Predictors of recurrence of umbilical hernias following primary tissue repair in obese veterans

Jie J. Yao; Thai Pham; Ali El Mokdad; Sergio Huerta

doi:10.1016/j.amjsurg.2015.03.014

Predictors of recurrence of umbilical hernias following primary tissue repair in obese veterans

Jie J. Yao, Thai Pham, Ali El Mokdad, Sergio Huerta

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Background Factors that determine recurrence and complications following primary tissue repair of umbilical hernias (UHs) and the approach to repair UHs in obese patients need further analysis. Methods A retrospective review of UH repair (UHR) conducted at our institution was undertaken. Patients were grouped by body mass index (BMI) and compared for recurrence and complications. Univariate and multivariate analyses were performed. Results In total, 199 patients (BMI 32.3 kg/m², 97% male, 77% Caucasian, American Society of Anesthesiologists class III/IV 59.2%) underwent primary tissue UHR. There were 8 recurrences (4.0%); average follow-up 3.9 ± 2.4 years (range 30 days to 9.2 years). There were no recurrences among normal BMI patients (0/11); 3 in overweight (3/54), 2 in class I obese (2/73), 2 in class II obese (2/47), and 1 in morbidly obese (1/14) patients (P =.84). Albumin and American Society of Anesthesiologists were similar in all groups. Recurrence rates among obese and nonobese patients were not significantly different (3.7% vs 4.6%, P =.72). There were 18 (9.0%) complications. BMI was not associated with complications. Conclusion Primary tissue repair is a feasible approach for UHR in obese patients.

Original language	English (US)
Pages (from-to)	18-23
Number of pages	6
Journal	American journal of surgery
Volume	211
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2015.03.014
State	Published - Jan 1 2016

Keywords

Incisional hernia
Laparoscopic hernia repair
Recurrent hernia
Ventral hernia

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2015.03.014

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title = "Predictors of recurrence of umbilical hernias following primary tissue repair in obese veterans",

abstract = "Background Factors that determine recurrence and complications following primary tissue repair of umbilical hernias (UHs) and the approach to repair UHs in obese patients need further analysis. Methods A retrospective review of UH repair (UHR) conducted at our institution was undertaken. Patients were grouped by body mass index (BMI) and compared for recurrence and complications. Univariate and multivariate analyses were performed. Results In total, 199 patients (BMI 32.3 kg/m2, 97% male, 77% Caucasian, American Society of Anesthesiologists class III/IV 59.2%) underwent primary tissue UHR. There were 8 recurrences (4.0%); average follow-up 3.9 ± 2.4 years (range 30 days to 9.2 years). There were no recurrences among normal BMI patients (0/11); 3 in overweight (3/54), 2 in class I obese (2/73), 2 in class II obese (2/47), and 1 in morbidly obese (1/14) patients (P =.84). Albumin and American Society of Anesthesiologists were similar in all groups. Recurrence rates among obese and nonobese patients were not significantly different (3.7% vs 4.6%, P =.72). There were 18 (9.0%) complications. BMI was not associated with complications. Conclusion Primary tissue repair is a feasible approach for UHR in obese patients.",

keywords = "Incisional hernia, Laparoscopic hernia repair, Recurrent hernia, Ventral hernia",

author = "Yao, {Jie J.} and Thai Pham and Mokdad, {Ali El} and Sergio Huerta",

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AU - Yao, Jie J.

AU - Pham, Thai

AU - Mokdad, Ali El

AU - Huerta, Sergio

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Y1 - 2016/1/1

N2 - Background Factors that determine recurrence and complications following primary tissue repair of umbilical hernias (UHs) and the approach to repair UHs in obese patients need further analysis. Methods A retrospective review of UH repair (UHR) conducted at our institution was undertaken. Patients were grouped by body mass index (BMI) and compared for recurrence and complications. Univariate and multivariate analyses were performed. Results In total, 199 patients (BMI 32.3 kg/m2, 97% male, 77% Caucasian, American Society of Anesthesiologists class III/IV 59.2%) underwent primary tissue UHR. There were 8 recurrences (4.0%); average follow-up 3.9 ± 2.4 years (range 30 days to 9.2 years). There were no recurrences among normal BMI patients (0/11); 3 in overweight (3/54), 2 in class I obese (2/73), 2 in class II obese (2/47), and 1 in morbidly obese (1/14) patients (P =.84). Albumin and American Society of Anesthesiologists were similar in all groups. Recurrence rates among obese and nonobese patients were not significantly different (3.7% vs 4.6%, P =.72). There were 18 (9.0%) complications. BMI was not associated with complications. Conclusion Primary tissue repair is a feasible approach for UHR in obese patients.

AB - Background Factors that determine recurrence and complications following primary tissue repair of umbilical hernias (UHs) and the approach to repair UHs in obese patients need further analysis. Methods A retrospective review of UH repair (UHR) conducted at our institution was undertaken. Patients were grouped by body mass index (BMI) and compared for recurrence and complications. Univariate and multivariate analyses were performed. Results In total, 199 patients (BMI 32.3 kg/m2, 97% male, 77% Caucasian, American Society of Anesthesiologists class III/IV 59.2%) underwent primary tissue UHR. There were 8 recurrences (4.0%); average follow-up 3.9 ± 2.4 years (range 30 days to 9.2 years). There were no recurrences among normal BMI patients (0/11); 3 in overweight (3/54), 2 in class I obese (2/73), 2 in class II obese (2/47), and 1 in morbidly obese (1/14) patients (P =.84). Albumin and American Society of Anesthesiologists were similar in all groups. Recurrence rates among obese and nonobese patients were not significantly different (3.7% vs 4.6%, P =.72). There were 18 (9.0%) complications. BMI was not associated with complications. Conclusion Primary tissue repair is a feasible approach for UHR in obese patients.

KW - Incisional hernia

KW - Laparoscopic hernia repair

KW - Recurrent hernia

KW - Ventral hernia

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Predictors of recurrence of umbilical hernias following primary tissue repair in obese veterans

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