Long-term outcomes of seromas after ventral hernia repair: a propensity score-matched analysis of the Abdominal Core Health Quality Collaborative
- 18.04.2022
- Original Article
Erschienen in:
- Verfasst von
- B. T. Miller
- K. F. Baier
- S. J. Zolin
- L.-C. Huang
- S. Phillips
- C. C. Petro
- L. R. A. Beffa
- D. M. Krpata
- M. J. Rosen
- A. S. Prabhu
- Erschienen in
- Hernia | Ausgabe 2/2023
Abstract
Purpose
Seromas can occur after ventral hernia repairs (VHR), but little is known about their relevance to short- and long-term outcomes. We aimed to determine if there is a correlation between seroma occurrence after clean VHR with mesh and patient-reported and clinical outcomes.
Methods
Patients with and without seromas in the Abdominal Core Health Quality Collaborative registry were compared using a propensity score-matched analysis. Outcomes included hospital readmissions, postoperative antibiotics use, and procedural interventions. Pain and hernia-related quality of life were assessed at 30 days and 1 year. Composite hernia recurrence rates were compared at 1 year.
Results
Propensity score matching compared 218 patients with a seroma to 649 without a seroma. At 30 days, patients with seromas were more likely to be readmitted (27 (12%) vs 28 (4%), respectively; P < 0.001), receive postoperative antibiotics (25 (12%) vs 18 (3%), respectively; P < 0.001), and undergo procedural interventions (41 (19%) vs 23 (4%), respectively; P < 0.001) than patients without seromas. Surgical site occurrences were more common in patients with seromas than those without seromas at 1 year (12 (11%) vs 12 (4%), respectively; P = 0.01).Pain and hernia-related quality of life were similar for both groups at 30 days and 1 year. Composite hernia recurrence rates were similar for both groups at 1 year (37 seroma (17%) vs 115 no seroma (18%); P = 0.80).
Conclusion
Seromas after clean VHR with mesh were associated with short- and long-term morbidity, but they did not significantly impact quality of life or hernia recurrences at 1 year.
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- Titel
- Long-term outcomes of seromas after ventral hernia repair: a propensity score-matched analysis of the Abdominal Core Health Quality Collaborative
- Verfasst von
-
B. T. Miller
K. F. Baier
S. J. Zolin
L.-C. Huang
S. Phillips
C. C. Petro
L. R. A. Beffa
D. M. Krpata
M. J. Rosen
A. S. Prabhu
- Publikationsdatum
- 18.04.2022
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 2/2023
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-022-02613-x
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