Is There an Association between Component Separation and Venous Thromboembolism? Analysis of the NSQIP

DSpace/Manakin Repository

Is There an Association between Component Separation and Venous Thromboembolism? Analysis of the NSQIP

Citable link to this page

 

 
Title: Is There an Association between Component Separation and Venous Thromboembolism? Analysis of the NSQIP
Author: Kim, Kuylhee; Mella, Juan Rodolfo; Ibrahim, Ahmed M. S.; Koolen, Pieter G. L.; Lin, Samuel J.

Note: Order does not necessarily reflect citation order of authors.

Citation: Kim, Kuylhee, Juan Rodolfo Mella, Ahmed M. S. Ibrahim, Pieter G. L. Koolen, and Samuel J. Lin. 2015. “Is There an Association between Component Separation and Venous Thromboembolism? Analysis of the NSQIP.” Plastic and Reconstructive Surgery Global Open 3 (6): e429. doi:10.1097/GOX.0000000000000167. http://dx.doi.org/10.1097/GOX.0000000000000167.
Full Text & Related Files:
Abstract: Background: Patients undergoing incisional/ventral hernia repair are at risk of developing several postoperative complications particularly venous thromboembolism (VTE), which is a major cause of morbidity and mortality. The aim of this study was to assess 30-day postoperative morbidity and mortality of patients undergoing incisional/ventral hernia repair and to determine the association between component separation and VTE. Methods: We reviewed the 2005–2011 American College of Surgeons National Surgical Quality Improvement Program databases to identify patients undergoing incisional/ventral hernia repair. Preoperative variables and postoperative outcomes were compared between a component separation group and a non–component separation group. The χ2 tests and Fisher’s exact test were used for categorical variables and t tests for continuous variables. Logistic regression analysis was performed to determine preoperative predictors for complications in both groups. Results: Thirty-four thousand five hundred forty-one patients were included in our study; 501 patients underwent a component separation procedure. A higher rate of wound complications, minor/major morbidity, mortality, and return to the operating room occurred in the component separation group. However, there was no statistically significant difference in deep vein thrombosis/thrombophlebitis and pulmonary embolism rates between the 2 groups (P = 0.780 and P = 0.591, respectively). Several risk factors were significantly associated with postoperative complications in both groups. Conclusions: Component separation is used for large and complex incisional/ventral hernia repairs to achieve tension-free midline closure. Although component separation hernia repair is associated with higher incidence of wound complication, morbidity, and mortality, perhaps because of the complexity of the defects, it does not seem to be associated with increased VTE rates.
Published Version: doi:10.1097/GOX.0000000000000167
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494499/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:17820927
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters