Determining the impact of sarcopenia on postoperative complications after ventral hernia repair

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Leandra A BarnesArash Momeni

Abstract

Postoperative complication following ventral hernia repair (VHR) is a major clinical and financial burden. Preoperative risk assessment is necessary to minimize adverse outcomes following VHR. This study examines the ability of an independent parameter to predict postoperative morbidity following VHR. A retrospective analysis of 58 patients who underwent VHR by component separation between January 2009 and December 2013 was performed. Preoperative abdominal CT scans were analyzed to assess sarcopenia. Sarcopenia was determined using the Hounsfield unit average calculation (HUAC), a measure of psoas muscle size and density. Sarcopenia was defined as an HUAC score of less than 19.6 HU calculated using receiver operating characteristic (ROC) analysis and the Youden index. Multivariate analysis was performed to analyze the association of sarcopenia and postoperative complications. Preoperative sarcopenia was associated with an increased risk for postoperative complications (odds ratio [OR] = 5.3; p = 0.04). Preexisting gastrointestinal conditions such as ulcerative colitis or colon cancer were associated with an increased risk for postoperative complications (OR = 5.7; p = 0.05). A significantly higher rate of hernia recurrence (33...Continue Reading

Citations

Jul 17, 2020·Journal of Surgical Oncology·Justin M BroylesMark V Schaverien
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Travis J MillerArash Momeni
Mar 4, 2020·Obesity Surgery·Enrico PinottiLuigi Angrisani
Aug 17, 2020·Journal of Surgical Oncology·Chad M BaileyAlexander F Mericli
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Omar ElfanagelyJohn P Fischer
Jan 28, 2021·Journal of Pediatric Surgery·Gregory A MetzgerPeter C Minneci
May 21, 2021·The Journal of Surgical Research·Julia HamiltonTimothy Holden
Jul 13, 2021·International Journal of Surgery Protocols·Svetlana SokolovaVladimir Vorobev

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