Surgical site occurrences, not body mass index, increase the long-term risk of ventral hernia recurrence.

ABSTRACT:

Background

Recurrence rates after ventral hernia repair vary widely and evidence about risk factors for recurrence are conflicting. There is little evidence for risk factors for long-term recurrence.

Methods

Patients who underwent ventral hernia repair at our institution and were captured in the American College of Surgeons-National Surgical Quality Improvement Program database between 2002 and 2015 were included. We reviewed all demographic, procedural, and hernia-specific data.

Results

Six hundred and thirty patients were included for analysis with a median follow-up of 4.9 years (inter-quartile range, 2-7.3 years). By univariate analysis, index hernia repairs were more likely to recur if defect size was ≥4 cm (P = .019), no mesh was used (P = .026), or if the repai

SUBMITTER: Jolissaint JS 

PROVIDER: S-EPMC8186954 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature