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28.09.2022 | Original Article

Logistic regression analysis of risk factors for intra-abdominal hypertension after giant ventral hernia repair: a retrospective cohort study

verfasst von: H. Zhou, Z. Zhang, S. Yang, X. Gong, Y. Liu, G. Du, J. Chen

Erschienen in: Hernia | Ausgabe 2/2023

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Abstract

Background

Intra-abdominal hypertension (IAH) is a classical complication after giant ventral hernia surgery and may lead to abdominal compartment syndrome (ACS). Assessment of risk factors and prevention of IAH/ACS are essential for hernia surgeons.

Methods

We performed a retrospective study including 58 giant ventral hernia patients in our center between Jan 1, 2017, and Mar 1, 2022, we recorded age, gender, chronic obstructive pulmonary disease (COPD), coronary heart disease (CHD), hypertension, type 2 diabetes mellitus (T2DM), hypoproteinemia, body mass index (BMI), the ratio of hernia sac volume to abdominal cavity volume (HSV/ACV), defect width, tension reduction procedure (TRP), positive fluid balance (PFB) and IAH of these patients and analyzed the data using univariate and multivariate logistic regression to screen the risk factors for IAH after surgery.

Results

The multivariate analysis showed that HSV/ACV ≥ 25%, hypoproteinemia, and PFB were independent risk factors for the occurrence of IAH after giant ventral hernia repair (P = 0.025, 0.016, 0.017, respectively). We did not find any correlation between postoperative IAH and the patient’s age, gender, COPD, CHD, hypertension, T2DM, BMI, defect width, TRP, and PFB.

Conclusion

Identifying risk factors is of great significance for the early identification and prevention of IAH/ACS. We found that HSV/ACV ≥ 25%, hypoproteinemia, and PFB were independent risk factors for IAH after giant ventral hernia repair.

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Titel: Logistic regression analysis of risk factors for intra-abdominal hypertension after giant ventral hernia repair: a retrospective cohort study
verfasst von: H. Zhou
Z. Zhang
S. Yang
X. Gong
Y. Liu
G. Du
J. Chen
Publikationsdatum: 28.09.2022
Verlag: Springer Paris
Erschienen in: Hernia / Ausgabe 2/2023
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-022-02667-x

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Logistic regression analysis of risk factors for intra-abdominal hypertension after giant ventral hernia repair: a retrospective cohort study

Abstract

Background

Methods

Results

Conclusion

Neu im Fachgebiet Chirurgie

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Schwere Aortenstenose: „Klappenersatz sollte unabhängig von Symptomen erfolgen“

Blinddarm-Op. durch den Nabel auch bei Kindern sicher

Entlassung auf eigenes Risiko hängt von neun Faktoren ab

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Live-Webinar "Das Impf-Update für Ihre Praxis – RSV, Pneumokokken, Grippe und Covid"

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Abstract

Background

Methods

Results

Conclusion

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