Age is just a number: The role of advanced age in predicting complications following ventral hernia repair with component separation.
Am J Surg
; 229: 162-168, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38182459
ABSTRACT
BACKGROUND:
While advanced age is often considered a risk factor for complications following abdominal surgery, its impact on outcomes after complex open ventral hernia repair (VHR) with component separation technique (CST) remains unclear.METHODS:
A single-center retrospective review of patients who VHR with CST from November 2008 to January 2022 was performed and cohorts were stratified by presence of advanced age (≥60 years).RESULTS:
Of 219 patients who underwent VHR with CST, 114 patients (52.1 â%) were aged ≥60 years. Multivariate analysis demonstrated BMI to be an independent predictor for any complication (OR 1.1, p â= â0.002) and COPD was positively associated with seroma development (OR 20.1, p â= â0.012). Advanced age did not independently predict postoperative outcomes, including hernia recurrence (OR 0.8, p â= â0.766).CONCLUSIONS:
VHR with CST is generally safe to perform in patients of advanced age. Every patient's comorbidity profile should be thoroughly assessed preoperatively for risk stratification regardless of age.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Hérnia Ventral
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos