دورية أكاديمية
أعرض في EDS

Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Uni- and multivariate analysis of prospective registry-based data.

التفاصيل البيبلوغرافية
العنوان: Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Uni- and multivariate analysis of prospective registry-based data.
المؤلفون: van den Berg R; Department of Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. r.vandenberg.4@erasmusmc.nl., den Hartog FPJ; Department of Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands., Menon AG; Department of Surgery, IJsselland Hospital, Capelle Aan Den IJssel, The Netherlands., Tanis PJ; Department of Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands., Gillion JF; Hôpital Privé d'Antony, 1 Rue Velpeau, 92160, Antony, France.
مؤلفون مشاركون: Hernia Club members
المصدر: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2024 Aug 07. Date of Electronic Publication: 2024 Aug 07.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: France NLM ID: 9715168 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1248-9204 (Electronic) Linking ISSN: 12489204 NLM ISO Abbreviation: Hernia Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris, France : Springer, c1997-
مستخلص: Background: Literature on a potential relationship between surgeon case volume and intra- or postoperative complications after ventral hernia repair remains scarce.
Methods: Patients who underwent ventral hernia repair between 2011 and 2023 were selected from the prospectively maintained French Hernia-Club Registry. Outcome variables were: intraoperative events, postoperative general complications, surgical site occurrences, surgical site infections, length of intensive care unit (ICU), and patient-reported scar bulging during follow-up. Surgeons' annual case volume was categorized as 1-5, 6-50, 51-100, 101-125, and > 125 cases, and its association with outcome volume was evaluated using uni- and multivariable analyses.
Results: Over the study period, 199 titular or temporary members registered 15,332 ventral hernia repairs, including 7869 primary, 6173 incisional, and 212 parastomal hernia repairs. In univariate analysis, surgeons' annual case volume was significantly related with all the postoperative studied outcomes. After multivariate regression analysis, annual case volume remained significantly associated with intra-operative complications, postoperative general complications and length of ICU stay. A primary repair was independently associated with fewer intra- and post-operative complications.
Conclusion: In the present multivariable analysis of a large registry on ventral hernia repairs, higher surgeon annual case volume was significantly related with fewer postoperative general complications and a shorter length of stay, but not with fewer surgical site occurrences, nor with less patient-reported scar bulging. Factors in the surgeons' case mix such as the type of hernia have significant impact on complication rates.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: abdominal wall; annual operating volume; incisional hernia; parastomal hernia; primary ventral hernia; surgical experience
تواريخ الأحداث: Date Created: 20240807 Latest Revision: 20240807
رمز التحديث: 20240808
DOI: 10.1007/s10029-024-03129-2
PMID: 39112727
قاعدة البيانات: MEDLINE
الوصف
تدمد:1248-9204
DOI:10.1007/s10029-024-03129-2