.55 times more likely to develop wound complications (P < 0.001). This group also yielded a 1.60 times higher risk of developing superficial wound infection (P = 0.007) and a 1.63 times greater risk of developing postoperative sepsis (P = 0.044). Total length of stay was longer for patients of obesity class ≥ II but not for obesity class I when compared to patients with body mass index <30.0 kg/m2.
Patients with a body mass index ≥35.0 kg/m2 are more susceptible to an increased rate of complications after PSH repairs. The findings of this study will allow surgeons to stratify obese patients who would benefit from preoperative weight loss interventions prior to PSH repair and discuss associated risks with patients to facilitate informed consent.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2022.07.002</identifier><identifier>PMID: 35952554</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Hernia, Inguinal - surgery ; Hernia, Ventral - epidemiology ; Hernia, Ventral - etiology ; Hernia, Ventral - surgery ; Herniorrhaphy - adverse effects ; Humans ; Incisional hernia ; Incisional Hernia - epidemiology ; Incisional Hernia - etiology ; Incisional Hernia - surgery ; Obesity ; Obesity - complications ; Obesity - surgery ; Ostomy ; Parastomal hernia ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Retrospective Studies ; Surgical Mesh - adverse effects ; Ventral hernia</subject><ispartof>The Journal of surgical research, 2022-12, Vol.280, p.27-34</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-816a3920fcd28ccc5bb4293c05bc07bafc2bda7e420602b6df147b61b965efc3</citedby><cites>FETCH-LOGICAL-c353t-816a3920fcd28ccc5bb4293c05bc07bafc2bda7e420602b6df147b61b965efc3</cites><orcidid>0000-0002-5430-7572</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480422004371$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35952554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khan, Mustafa Tamim Alam</creatorcontrib><creatorcontrib>Patnaik, Ronit</creatorcontrib><creatorcontrib>Hausman-Cohen, Lee</creatorcontrib><creatorcontrib>Panchal, Olivia</creatorcontrib><creatorcontrib>Ewart, Mackenzie</creatorcontrib><creatorcontrib>Lovely, Rehana Sultana</creatorcontrib><creatorcontrib>Rajesh, Aashish</creatorcontrib><title>Obesity Stratification Predicts Short-Term Complications After Parastomal Hernia Repair</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>While previous studies have documented adverse outcomes among obese patients undergoing ventral and inguinal hernia repairs, there is a lack of literature regarding the impact of obesity on parastomal hernia (PSH) repair. This retrospective study aims to determine the value of obesity stratification in predicting postoperative complications in patients undergoing PSH repair.
Outcomes of elective PSH repairs from 2010 to 2020 in the American College of Surgeons National Surgical Quality Improvement Program database were analyzed. Patient demographics, preoperative characteristics, and postoperative outcomes were compared using bivariate analysis and multivariable regression models.
A total of 2972 patients were retrospectively analyzed. Multivariable regression found, compared to nonobese patients, patients of obesity class ≥ II were 1.37 times more likely to develop complications overall (P = 0.006) and 1.55 times more likely to develop wound complications (P < 0.001). This group also yielded a 1.60 times higher risk of developing superficial wound infection (P = 0.007) and a 1.63 times greater risk of developing postoperative sepsis (P = 0.044). Total length of stay was longer for patients of obesity class ≥ II but not for obesity class I when compared to patients with body mass index <30.0 kg/m2.
Patients with a body mass index ≥35.0 kg/m2 are more susceptible to an increased rate of complications after PSH repairs. The findings of this study will allow surgeons to stratify obese patients who would benefit from preoperative weight loss interventions prior to PSH repair and discuss associated risks with patients to facilitate informed consent.</description><subject>Hernia, Inguinal - surgery</subject><subject>Hernia, Ventral - epidemiology</subject><subject>Hernia, Ventral - etiology</subject><subject>Hernia, Ventral - surgery</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Humans</subject><subject>Incisional hernia</subject><subject>Incisional Hernia - epidemiology</subject><subject>Incisional Hernia - etiology</subject><subject>Incisional Hernia - surgery</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - surgery</subject><subject>Ostomy</subject><subject>Parastomal hernia</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><subject>Surgical Mesh - adverse effects</subject><subject>Ventral hernia</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFFLwzAQx4Mobk4_gC_SR19aL2nTtPgkQ50gbOjAx5CkV0xp15lkgt_eyKaPvtxxx-_-cD9CLilkFGh502Wd9xkDxjIQGQA7IlMKNU-rUuTHZBo3LC0qKCbkzPsO4lyL_JRMcl5zxnkxJW9Ljd6Gr-Q1OBVsa02s4yZZOWysCT55fR9dSNfohmQ-Dtv-APjkrg3okpVyyodxUH2yQLexKnnBrbLunJy0qvd4cegzsn64X88X6fPy8Wl-95yanOchrWip8ppBaxpWGWO41gWrcwNcGxBatYbpRgksGJTAdNm0tBC6pLouObYmn5HrfezWjR879EEO1hvse7XBceclE8BoJUTBIkr3qHGj9w5buXV2UO5LUpA_OmUno075o1OCkFFWvLk6xO_0gM3fxa-_CNzuAYw_flp00huLGxPlOTRBNqP9J_4biA2G2w</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Khan, Mustafa