keyword
https://read.qxmd.com/read/38523427/factors-associated-with-respiratory-failure-after-open-ventral-hernia-repair-an-evaluation-of-the-nsqip-database
#1
JOURNAL ARTICLE
William R Lorenz, Alexis M Holland, Brittany S Mead, Gregory T Scarola, Vedra A Augenstein, B Todd Heniford
An analysis of ACS-NSQIP open ventral hernia repair (OVHR) data (2017-2019) was performed. Respiratory failure (RF) occurred in 643 patients (1%) and not in 63,213 (99%) (nRF). Respiratory failure patients were older (63.7 vs 57 years, P < .001) and more comorbid: insulin-dependent diabetes (14.7% vs 5.8%, P < .001), COPD (19.4% vs 5.2%, P < .001), BMI (36.0 vs 32.8, P < .001), and current tobacco use (24.9% vs 17.6%, P < .001). Respiratory failure patients had greater ASA scores (ASA 3: 63...
March 24, 2024: American Surgeon
https://read.qxmd.com/read/38199603/missing-the-mark-evaluating-the-validity-of-the-ventral-hernia-screen-in-detecting-recurrence
#2
JOURNAL ARTICLE
Ankoor A Talwar, J Reed McGraw, Sheri Thrippleton, Robyn B Broach, B Todd Heniford, John P Fischer
PURPOSE: Hernia recurrence is a primary metric in evaluating the success of ventral hernia repair (VHR). Current screening methods for hernia recurrence, including the validated Ventral Hernia Screening (VHS) questionnaire, have not yet been critically evaluated. The purpose of this study was to evaluate the predictive value of the VHS for hernia recurrence. METHODS: This is a retrospective cohort study of adult patients who underwent primary VHR utilizing poly-4-hydroxybutyrate mesh at a single-institution from January 2016 to December 2021 who completed at least one VHS during their postoperative follow-up...
January 10, 2024: American Surgeon
https://read.qxmd.com/read/38091044/fragility-of-randomized-clinical-trials-using-mesh-in-abdominal-wall-reconstruction
#3
JOURNAL ARTICLE
Sullivan A Ayuso, Alexis M Holland, William R Lorenz, Gregory T Scarola, John P Fischer, Neil J Smart, B Todd Heniford
No abstract text is available yet for this article.
December 1, 2023: JAMA Network Open
https://read.qxmd.com/read/37770342/disparate-potential-for-readmission-prevention-exists-among-inpatient-and-outpatient-procedures-in-a-minimally-invasive-surgery-practice
#4
JOURNAL ARTICLE
Hadley H Wilson, Vedra A Augenstein, Paul D Colavita, Bradley R Davis, B Todd Heniford, Kent W Kercher, Kevin R Kasten
BACKGROUND: Administrators have focused on decreasing postoperative readmissions for cost reduction without fully understanding their preventability. This study describes the development and implementation of a surgeon-led readmission review process that assessed preventability. METHODS: A gastrointestinal surgical group at a tertiary referral hospital developed and implemented a template to analyze inpatient and outpatient readmissions. Monthly stakeholder assessments reviewed and categorized readmissions as potentially preventable or not preventable...
September 26, 2023: Surgery
https://read.qxmd.com/read/37625931/early-warning-end-tidal-carbon-dioxide-is-associated-with-central-venous-oxygenation-under-continuous-cardiorespiratory-monitoring-in-a-porcine-model-of-hemorrhagic-shock-and-resuscitation
#5
JOURNAL ARTICLE
Hadley H Wilson, Kyle W Cunningham, Michael M Katzen, Melissa I Stair, Gregory T Scarola, Dau Ku, Samuel W Ross, B Todd Heniford, Ronald F Sing
BACKGROUND: End-tidal carbon dioxide (ETCO2 ) has previously shown promise as a predictor of shock severity and mortality in trauma. ETCO2 monitoring is non-invasive, real-time, and readily available in prehospital settings, but the temporal relationship of ETCO2 to systemic oxygen transport has not been thoroughly investigated in the context of hemorrhagic shock. METHODS: A validated porcine model of hemorrhagic shock and resuscitation was used in male Yorkshire swine (N ​= ​7)...
