Sarcopenia and outcomes in ventral hernia repair: a preliminary review

Hernia : the Journal of Hernias and Abdominal Wall Surgery
S R SiegalS B Orenstein

Abstract

Sarcopenia, or loss of muscle mass, is associated with increased morbidity and mortality in oncologic resections and several other major surgeries. Complex ventral hernia repairs (VHRs) and abdominal wall reconstruction are often performed in patients at high risk for morbidity and recurrence, though limited data exist on outcomes related to sarcopenia. We aimed to determine if sarcopenia is associated with worse outcomes in patients undergoing VHR. We reviewed patients undergoing VHRs from 2014 to 2015. Preoperative CT images were analyzed for cross-sectional muscle mass. Patients with and without sarcopenia underwent statistical analysis to evaluate differences in perioperative morbidity and hernia recurrence. Muscle indices were analyzed independently for outcomes. 135 patients underwent VHR with/without fistula takedown, staged repairs or other concomitant procedures. 27% had sarcopenia (age 34-84, BMI 27-33, 62% male). Postoperative complications occurred in 43% of sarcopenic patients and 47% of non-sarcopenic patients (p = 0.70). Surgical site infections (SSI) were seen in 16% of sarcopenic patients compared to 29% without sarcopenia (p = 0.14). There was no difference in hernia recurrence between groups (p = 0.90). Howev...Continue Reading

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Citations

Mar 4, 2020·Obesity Surgery·Enrico PinottiLuigi Angrisani
Aug 17, 2020·Journal of Surgical Oncology·Chad M BaileyAlexander F Mericli
May 21, 2021·The Journal of Surgical Research·Julia HamiltonTimothy Holden

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