Hernia rate after damage control laparotomy: a retrospective review using ten core outcomes for damage control laparotomy

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-09-01 DOI:10.1016/j.amjsurg.2025.116601

John Cord Helmken , Julia Lunt , John D. Cull

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引用次数: 0

Abstract

Background

Long-term outcomes including incisional hernia (IH) after damage control laparotomy (DCL) are poorly understood. Ten core outcomes were recently proposed to standardize DCL studies. We evaluated these outcomes and IH rates post-DCL, hypothesizing that delayed closure, abdominal complications, leak, abscess and fistula would be associated with IH.

Methods

We performed a single-center retrospective review of 262 patients who underwent DCL (2016–2019). IH was assessed by exam or CT at one year. Core outcomes measured were fascial closure at index hospitalization, days to closure, abdominal complications, major complications requiring reoperation or unplanned re-exploration, GI anastomotic leak, secondary intra-abdominal sepsis, enterocutaneous fistula, in-hospital mortality, 30 day mortality, and 12-month functional outcome.

Results

IH occurred in 50.5 % of patients; 10.0 % had planned ventral hernias. No core outcome was significantly associated with IH.

Conclusion

IH is common one year after DCL. Further studies are needed to identify modifiable factors and develop strategies to reduce IH rates.

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控制性剖腹手术后的疝气率：一项使用控制性剖腹手术十个核心结果的回顾性研究

背景：包括切口疝（IH）在内的剖腹手术（DCL）后的长期预后尚不清楚。最近提出了10个核心结果来标准化DCL研究。我们评估了这些结果和dcl后的IH率，并假设延迟闭合、腹部并发症、泄漏、脓肿和瘘管与IH有关。方法对2016-2019年262例DCL患者进行单中心回顾性分析。每一年通过检查或CT评估IH。测量的核心结局是指住院时的筋膜闭合、闭合天数、腹部并发症、需要再手术或计划外再探查的主要并发症、胃肠道吻合口漏、继发性腹腔脓毒症、肠皮瘘、住院死亡率、30天死亡率和12个月功能结局。结果h发生率为50.5%；10.0%已计划腹疝。没有核心结局与IH显著相关。结论DCL术后1年常见h。需要进一步研究以确定可改变的因素并制定降低艾滋病毒感染率的战略。

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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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.