| Predictors of in-hospital length of stay after laparoscopic ventral hernia repair: results of multivariate logistic regression analysis. | |
| | |
MedLine Citation:
|
PMID: 20419324 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To identify variables that predict in-hospital length of stay (LOS) after laparoscopic ventral hernia repair (LVHR). METHODS: Univariate analysis of patient and intraoperative variables was conducted on an operating room database of LVHRs performed from April 2001 to April 2009. Analysis was performed using either chi-square or linear trend analysis, as appropriate. A multivariate logistic regression model was created manually, to determine independent variables that predict LOS. p Value <0.05 was considered significant. RESULTS: A total of 221 patients, with mean age of 56 years (range 25-88 years) underwent LVHR, for a total of 121 incisional and 100 primary ventral hernias. Of patients, 40% had incarcerated hernias and 25% had complex hernias (defined as multiple points of weakness on the anterior abdominal wall). The overall conversion rate to open operation was 6%. Mean LOS was 1.54 days (range 0-22 days). Eighty-six patients (39%) were discharged on the day of the procedure. Variables associated with significantly longer LOS on univariate analysis were incisional hernia (p = 0.000009), mesh size (p = 0.00007), complex hernia (p = 0.00009), incarcerated hernia (p = 0.0004), patient age (p = 0.0006), need for lysis of adhesions (p = 0.001), and female gender (p = 0.01). American Society of Anesthesiologists (ASA) grade >2, conversion to open procedure, and recurrent hernia were not associated with longer LOS. Four factors were independently associated with significant longer length of stay on multivariate logistic regression analysis (p < 0.05): mesh size (p = 0.00005), incarcerated hernia (p = 0.002), patient age (p = 0.018), and complex hernia (p = 0.035). CONCLUSIONS: Mesh size, incarcerated hernia, patient age, and complex hernia predict longer length of stay after laparoscopic ventral hernia repair. |
| | |
Authors:
|
Ashwin Kurian; Sidhbh Gallagher; Abhiman Cheeyandira; Robert Josloff |
Related Documents
:
|
19067424 - Skeletal muscle tissue engineering approaches to abdominal wall hernia repair. 14533914 - Complications of open groin hernia repairs. 16424984 - Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparosco... 14626394 - Laparoscopic paravaginal repair: a new technique using mesh and staples. 21510304 - Small skin incision left-side hepatectomy. 20606804 - Threatened fertility and gonadal function after a polytraumatic, life-threatening injury. |
Publication Detail:
|
Type: Journal Article Date: 2010-04-24 |
Journal Detail:
|
Title: Surgical endoscopy Volume: 24 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-10-18 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
|
Languages: eng Pagination: 2789-92 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Abington Memorial Hospital, 604 Price Medical Building, 1200 Old York Road, Abington, PA 19001, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Female Hernia, Ventral / pathology, surgery* Humans Laparoscopy* / methods Length of Stay* Male Middle Aged Postoperative Complications Surgical Mesh |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Can mathematic formulas help us with our patients?
Next Document: Frasier syndrome: early gonadoblastoma and cyclosporine responsiveness.