PMID- 36169738
OWN - NLM
STAT- MEDLINE
DCOM- 20230426
LR  - 20230427
IS  - 1248-9204 (Electronic)
IS  - 1248-9204 (Linking)
VI  - 27
IP  - 2
DP  - 2023 Apr
TI  - Logistic regression analysis of risk factors for intra-abdominal hypertension 
      after giant ventral hernia repair: a retrospective cohort study.
PG  - 305-309
LID - 10.1007/s10029-022-02667-x [doi]
AB  - BACKGROUND: Intra-abdominal hypertension (IAH) is a classical complication after 
      giant ventral hernia surgery and may lead to abdominal compartment syndrome 
      (ACS). Assessment of risk factors and prevention of IAH/ACS are essential for 
      hernia surgeons. METHODS: We performed a retrospective study including 58 giant 
      ventral hernia patients in our center between Jan 1, 2017, and Mar 1, 2022, we 
      recorded age, gender, chronic obstructive pulmonary disease (COPD), coronary 
      heart disease (CHD), hypertension, type 2 diabetes mellitus (T2DM), 
      hypoproteinemia, body mass index (BMI), the ratio of hernia sac volume to 
      abdominal cavity volume (HSV/ACV), defect width, tension reduction procedure 
      (TRP), positive fluid balance (PFB) and IAH of these patients and analyzed the 
      data using univariate and multivariate logistic regression to screen the risk 
      factors for IAH after surgery. RESULTS: The multivariate analysis showed that 
      HSV/ACV >/= 25%, hypoproteinemia, and PFB were independent risk factors for the 
      occurrence of IAH after giant ventral hernia repair (P = 0.025, 0.016, 0.017, 
      respectively). We did not find any correlation between postoperative IAH and the 
      patient's age, gender, COPD, CHD, hypertension, T2DM, BMI, defect width, TRP, and 
      PFB. CONCLUSION: Identifying risk factors is of great significance for the early 
      identification and prevention of IAH/ACS. We found that HSV/ACV >/= 25%, 
      hypoproteinemia, and PFB were independent risk factors for IAH after giant 
      ventral hernia repair.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, 
      part of Springer Nature.
FAU - Zhou, H
AU  - Zhou H
AD  - The Third Clinical Medical School of Capital Medical University, 8 Gongren 
      Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.
FAU - Zhang, Z
AU  - Zhang Z
AD  - The Third Clinical Medical School of Capital Medical University, 8 Gongren 
      Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.
FAU - Yang, S
AU  - Yang S
AD  - Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, No. 5 
      JingYuan Road, Shijingshan District, Beijing, 100043, China.
FAU - Gong, X
AU  - Gong X
AD  - Department of Radiology, Beijing Chao-Yang Hospital, No. 5 JingYuan Road, 
      Shijingshan District, Beijing, 100043, China.
FAU - Liu, Y
AU  - Liu Y
AD  - Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, No. 5 
      JingYuan Road, Shijingshan District, Beijing, 100043, China.
FAU - Du, G
AU  - Du G
AD  - Department of Radiology, Lin Yi Geriatric Hospital, Lanshan District, Linyi, 
      276003, China.
FAU - Chen, J
AU  - Chen J
AUID- ORCID: 0000-0001-7618-2558
AD  - The Third Clinical Medical School of Capital Medical University, 8 Gongren 
      Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China. 
      chenjiejoe@sina.vip.com.
AD  - Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, No. 5 
      JingYuan Road, Shijingshan District, Beijing, 100043, China. 
      chenjiejoe@sina.vip.com.
LA  - eng
PT  - Journal Article
DEP - 20220928
PL  - France
TA  - Hernia
JT  - Hernia : the journal of hernias and abdominal wall surgery
JID - 9715168
SB  - IM
MH  - Humans
MH  - *Intra-Abdominal Hypertension/surgery
MH  - Retrospective Studies
MH  - *Diabetes Mellitus, Type 2/complications/surgery
MH  - Logistic Models
MH  - Herniorrhaphy/methods
MH  - *Hernia, Ventral/surgery
MH  - Risk Factors
MH  - *Hypertension
MH  - *Pulmonary Disease, Chronic Obstructive/complications/surgery
MH  - *Hypoproteinemia/complications/surgery
OTO - NOTNLM
OT  - Abdominal compartment syndrome
OT  - Giant ventral hernia
OT  - Herniorrhaphy
OT  - Intra-abdominal hypertension
OT  - Risk factor
EDAT- 2022/09/29 06:00
MHDA- 2023/04/26 06:41
CRDT- 2022/09/28 11:16
PHST- 2022/05/18 00:00 [received]
PHST- 2022/08/17 00:00 [accepted]
PHST- 2023/04/26 06:41 [medline]
PHST- 2022/09/29 06:00 [pubmed]
PHST- 2022/09/28 11:16 [entrez]
AID - 10.1007/s10029-022-02667-x [pii]
AID - 10.1007/s10029-022-02667-x [doi]
PST - ppublish
SO  - Hernia. 2023 Apr;27(2):305-309. doi: 10.1007/s10029-022-02667-x. Epub 2022 Sep 
      28.