August 19, 2023: American Journal of Surgery
https://read.qxmd.com/read/37495845/defining-surgical-risk-in-octogenarians-undergoing-paraesophageal-hernia-repair
#6
JOURNAL ARTICLE
Hadley H Wilson, Sullivan A Ayuso, Mikayla Rose, Dau Ku, Gregory T Scarola, Vedra A Augenstein, Paul D Colavita, B Todd Heniford
BACKGROUND: With an aging population, the utility of surgery in elderly patients, particularly octogenarians, is of increasing interest. The goal of this study was to analyze outcomes of octogenarians versus non-octogenarians undergoing paraesophageal hernia repair (PEHR). METHODS: The Nationwide Readmission Database was queried for patients > 18 years old who underwent PEHR from 2016 to 2018. Exclusion criteria included a diagnosis of gastrointestinal malignancy or a concurrent bariatric procedure...
July 26, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37407392/prospective-international-analysis-of-quality-of-life-outcomes-in-recurrent-versus-primary-ventral-hernia-repairs
#7
JOURNAL ARTICLE
Hadley H Wilson, Mikayla Rose, Dau Ku, Gregory T Scarola, Vedra A Augenstein, Paul D Colavita, B Todd Heniford
BACKGROUND: Quality of life (QOL) has become a key outcome measure following ventral hernia repair (VHR), but recurrent and primary VHR have not been compared in this context previously. METHODS: The International Hernia Mesh Registry (2008-2019) was used to identify patients with QOL data scored by the Carolinas Comfort Scale preoperatively and postoperatively at 1 year. RESULTS: Repairs were performed in 227 recurrent and 1,122 primary VHs...
June 28, 2023: American Journal of Surgery
https://read.qxmd.com/read/37277520/the-incidence-and-impact-of-enterotomy-during-laparoscopic-and-robotic-ventral-hernia-repair-a-nationwide-readmissions-analysis
#8
JOURNAL ARTICLE
Michael Katzen, Jana Sacco, David Ku, Gregory T Scarola, Paul D Colavita, B Todd Heniford, Vedra A Augenstein
INTRODUCTION: Our aim was to define the national incidence of enterotomy (ENT) during minimally invasive ventral hernia repair (MIS-VHR) and evaluate impact on short-term outcomes. METHODS: The 2016-2018 Nationwide Readmissions Database was queried using ICD-10 codes for MIS-VHR and enterotomy. All patients had 3-months follow-up. Patients were stratified by elective status; patients without ENT (No-ENT) were compared against ENT patients. RESULTS: In total, 30,025 patients underwent LVHR and ENT occurred in 388 (1...
June 5, 2023: Surgical Endoscopy
https://read.qxmd.com/read/36690847/state-of-the-art-abdominal-wall-reconstruction-and-closure
#9
JOURNAL ARTICLE
Sullivan A Ayuso, Sharbel A Elhage, Matthew J Salvino, Jana M Sacco, B Todd Heniford
Open ventral hernia repair is one of the most common operations performed by general surgeons. Appropriate patient selection and preoperative optimization are important to ensure high-quality outcomes and prevent hernia recurrence. Preoperative adjuncts such as the injection of botulinum toxin and progressive preoperative pneumoperitoneum are proven to help achieve fascial closure in patients with hernia defects and/or loss of domain. Operatively, component separation techniques are performed on complex hernias in order to medialize the rectus fascia and achieve a tension-free closure...
January 24, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36600359/protocol-to-develop-a-core-outcome-set-in-incisional-hernia-surgery-the-harmony-project
#10
JOURNAL ARTICLE
Deena Harji, Christophe Thomas, Stavros Antoniou, Harsha Chandraratan, Ben Griffiths, B Todd Heniford, Liam Horgan, Ferdinand Koeckerling, Manuel Lopez-Cano, Lisa Massey, Marc Miserez, Agneta Montgomery, Filip Muysoms, Benjamin Poulose, Wolfgang Reinpold, Neil Smart
INTRODUCTION: Incisional hernia has an incidence of up to 20% following laparotomy and is associated with significant morbidity and impairment of quality of life. A variety of surgical strategies including techniques and mesh types are available to manage patients with incisional hernia. Previous works have reported significant heterogeneity in outcome reporting for abdominal wall herniae, including ventral and inguinal hernia. This is coupled with under-reporting of important clinical and patient-reported outcomes...
