A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Hospital readmission following open, single-stage, elective abdominal wall reconstructions using acellular dermal matrix affects long-term hernia recurrence rate

Julkaisun tekijät: Giordano SA, Garvey PB, Baumann DP, Liu J, Butler CE
Julkaisuvuosi: 2018
Journal: American Journal of Surgery
Volyymi: 216
Julkaisunumero: 1
Sivujen määrä: 7
ISSN: 0002-9610



We evaluated the incidence of and the risk factors for readmission in patients who underwent abdominal wall reconstruction (AWR) using acellular dermal matrix (ADM) and assess whether readmission affects AWR long-term outcomes.


A retrospective, single-center study of patients underwent AWR with ADM was conducted. The primary outcome was the incidence of unplanned readmission within 30 days after the initial discharge post-AWR. Secondary outcomes were surgical site occurrence (SSO) and hernia recurrence at follow-up.


Of 452 patients (mean age, 59 years; mean follow-up, 35 months), 29 (6.4%) were readmitted within 30 days. Most readmissions were due to SSO (44.8%) or wound infections (12.8%). The hernia recurrence rate was significantly higher in readmitted patients (17.2% vs 9.9%; P = 0.044). Wider defects, prolonged operative time, and coronary artery disease were independent predictors of readmission.


Readmission is associated with hernia recurrence on long-term follow-up. SSO is the most common cause for readmission.

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Last updated on 2019-21-08 at 21:55