Role of sarcopenia in complex abdominal wall surgery: does it increase postoperative complications and mortality?
- 24.09.2024
- Original Article
Erschienen in:
- Verfasst von
- Ángela Santana Valenciano
- Luis Blázquez Hernando
- Álvaro Robín Valle de Lersundi
- Javier López Monclús
- Joaquín Muñoz Rodríguez
- Belén Porrero Guerrero
- Laura Román García de León
- José Manuel Molina Villar
- Manuel Medina Pedrique
- Javier Blázquez Sánchez
- José María Fernández Cebrián
- Miguel Ángel García Ureña
- Erschienen in
- Hernia | Ausgabe 6/2024
Abstract
Background
Sarcopenia is defined as the loss of skeletal muscle mass and is associated with an increased risk or morbidity and mortality in complex surgical patient populations. Its role in complex abdominal wall surgery (AWS) is yet to be determined. The aim of this study is to establish if sarcopenia has an impact on postoperative complications, mortality and hernia recurrence.
Methods
Retrospective study of patients undergoing elective surgery for complex incisional hernias > 10 cm (W3 of European Hernia Society classification) between 2014–2023. Sarcopenia was stablished as the skeletal muscle index (SMI), measured at L3 transversal section of a preoperative CT-scan. Previously defined literature-based SMI cutoff values were used: men ≤ 52.4 cm2/m2, women ≤ 38.5 cm2/m2.
Results
135 patients undergoing complex AWS were included. Of them, 38 were sarcopenic (28.1%). The median follow-up time was 13 months (IQR 12–25). In total, 11 patients died (8.1%). We found that sarcopenia was associated with a higher risk of mortality [HR 7.494 (95% CI 1.985–28.289); p 0.003]. There were no statistically significant differences in postoperative complications or hernia recurrence between both groups.
Conclusion
Although sarcopenia does not seem to have an influence on hernia recurrence or the development of postoperative complications, whether local or systemic, in our study sarcopenia is associated with a higher risk of mortality after complex abdominal wall surgery. Nonetheless, with the results obtained in our study, we think that prehabilitation programs before complex AWS is advisable.
Anzeige
- Titel
- Role of sarcopenia in complex abdominal wall surgery: does it increase postoperative complications and mortality?
- Verfasst von
-
Ángela Santana Valenciano
Luis Blázquez Hernando
Álvaro Robín Valle de Lersundi
Javier López Monclús
Joaquín Muñoz Rodríguez
Belén Porrero Guerrero
Laura Román García de León
José Manuel Molina Villar
Manuel Medina Pedrique
Javier Blázquez Sánchez
José María Fernández Cebrián
Miguel Ángel García Ureña
- Publikationsdatum
- 24.09.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 6/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03174-x
Dieser Inhalt ist nur sichtbar, wenn du eingeloggt bist und die entsprechende Berechtigung hast.
