Age is just a number: The role of advanced age in predicting complications following ventral hernia repair with component separation - 26/02/24
Abstract |
Background |
While advanced age is often considered a risk factor for complications following abdominal surgery, its impact on outcomes after complex open ventral hernia repair (VHR) with component separation technique (CST) remains unclear.
Methods |
A single-center retrospective review of patients who VHR with CST from November 2008 to January 2022 was performed and cohorts were stratified by presence of advanced age (≥60 years).
Results |
Of 219 patients who underwent VHR with CST, 114 patients (52.1 %) were aged ≥60 years. Multivariate analysis demonstrated BMI to be an independent predictor for any complication (OR 1.1, p = 0.002) and COPD was positively associated with seroma development (OR 20.1, p = 0.012). Advanced age did not independently predict postoperative outcomes, including hernia recurrence (OR 0.8, p = 0.766).
Conclusions |
VHR with CST is generally safe to perform in patients of advanced age. Every patient's comorbidity profile should be thoroughly assessed preoperatively for risk stratification regardless of age.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Component separation is safe in patients of advanced age with ventral hernia. |
• | Advanced age is not associated with hernia recurrence after component separation. |
• | Age-related comorbidities are more predictive of complications than chronologic age. |
Keywords : Component separation, Advanced age, Patient selection, Postoperative complications
Plan
Vol 229
P. 162-168 - mars 2024 Retour au numéro
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