Early outcomes of component separation techniques: an analysis of the Spanish registry of incisional Hernia (EVEREG)

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  • dc.contributor.author Pereira Rodríguez, José Antonio
  • dc.contributor.author Bravo-Salva, Alejandro
  • dc.contributor.author Montcusí Ventura, Blanca
  • dc.contributor.author Hernández-Granados, Pilar
  • dc.contributor.author Rodrigues Gonçalves, Victor
  • dc.contributor.author López-Cano, Manuel
  • dc.contributor.author EVEREG Registry Members
  • dc.date.accessioned 2022-03-23T10:43:51Z
  • dc.date.available 2022-03-23T10:43:51Z
  • dc.date.issued 2021
  • dc.description.abstract Aim: To analyze the outcomes of component separation techniques (CST) to treat incisional hernias (IH) in a large multicenter cohort of patients. Methods: All IH repair using CST, registered in EVEREG from July 2012 to December 2019, were included. Data on the pre-operative patient characteristics and comorbidities, IH characteristics, surgical technique, complications, and recurrence were collected. Outcomes between anterior (ACS) and posterior component separation (PCS) techniques were compared. Risk factors for complications and recurrences were analyzed. Results: During the study period, 1536 patients underwent CST (45.5% females) with a median age of 64.0 years and median body mass index (BMI) of 29.7 kg/m2. ACS was the most common technique (77.7%). Overall complications were frequent in both ACS and PCS techniques (36.5%), with a higher frequency of wound infection (10.6% vs. 7.0%; P = 0.05) and skin necrosis (4.4% vs. 0.1%; P < 0.0001) with the ACS technique. Main factors leading to major complications were mesh explant (OR 1.72; P = 0.001), previous repair (OR 0.75; P = 0.038), morbid obesity (OR 0.67; P = 0.015), ASA grade (OR 0.62; P < 0.0001), COPD (OR 0.52; P < 0.0001), and longitudinal diameter larger than 10 cm (OR 0.58; P = 0.001). After a minimum follow-up of 6 months (median 15 months; N = 590), 59 (10.0%) recurrences were diagnosed. Operations performed in a non-specialized unit were significantly associated with recurrences (HR 4.903, CI 1.64-14.65; P = 0.004). Conclusion: CST is a complex procedure with a high rate of complications. Both ACS and PCS techniques have similar complication and recurrence rates. Operations performed in a specialized unit have better outcomes.
  • dc.description.sponsorship Funding: Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. B. Braun funds the cost of design and hosting of the EVEREG database
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Pereira-Rodriguez JA, Bravo-Salva A, Montcusí-Ventura B, Hernández-Granados P, Rodriguez-Gonçalves V, López-Cano M. Early outcomes of component separation techniques: an analysis of the Spanish registry of incisional Hernia (EVEREG). Hernia. 2021 Dec;25(6):1573-1580. DOI: 10.1007/s10029-021-02449-x
  • dc.identifier.doi http://dx.doi.org/10.1007/s10029-021-02449-x
  • dc.identifier.issn 1265-4906
  • dc.identifier.uri http://hdl.handle.net/10230/52762
  • dc.language.iso eng
  • dc.publisher SpringerOpen
  • dc.rights © J.A. Pereira-Rodriguez et al. 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri https://creativecommons.org/licenses/by/4.0/
  • dc.subject.other Hèrnia
  • dc.subject.other Cirurgia operatòria
  • dc.subject.other Cirurgia -- Complicacions
  • dc.subject.other Malalties -- Recaiguda
  • dc.title Early outcomes of component separation techniques: an analysis of the Spanish registry of incisional Hernia (EVEREG)
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

Col·leccions

Articles (Departament de Medicina i Ciències de la Vida)
Articles (Hospital del Mar Research Institute)