Postoperative outcomes of ventral hernia repair in veterans

Shahait, Awni D; Alghanem, Lana; Cmorej, Peter; Tracy, William F.; Hasnain, Mustafa Rashad; Baldawi, Mohanad; Girten, Kara; Weaver, Donald D.; Saleh, Khaled J.; Gruber, Scott A.; Mostafa, Gamal

doi:10.1016/j.surg.2020.09.003

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…The Veterans Health Administration provides complex surgical care to the unique patient population it serves. Patient outcomes at VAMCs are often equivalent to outcomes at civilian hospitals [ 13 ], even in certain complex, low volume subspecialties like kidney transplant [ 14 ]. However, veterans with newly diagnosed lung cancer have historically suffered worse survival than patients at civilian hospitals [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the implementation of robotic thoracic surgery on a Veterans Administration Hospital

et al. 2022

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Robotic thoracic surgery has demonstrated benefits. We aimed to evaluate implementation of a robotic thoracic surgery program on postoperative outcomes at our Veteran’s Administration Medical Center (VAMC). We retrospectively reviewed our VAMC database from 2015 to 2021. Patients who underwent surgery with intention to treat lung nodules were included. Primary outcome was patient length of stay (LOS). Patients were grouped by surgical approach and stratified to before and after adoption of robotic surgery. Univariate comparison of postoperative outcomes was performed using Wilcoxon rank sums and chi-squared tests. Multivariate regression was performed to control for ASA class. P values < 0.05 were considered significant. Outcomes of 108 patients were assessed. 63 operations (58%) occurred before and 45 (42%) after robotic surgery implementation. There were no differences in patient preoperative characteristics. More patients underwent minimally invasive surgery (MIS) in the post-implementation era than pre-implementation (85% vs. 42%, p < 0.001). Robotic operations comprised 53% of operations post-implementation. On univariate analysis, patients in the post-implementation era had a shorter LOS vs. pre-implementation, regardless of surgical approach (mean 4.7 vs. 6.0 days, p = 0.04). On multivariate analysis, patients who underwent MIS had a shorter LOS [median 4 days (IQR 2–6 days) vs. 7 days (6–9 days), p < 0.001] and were more likely to be discharged home than to inpatient facilities [OR (95% CI) 13.00 (1.61–104.70), p = 0.02]. Robotic thoracic surgery program implementation at a VAMC decreased patient LOS and increased the likelihood of discharging home. Implementation at other VAMCs may be associated with improvement in some patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Evaluating the implementation of robotic thoracic surgery on a Veterans Administration Hospital

et al. 2022

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“…They can be congenital in children, or acquired in adults [ 1 , 4 , 5 ]. In the latter case, the main causes are chronic cough, obesity, pregnancy, and work with physical effort [ 1 , 2 , 6 ]. This explain the need in the treatment, of optimization by eradicating the cause if it is identified, then strengthening the abdominal wall with sutures or mesh [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Management of midline ventral hernias in a surgical department of sub-Saharan Africa: A retrospective cohort study

Ndong

Tendeng

Soh

et al. 2022

Annals of Medicine &Amp; Surgery

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“…A hernia is divided into three sections: the sac, the neck, and the contents. The most common components are fat and the intestine [1][2][3][4][5][6][7][8]. A ventral hernia is defined as a non-inguinal, non-hiatal defect in the fascia of the abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

“…A ventral hernia is defined as a non-inguinal, non-hiatal defect in the fascia of the abdominal wall. Approximately 350,000 ventral hernia procedures are performed each year [ 2 , 3 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Surgery is usually suggested for people who have a low operative risk, have symptomatic hernias, or are at a high risk of developing complications. Ventral hernia can have a negative impact on a person’s quality of life and, in severe situations, lead to hospitalization and even death [ 2 , 3 , 7 ]. In addition, there is a higher chance of complications and recurrence of the hernia postoperatively if the patient does not obtain sufficient medical care [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Ventral Hernia in the Al-Ahsa Region, Saudi Arabia: Risk Factor Knowledge Assessment

Almomatten¹,

Alonazi²,

Baragabh³

et al. 2022

Cureus

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IntroductionA ventral hernia is defined as a non-inguinal, non-hiatal defect in the fascia of the abdominal wall. Approximately 350,000 ventral hernia procedures are performed each year. Ventral hernia can have a negative impact on a person's quality of life and, in severe situations, lead to hospitalization and even death. AimThis study aimed to assess the knowledge of the general population living in the Al-Ahsa region regarding the risk factors of ventral hernia. Subjects and methodsThis is a cross-sectional study conducted among the general population living in the Al-Ahsa region of Saudi Arabia. A self-administered questionnaire was distributed among the population using an online platform. The questionnaire includes basic demographic characteristics (age, gender, and body mass index (BMI)) and a nine-item questionnaire to assess the knowledge of risk factors of ventral hernia. ResultsOf the 803 respondents involved, 42.1% were aged between 22 and 28 years old, and 44.4% were either overweight or obese. According to participants' knowledge, the most common risk factor of ventral hernia was heavy weight lifting (87.4%), and pregnancy and labor (64.1%). The overall mean knowledge score was 5.78 (standard deviation (SD): 2.68) out of 12 points. Nearly half (49.4%) were considered to have poor knowledge levels, 40.2% were considered to have moderate knowledge levels, and only 10.6% were considered to have good knowledge levels. Increased knowledge was seen more frequently in younger participants, males, and respondents with normal or underweight BMI. ConclusionThe knowledge of the general population regarding the risk factors of ventral hernia was insufficient. Of all the population, male respondents who were younger and had a normal body mass index demonstrated a better understanding of the ventral hernia's risk factors compared to the rest of the subjects. Further research is needed to establish the knowledge of the general population regarding the risk factors of ventral hernia in our region.

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Postoperative outcomes of ventral hernia repair in veterans

Cited by 8 publications

References 23 publications

Evaluating the implementation of robotic thoracic surgery on a Veterans Administration Hospital

Evaluating the implementation of robotic thoracic surgery on a Veterans Administration Hospital

Management of midline ventral hernias in a surgical department of sub-Saharan Africa: A retrospective cohort study

Ventral Hernia in the Al-Ahsa Region, Saudi Arabia: Risk Factor Knowledge Assessment

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