Tamim Alam</creator><creator>Patnaik, Ronit</creator><creator>Hausman-Cohen, Lee</creator><creator>Panchal, Olivia</creator><creator>Ewart, Mackenzie</creator><creator>Lovely, Rehana Sultana</creator><creator>Rajesh, Aashish</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5430-7572</orcidid></search><sort><creationdate>202212</creationdate><title>Obesity Stratification Predicts Short-Term Complications After Parastomal Hernia Repair</title><author>Khan, Mustafa Tamim Alam ; Patnaik, Ronit ; Hausman-Cohen, Lee ; Panchal, Olivia ; Ewart, Mackenzie ; Lovely, Rehana Sultana ; Rajesh, Aashish</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-816a3920fcd28ccc5bb4293c05bc07bafc2bda7e420602b6df147b61b965efc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Hernia, Inguinal - surgery</topic><topic>Hernia, Ventral - epidemiology</topic><topic>Hernia, Ventral - etiology</topic><topic>Hernia, Ventral - surgery</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Humans</topic><topic>Incisional hernia</topic><topic>Incisional Hernia - epidemiology</topic><topic>Incisional Hernia - etiology</topic><topic>Incisional Hernia - surgery</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - surgery</topic><topic>Ostomy</topic><topic>Parastomal hernia</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><topic>Surgical Mesh - adverse effects</topic><topic>Ventral hernia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khan, Mustafa Tamim Alam</creatorcontrib><creatorcontrib>Patnaik, Ronit</creatorcontrib><creatorcontrib>Hausman-Cohen, Lee</creatorcontrib><creatorcontrib>Panchal, Olivia</creatorcontrib><creatorcontrib>Ewart, Mackenzie</creatorcontrib><creatorcontrib>Lovely, Rehana Sultana</creatorcontrib><creatorcontrib>Rajesh, Aashish</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khan, Mustafa Tamim Alam</au><au>Patnaik, Ronit</au><au>Hausman-Cohen, Lee</au><au>Panchal, Olivia</au><au>Ewart, Mackenzie</au><au>Lovely, Rehana Sultana</au><au>Rajesh, Aashish</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity Stratification Predicts Short-Term Complications After Parastomal Hernia Repair</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2022-12</date><risdate>2022</risdate><volume>280</volume><spage>27</spage><epage>34</epage><pages>27-34</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>While previous studies have documented adverse outcomes among obese patients undergoing ventral and inguinal hernia repairs, there is a lack of literature regarding the impact of obesity on parastomal hernia (PSH) repair. This retrospective study aims to determine the value of obesity stratification in predicting postoperative complications in patients undergoing PSH repair.
Outcomes of elective PSH repairs from 2010 to 2020 in the American College of Surgeons National Surgical Quality Improvement Program database were analyzed. Patient demographics, preoperative characteristics, and postoperative outcomes were compared using bivariate analysis and multivariable regression models.
A total of 2972 patients were retrospectively analyzed. Multivariable regression found, compared to nonobese patients, patients of obesity class ≥ II were 1.37 times more likely to develop complications overall (P = 0.006) and 1.55 times more likely to develop wound complications (P < 0.001). This group also yielded a 1.60 times higher risk of developing superficial wound infection (P = 0.007) and a 1.63 times greater risk of developing postoperative sepsis (P = 0.044). Total length of stay was longer for patients of obesity class ≥ II but not for obesity class I when compared to patients with body mass index <30.0 kg/m2.
Patients with a body mass index ≥35.0 kg/m2 are more susceptible to an increased rate of complications after PSH repairs. The findings of this study will allow surgeons to stratify obese patients who would benefit from preoperative weight loss interventions prior to PSH repair and discuss associated risks with patients to facilitate informed consent.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35952554</pmid><doi>10.1016/j.jss.2022.07.002</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5430-7572</orcidid></addata></record> |
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| subjects | Hernia, Inguinal - surgery Hernia, Ventral - epidemiology Hernia, Ventral - etiology Hernia, Ventral - surgery Herniorrhaphy - adverse effects Humans Incisional hernia Incisional Hernia - epidemiology Incisional Hernia - etiology Incisional Hernia - surgery Obesity Obesity - complications Obesity - surgery Ostomy Parastomal hernia Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - surgery Retrospective Studies Surgical Mesh - adverse effects Ventral hernia |
| title | Obesity Stratification Predicts Short-Term Complications After Parastomal Hernia Repair |
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