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01-06-2020 | Original Article

Complex abdominal wall hernia repair with biologic mesh in elderly: a propensity matched analysis

Authors: S. Gogna, R. Latifi, A. Policastro, K. Prabhakaran, P. Anderson, J. Con, J. Choi, D. J. Samson, J. Butler

Published in: Hernia | Issue 3/2020

Abstract

Background

Complex abdominal wall reconstruction (CAWR) has become a common surgical procedure both in non-elderly and elderly patients.

Objective

The aim of this study is to analyze the outcomes of the elderly compared to nonelderly undergoing CAWR using propensity score matching.

Methods

All patients who underwent CAWR using porcine-derived, non-crosslinked acellular dermal matrix (ADM) (Strattice™) between January 2014 and July 2017 were studied retrospectively. Propensity matched analysis was performed for risk adjustment in multivariable analysis and for one-to-one matching. The outcomes were analyzed for differences in postoperative complications, reoperations, mortality, hospital length of stay and adverse discharge disposition.

Results

One hundred-thirty-six patients were identified during the study period. Non-elderly (aged 18–64 years) constituted 70% (n = 95) and elderly (aged ≥ 65 years) comprised 30% of the overall patient population (n = 41). Seventy-three (56.7%) were females. After adjustment through the propensity score, which included 35 pairs, the surgical site infection (p = 1.000), wound necrosis (p = 1.000), the need for mechanical ventilation (p = 0.259), mortality (p = 0.083), reoperation rate (p = 0.141), hospital length of stay (p = 0.206), and discharge disposition (p = 0.795) were similar.

Conclusion

Elderly patients undergoing CAWR with biological mesh have comparable outcomes with non-elderly patients when using propensity matching score.

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Title: Complex abdominal wall hernia repair with biologic mesh in elderly: a propensity matched analysis
Authors: S. Gogna
R. Latifi
A. Policastro
K. Prabhakaran
P. Anderson
J. Con
J. Choi
D. J. Samson
J. Butler
Publication date: 01-06-2020
Publisher: Springer Paris
Published in: Hernia / Issue 3/2020
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-019-02068-7

At a glance: The STEP trials

Springer Medicine

Complex abdominal wall hernia repair with biologic mesh in elderly: a propensity matched analysis

Abstract

Background

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusion

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