D74. Comparative Effectiveness Analysis of Ventral Hernia Repair with Panniculectomy: Evaluating Efficacy With and Without External Oblique Release Article Swipe
Chris Amro
,
Sharbel A. Elhage
,
Zachary Gala
,
Mehdi S. Lemdani
,
Jane N. Ewing
,
Isabel A. Ryan
,
Robyn B. Broach
,
John P. Fischer
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/01.gox.0001018780.18590.59
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/01.gox.0001018780.18590.59
PURPOSE: As obesity rates climb, concurrent VHR and panniculectomy procedures increase. Yet, data on combined anterior component separation using external oblique release (EOR) and panniculectomy outcomes are limited. This study assesses the long-term results of VHR and Panniculectomy with and without EOR. METHODS: A retrospective review from 2016-2022 was done on patients who underwent VHR with EOR and panniculectomy. Propensity-scored matching considered age, BMI, comorbidities, and mesh type. Exclusions were made for parastomal hernias. RESULTS: A total of 223 patients were identified; 156 were matched (78 Bilateral EOR:78 without). Median age and BMI were 58 years and 37.8 kg/m2, respectively. The majority of patients were female in both cohorts (70.5% vs. 75.%, p>0.05). There was a significant difference in hernia defect size (409.1cm2±188.5cm2 vs. 268.2cm2±192.4cm2), procedure duration (min;270±92 vs. 240±132), and number of drains utilized (2.7 vs 2.4)(p>0.05). There were no differences between the groups regarding type of mesh used, hernia recurrence, surgical site occurrences, emergency department visits, or reoperations (p>0.05). However, patients who underwent VHR with EOR demonstrated a significant association with VTE (14.3% vs. 3.8%, p<0.05) and readmissions (38.5% vs 20.8%, p<0.05). This group also demonstrated to be an independent predictor of readmissions (AOR 6.9, p<0.05) with a mean follow up of 53 months. CONCLUSION: Concurrent VHR with EOR and panniculectomy is a viable procedure, demonstrating low recurrence and complication rates over long-term follow-up. However, due to the prolonged nature of the procedures, increased vigilance is needed given the higher association with VTE and readmissions.
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Metadata
- Type
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- Language
- en
- Landing Page
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- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396801190Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/01.gox.0001018780.18590.59Digital Object Identifier
- Title
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D74. Comparative Effectiveness Analysis of Ventral Hernia Repair with Panniculectomy: Evaluating Efficacy With and Without External Oblique ReleaseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-05-01Full publication date if available
- Authors
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Chris Amro, Sharbel A. Elhage, Zachary Gala, Mehdi S. Lemdani, Jane N. Ewing, Isabel A. Ryan, Robyn B. Broach, John P. FischerList of authors in order
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https://doi.org/10.1097/01.gox.0001018780.18590.59Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1097/01.gox.0001018780.18590.59Direct OA link when available
- Concepts
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Oblique case, Medicine, Ventral hernia, Surgery, Hernia, Philosophy, LinguisticsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| primary_location.source.host_organization_lineage_names | Wolters Kluwer |
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| primary_location.is_published | True |
| primary_location.raw_source_name | Plastic and Reconstructive Surgery - Global Open |
| primary_location.landing_page_url | https://doi.org/10.1097/01.gox.0001018780.18590.59 |
| publication_date | 2024-05-01 |
| publication_year | 2024 |
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| abstract_inverted_index.75.%, | 111 |
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| abstract_inverted_index.(38.5% | 180 |
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