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Title of Journal: Hernia

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Abbravation: Hernia

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Publisher

Springer Paris

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DOI

10.1002/art.11370

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1248-9204

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Creation of a novel risk score for surgical site i

Authors: K E Poruk C W Hicks J Trent Magruder N RodriguezUnda K K Burce S C Azoury P Cornell C M Cooney F E Eckhauser
Publish Date: 2016/12/18
Volume: 21, Issue: 2, Pages: 261-269
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Abstract

Complex ventral hernia repair VHR is a common surgical operation but carries a risk of complications from surgical site infections SSI and occurrences SSO We aimed to create a predictive risk score to identify patients at increased risk for SSO or SSI within 30 days of surgeryData were prospectively collected on all patients undergoing VHR between January 2008 and February 2015 by a single surgeon Multivariable logistic regression was used to identify independent factors predictive of SSO and SSI Significant predictors of SSO and SSI were assigned point values based on their odds ratios to create a novel risk score the Hopkins ventral hernia repair SSO/SSI risk score predicted and actual rates of outcomes were then compared using weighted regressionDuring the study period 362 patients underwent open VHR Thirtyday SSO and SSI occurred in 185 and 10 of patients respectively After risk adjustment ASA class ≥3 1 point operative time ≥4 h 2 points and the absence of a postoperative wound vacuum dressing 1 point were predictive of 30day SSO Predicted risk of SSO utilizing this scoring system was 97 194 291 and 388 for 1 2 3 and 4 points AUC = 073 For SSI operative time ≥4 h 1 point and the lack of a wound vacuum dressing 1 point were predictive Predicted risk of SSI based on this scoring system was 125 for 1 point and 25 for 2 points AUC = 071 Actual vs predicted rates of SSO and SSI correlated strongly for risk model with a coefficient of determination R 2 of 092 and 091 respectivelyKEP declares a conflict of interest indirectly NIH T32 grant related to the submitted work CWH declares no conflict of interest JTM declares no conflict of interest NRU declares no conflict of interest KKB declares no conflict of interest SCA declares no conflict of interest PC declares no conflict of interest CMC declares no conflict of interest FEE declares no conflict of interest

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  2. Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
  3. A comparison of Progrip ® and Adhesix ® self-adhering hernia meshes in an onlay model in the rat
  4. Comparison of Permacol™ and Strattice™ for the repair of abdominal wall defects
  5. Archaic terms and dogmas impeding care of abdominal and pelvic herniation
  6. Laparoscopic management of urachal cyst associated with umbilical hernia
  7. Inguinal hernia is a common complication in lower midline incision surgery
  8. Incisional hernia in patients at risk: can it be prevented?
  9. Groin hernia repair in young males: mesh or sutured repair?
  10. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
  11. Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen
  12. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN
  13. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia
  14. De Garengeot’s hernia: the importance of early diagnosis and its complications
  15. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
  16. Genetic analysis of the TBX2 gene promoter in indirect inguinal hernia
  17. Prognostic value of age for chronic postoperative inguinal pain
  18. Operation Hernia to Ghana
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  20. Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings
  21. Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis
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  23. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data
  24. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP)
  25. An evaluation of hernia education in surgical residency programs
  26. Irreducible inguinal hernia due to crossed testicular ectopia in an infant
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  29. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients
  30. Tissue expanders: early experience of a novel treatment option for perineal herniation
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  32. Abdominoscrotal hydrocele in a 9-month old infant
  33. Are there any predictive factors of metachronous inguinal hernias in children with unilateral inguinal hernia?
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