Identification of risk factors for evisceration in open radical cystectomy

Actas urologicas espanolas Pub Date : 2025-07-01 DOI:10.1016/j.acuroe.2025.501759

R. Monsonís-Usó , P. Ponce-Blasco , B. Amaya-Barroso , P. Martínez-Meneu , A. Sánchez-Llopis , L. Barrios-Arnau , C. Garau-Perelló , P. Juan , M. Rodrigo-Aliaga

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Abstract

Introduction

Abdominal wall closure defects (AWCD) represent a cause of morbidity and mortality in patients undergoing laparotomy.

Objective

The aim of this study was to determine the risk factors contributing to the appearance of AWCD in open radical cystectomy.

Methods

A retrospective, analytical, observational, descriptive study and multivariate analysis was conducted including patients who underwent open radical cystectomy for bladder cancer at the General University Hospital of Castellón between January 2018 and December 2021.

Results

A total of 80 patients were included. The mean age was 70 years, with 86.3% being men. Sixteen presented with an evisceration (20%). Risk factors in the multivariate analysis were age, history of vascular or coronary disease, preoperative albumin, hemodynamic instability, and surgical time. Eight patients presented with an eventration (10%). A higher body mass index and a lower preoperative hemoglobin level were associated with eventration.

Conclusion

The risk factors associated with abdominal wall closure defects are identifiable and preventable.

查看原文本刊更多论文

开放性根治性膀胱切除术中内脏切除的危险因素分析。

腹壁闭合缺陷（AWCD）是剖腹手术患者发病和死亡的原因之一。目的：本研究的目的是确定开放式根治性膀胱切除术中AWCD出现的危险因素。方法：回顾性、分析性、观察性、描述性研究和多因素分析，纳入2018年1月至2021年12月在Castellón综合大学医院行开放性膀胱癌根治性膀胱切除术的患者。结果：共纳入80例患者。平均年龄70岁，男性占86.3%。16例出现内脏切除（20%）。多因素分析的危险因素包括年龄、血管或冠状动脉病史、术前白蛋白、血流动力学不稳定和手术时间。8例患者出现evation（10%）。较高的身体质量指数和较低的术前血红蛋白水平与evation有关。结论：与腹壁闭合缺陷相关的危险因素是可识别和可预防的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Actas urologicas espanolas

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