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01-04-2021 | Cholecystectomy | Original Article

Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis

Authors: R. AlMarzooqi, S. Tish, L. Tastaldi, A. Fafaj, M. Olson, T. Stewart, A. Prabhu, D. Krpata, C. Petro, M. Rosen

Published in: Hernia | Issue 2/2021

Abstract

Purpose

Unlike routine ventral hernia repair, abdominal wall reconstruction (AWR) can results in large pieces of mesh and extensive manipulation of the intra-abdominal contents, rendering subsequent laparoscopic cholecystectomy challenging. This study addresses the additional wound morbidity of concomitant cholecystectomy.

Methods

The Americas Hernia Society Quality Collaborative (AHSQC) was retrospectively reviewed and logistic regression modeling was used to control for multiple covariates. Patients that underwent open AWR with cholecystectomy were compared to a similar group of patients undergoing uncomplicated, open, clean, AWR alone.

Results

130 patients undergoing concomitant cholecystectomy were compared to a control group of 6440 patients. The addition of a cholecystectomy did not cause a significant change in wound morbidity (SSI: p = 0.16; SSOPI: p = 0.65).

Conclusions

This study noted that a concomitant cholecystectomy does not increase the wound morbidity as compared to an uncomplicated, clean, AWR. This provides support for consideration of routine cholecystectomy in patients with cholelithiasis undergoing AWR.

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Title: Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis
Authors: R. AlMarzooqi
S. Tish
L. Tastaldi
A. Fafaj
M. Olson
T. Stewart
A. Prabhu
D. Krpata
C. Petro
M. Rosen
Publication date: 01-04-2021
Publisher: Springer Paris
Keywords: Cholecystectomy
Cholelithiasis
Published in: Hernia / Issue 2/2021
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-020-02208-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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