December 6, 2022: BMJ Open
https://read.qxmd.com/read/36402608/impact-of-covid-19-on-volume-of-elective-and-nonelective-ventral%C3%A2-hernia-repair
#11
JOURNAL ARTICLE
Michael Katzen, Sullivan Ayuso, Kyle Thompson, Dau Ku, Gregory Scarola, Paul Colavita, Vedra Augenstein, B Todd Heniford
BACKGROUND: The significant decrease in elective surgery during the COVID-19 pandemic prompted fears that there would be an increase in emergency or urgent operations for certain disease states. The impact of COVID-19 on ventral hernia repair is unknown. This study aimed to compare volumes of elective and nonelective ventral hernia repairs performed pre-COVID-19 with those performed during the COVID-19 pandemic. METHODS: An analysis of a prospective database from 8 hospitals capturing patient admissions with the International Classification of Diseases, Tenth Revision Procedure Coding System for ventral hernia repair from January 2017 through June 2021 were included...
November 16, 2022: Surgery
https://read.qxmd.com/read/36307600/impact-of-race-and-ethnicity-on-rates-of-emergent-ventral-hernia-repair-vhr-has-anything-changed
#12
JOURNAL ARTICLE
Michael Katzen, Jana Sacco, Dau Ku, Gregory Scarola, Paul Colavita, Vedra Augenstein, B Todd Heniford
BACKGROUND: Non-white patients have been shown to have higher rates of emergent VHR, though no study to date has characterized these disparities over time. METHODS: National Surgical Quality Improvement Program (NSQIP) database was queried for VHR patients between 2008 and 2019. White, black, and hispanic patients were included for analysis. Older (2008-2011) versus New (2016-2019) time-periods were compared. The primary outcome was emergent VHR proportion. Multivariable analysis identified predictors of emergent VHR, then patients in each time-period were propensity matched (PSM) to control for confounders...
October 28, 2022: Surgical Endoscopy
https://read.qxmd.com/read/36280507/observational-study-of-complex-abdominal-wall-reconstruction-using-porcine-dermal-matrix-how-have-outcomes-changed-over-14-years
#13
JOURNAL ARTICLE
Michael M Katzen, Paul D Colavita, Jana M Sacco, Sullivan A Ayuso, Dau Ku, Gregory T Scarola, Rahmatulla Tawkaliyar, Kiara Brown, Keith S Gersin, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Our center has adopted many evidence-based practices to improve outcomes for complex abdominal wall reconstruction with porcine dermal matrix. This study analyzed outcomes over time using porcine dermal matrix in complex abdominal wall reconstruction. METHODS: Prospective, tertiary hernia center data was examined for patients undergoing complex abdominal wall reconstruction with porcine dermal matrix. Early (2008-2014) and Recent (2015-2021) cohorts were defined by dividing the study interval in half...
October 21, 2022: Surgery
https://read.qxmd.com/read/36280505/open-preperitoneal-ventral-hernia-repair-prospective-observational-study-of-quality-improvement-outcomes-over-18-years-and-1-842-patients
#14
JOURNAL ARTICLE
Michael M Katzen, Kent W Kercher, Jana M Sacco, Dau Ku, Gregory T Scarola, Bradley R Davis, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
BACKGROUND: This study aimed to describe progressive evidence-based changes in perioperative management of open preperitoneal ventral hernia repair and subsequent surgical outcomes and to analyze factors that affect recurrence and wound complications. METHODS: Prospective, tertiary hernia center data (2004-2021) were examined for patients undergoing midline open preperitoneal ventral hernia repair with mesh. "Early" (2004-2012) and "Recent" (2013-2021) groups were based on surgery date...
October 21, 2022: Surgery
https://read.qxmd.com/read/36229258/preoperative-botulinum-toxin-a-bta-injection-versus-component-separation-techniques-cst-in-complex-abdominal-wall-reconstruction-awr-a-propensity-scored-matched-study
#15
JOURNAL ARTICLE
Matthew N Marturano, Sullivan A Ayuso, David Ku, Robert Raible, Robert Lopez, Gregory T Scarola, Keith Gersin, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Complete fascial closure significantly reduces recurrence rates and wound complications in abdominal wall reconstruction. While component separation techniques have clear effectiveness in closing large abdominal wall defects, preoperative botulinum toxin A has emerged as an adjunct to aid in fascial closure. Few data exist comparing preoperative botulinum toxin A to component separation techniques, and the aim was to do so in a matched study. METHODS: A prospective, single-center, hernia-specific database was queried, and a 3:1 propensity-matched study of patients undergoing open abdominal wall reconstruction from 2016 to 2021 with botulinum toxin A versus component separation techniques was performed based on body mass index, defect width, hernia volume, and Centers for Disease Control and Prevention wound classification...
