American journal of surgery · 2025
Hernia rate after damage control laparotomy: a retrospective review using ten core outcomes for damage control laparotomy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Helmken John Cord, Lunt Julia, Cull John D
Аннотация
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.
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.