Analysis of postoperative complications after open scar hernia hernioplasty – a retrospective analysis of a patient cohort
Abstract
ntroduction: The aim of this study was to analyse complications associated with inicisional hernia repair surgery and to assess individual risk factors for surgical site infections occurring at the Department of Surgery of the University Hospital Kralovske Vinohrady in 2015. Methods: We analysed 138 patients with a focus on risk factors that potentially increase the risk of postoperative infectious complications such as mesh implantation, smoking, diabetes mellitus, ischemic heart disease, malignancies, immunosuppressive therapy and urgency of the procedure.
Results: Based on multivariate logistic regression analysis, acute surgery proved to be a risk factor for infection, and in the ad hoc Fisher test, the ratio was 2.73. Diabetes mellitus as a risk factor reached the limit of significance (p=0.071).
No other variables were associated with an increased risk of surgical site infections. Conclusion: Acute surgery was assessed as a significant risk factor for postoperative wound infection.
On the contrary, mesh repair was not associated with an increased risk of infection.