More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center

Farrow, Buckminster; Awad, Samir S.; Berger, David H.; Albo, Daniel; Lee, Liz; Subramanian, A.; Bellows, Charles F.

doi:10.1016/j.amjsurg.2008.07.018

Cited by 57 publications

(33 citation statements)

References 15 publications

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“…Therefore, surgical site infection can be more frequent after an umbilical hernia repair than after an inguinal hernia repair. A recent study reported a 19% infection rate following open umbilical hernia repair [32]. A 10% superficial wound infection rate is not surprising, even after routine prophylactic antibiotic use [7,33].…”

Section: Discussionmentioning

confidence: 98%

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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The repair of umbilical hernias with local anesthesia in a day-case setting is a good option, with low infection and recurrence rates. Most patients can be discharged early as planned. Separate doses and total volume of local anesthetic agents needed for umbilical hernia repair are clearly higher than those used in inguinal hernia repair. Patients with higher BMI, recurrent hernia, and defects larger than 3 cm may require higher local analgesic doses. The patient satisfaction is very good when the patients are provided with detailed information about day-surgery and local anesthesia.

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Section: Discussionmentioning

confidence: 98%

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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“…For example, in our cohort, smoking and diabetes mellitus were both associated with SSI development on univariable analysis. However, they were not independent variables in the VHRS model [3,[13][14][15]. Including variables such as diabetes mellitus, COPD, or smoking fails to take into account disease severity.…”

Section: Discussionmentioning

confidence: 99%

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Liang¹,

Goodenough²,

Martindale

et al. 2015

Surgical Infections

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Background: Previously, we reported that the Ventral Hernia Risk Score (VHRS) was more accurate in a Veterans Affairs (VA) population in predicting surgical site infection (SSI) after open ventral hernia repair (VHR) compared with other models such as the Ventral Hernia Working Group (VHWG) model. The VHRS was developed using single-center data and stratifies SSI risk into five groups based on concomitant hernia repair, skin flaps created, American Society of Anesthesiologists (ASA) score ‡ 3, body mass index ‡ 40 kg/m

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“…A 10% superficial wound infection rate is not surprising even after routine prophylactic antibiotic use. A recent study reported a 19% infection rate following open umbilical hernia repair (15). Kulacoglu et al (5) reported 3% wound infection rate with antibiotic prophylaxis with cefazolin sodium that is administered 30 min before skin incision.…”

Section: Antibiotic Prophylaxismentioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

104

126

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Umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. Standard polypropylene mesh is suitable for the open onlay technique; however, composite meshes are required for laparoscopic repairs. Large seromas and surgical site infection are rather common complications that may result in recurrence. Obesity, ascites, and excessive weight gain following repair are obviously potential risk factors. Moreover, smoking may create a risk for recurrence.

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More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center

Cited by 57 publications

References 15 publications

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Current options in umbilical hernia repair in adult patients

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