March 2023: Surgery
https://read.qxmd.com/read/36229252/predicting-rare-outcomes-in-abdominal-wall-reconstruction-using-image-based-deep-learning-models
#16
JOURNAL ARTICLE
Sullivan A Ayuso, Sharbel A Elhage, Yizi Zhang, Bola G Aladegbami, Keith S Gersin, John P Fischer, Vedra A Augenstein, Paul D Colavita, B Todd Heniford
BACKGROUND: Deep learning models with imbalanced data sets are a challenge in the fields of artificial intelligence and surgery. The aim of this study was to develop and compare deep learning models that predict rare but devastating postoperative complications after abdominal wall reconstruction. METHODS: A prospectively maintained institutional database was used to identify abdominal wall reconstruction patients with preoperative computed tomography scans. Conventional deep learning models were developed using an 8-layer convolutional neural network and a 2-class training system (ie, learns negative and positive outcomes)...
October 10, 2022: Surgery
https://read.qxmd.com/read/36182599/hernia-recurrence-after-primary-repair-of-small-umbilical-hernia-defects
#17
JOURNAL ARTICLE
Michael M Katzen, Jana Sacco, David Ku, Gregory T Scarola, Paul D Colavita, B Todd Heniford, Vedra A Augenstein
BACKGROUND: An evidence-based approach to the repair of umbilical hernias (UH)<1 cm has yet to be defined. METHODS: A prospectively maintained, institutional hernia database was queried for patients undergoing primary suture repair of UH ≤ 1 cm. The primary outcome was recurrence and secondary outcomes were wound complications. RESULTS: Of 332 patients included (226-primary, 106-incisional), recurrence was identified in 4 (1...
December 2022: American Journal of Surgery
https://read.qxmd.com/read/35925400/outcomes-of-biologic-versus-synthetic-mesh-in-cdc-class-3-and-4-open-abdominal-wall-reconstruction
#18
JOURNAL ARTICLE
Michael Katzen, Sullivan A Ayuso, Jana Sacco, Dau Ku, Gregory T Scarola, Kent W Kercher, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
INTRODUCTION: Abdominal wall reconstruction (AWR) in a contaminated field is associated with an increased risk of wound complications, infection, and reoperation. The best method of repair and mesh choice in these operations have generated marked controversy. Our aim was to compare outcomes of patients who underwent AWR with biologic versus synthetic mesh in CDC class 3 and 4 wounds. METHODS: A prospective, single-institution database was queried for AWR using biologic or synthetic mesh in CDC Class 3 and 4 wounds...
April 2023: Surgical Endoscopy
https://read.qxmd.com/read/35059834/multicenter-analysis-of-laparoscopic-versus-open-umbilical-hernia-repair-with-mesh-outcomes-and-quality-of-life-qol
#19
MULTICENTER STUDY
Sharbel A Elhage, Caleb T Pflederer, Sullivan A Ayuso, Jenny M Shao, Eva B Deerenberg, David Ku, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
INTRODUCTION: Umbilical hernia repair (UHR) is a common operation with varying surgical approaches. Laparoscopic (LUHR) and open (OUHR) operations are routinely performed, but their impact on quality of life (QoL) is not well described. Our aim was to evaluate perioperative outcomes and QoL of LUHR versus OUHR. METHODS: The prospectively collected International Hernia Mesh Registry was queried for patients undergoing UHR with mesh placement. QoL was measured using the Carolinas Comfort Scale preoperatively and 1, 6, 12, and 24 months postoperatively...
September 2022: Surgical Endoscopy
https://read.qxmd.com/read/34965157/factors-predicting-increased-length-of-stay-in-abdominal-wall-reconstruction
#20
JOURNAL ARTICLE
Sharbel A Elhage, Sullivan A Ayuso, Eva B Deerenberg, Jenny M Shao, Tanushree Prasad, Kent W Kercher, Paul D Colavita, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Enhanced recovery after surgery (ERAS) programs have become increasingly popular in general surgery, yet no guidelines exist for an abdominal wall reconstruction (AWR)-specific program. We aimed to evaluate predictors of increased length of stay (LOS) in the AWR population to aid in creating an AWR-specific ERAS protocol. METHODS: A prospective, single institution hernia center database was queried for all patients undergoing open AWR (1999-2019). Standard statistical methods and linear and logistic regression were used to evaluate for predictors of increased LOS...
December 29, 2021: American Surgeon
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