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Post-operative complications in patients with ventral hernia

Ulugbek SherbekovSamarkand State Medical University, Samarkand, UzbekistanZ. B. KurbaniyazovSamarkand State Medical University, Samarkand, UzbekistanB. A. MardonovSamarkand State Medical University, Samarkand, UzbekistanJ. P. RadjabovSamarkand State Medical University, Samarkand, Uzbekistan
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Abstract

We evaluated potential predictors of 1-month postoperative complications after hernioplasty. All included patients in this retrospective cohort study underwent ventral surgery on repairment of ventral hernia in the 1st Clinic of Samarkand State Medical University between January 1, 2014, and January 1, 2021. In this study, we included 348 patients, of whom 87 (25%) patients had more than one complication within 1-month after surgery. According to the multivariable logistic regression analysis, older age was associated with slightly increased odds of postoperative problems (OR=1.09; 95% CI, 1.01-1.26, p<0.01). Furthermore, patients with BMI over 25 kg/m3 were more likely to experience post-hernioplasty complications (OR 1.12; 95% CI, 1.02-1.92, p=0.03). Interestingly, a larger size of hernia (OR 1.89; 95% CI, 1.22-3.49, p<0.01) and previous history of hernia surgery (OR 1.39; 95% CI, 1.12-2.72, p<0.001) were associated with a relatively higher risk of postoperative complications compared to other variables. Lastly, as longer surgery last more likely to experience postsurgical complications (OR 1.31; 95% CI, 1.07-2.19, p=0.03). Age, BMI, hypertension, previous history and size of the hernia, and duration of surgery were associated with complications.

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