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Background <p>Ventral hernia repair is a common surgical procedure, but the postoperative follow-up remains a critical concern. While many surgeons consider short-term follow-up sufficient, the literature suggests that longer follow-up is necessary. Socioeconomic factors and comorbidities may influence the postoperative follow-up. We aimed to analyze the differences in patient and hernia profiles among different postoperative follow-up periods, and analyze factors influencing the absence of postoperative follow-up.</p> Methods <p>Patients with VHR were divided based on postoperative follow-up. We analyzed the impact of baseline characteristics, comorbidities, hernia, and surgical details, and postoperative complications on the postoperative follow-up. A multivariate regression analysis was performed to identify the absence of follow-up. Statistical analyses were conducted using R software.</p> Results <p>A total of 391 patients were included: 42 (10.7%) had no follow-up (FU), 284 (72.6%) had FU &lt; 6&#xa0;months, 31 (7.9%) between 6 and 12&#xa0;months, and 34 (8.7%) &gt; 1&#xa0;year. White patients were more frequent in longer FU groups (<i>p</i> = 0.02). No FU was more common in cirrhotic patients (<i>p</i> = 0.02) and those with umbilical hernias (<i>p</i> = 0.04). Epigastric and recurrent hernias, symptomatic cases, longer operative time, hospital stay, drain use, and higher postoperative pain scores were associated with longer FU (<i>p</i> &lt; 0.05). In multivariate analysis, no-white race was associated with higher odds of no FU (OR = 3.03, <i>p</i> = 0.01), while higher pain levels (OR = 0.12, <i>p</i> = 0.004) and a longer hospital stay reduced the odds of no FU, with each additional day of hospitalization decreasing the odds of presenting no follow-up (OR = 0.16, <i>p</i> &lt; 0.001).</p> Conclusion <p>Our findings indicate that patients with multiple comorbidities and more complex and symptomatic hernias tend to have longer follow-up periods. A racial disparity was also identified, with non-white patients being followed up less frequently than white patients. Higher recurrence rates in longer follow-up groups highlight the necessity to track patients for a longer follow-up period.</p> Institutional review board (IRB) registration number <p>PHXU-22-500-241-73-21, 03/26/2022.</p>

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Patient and clinical factors associated with postoperative follow-up duration after ventral hernia repair: a single-center retrospective study

  • 期刊论文

  • 发表日期：

    2025年10月16日

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  • Nicole Salevitz,
  • Carlos Balthazar da Silveira,
  • Kyle Leong,
  • Laura Cogua,
  • Ana Caroline Dias Rasador,
  • Caitlyn Voth,
  • Vikram Deka,
  • Conrad Ballecer,
  • Thomas Gillespie

摘要

Background

Ventral hernia repair is a common surgical procedure, but the postoperative follow-up remains a critical concern. While many surgeons consider short-term follow-up sufficient, the literature suggests that longer follow-up is necessary. Socioeconomic factors and comorbidities may influence the postoperative follow-up. We aimed to analyze the differences in patient and hernia profiles among different postoperative follow-up periods, and analyze factors influencing the absence of postoperative follow-up.

Methods

Patients with VHR were divided based on postoperative follow-up. We analyzed the impact of baseline characteristics, comorbidities, hernia, and surgical details, and postoperative complications on the postoperative follow-up. A multivariate regression analysis was performed to identify the absence of follow-up. Statistical analyses were conducted using R software.

Results

A total of 391 patients were included: 42 (10.7%) had no follow-up (FU), 284 (72.6%) had FU < 6 months, 31 (7.9%) between 6 and 12 months, and 34 (8.7%) > 1 year. White patients were more frequent in longer FU groups (p = 0.02). No FU was more common in cirrhotic patients (p = 0.02) and those with umbilical hernias (p = 0.04). Epigastric and recurrent hernias, symptomatic cases, longer operative time, hospital stay, drain use, and higher postoperative pain scores were associated with longer FU (p < 0.05). In multivariate analysis, no-white race was associated with higher odds of no FU (OR = 3.03, p = 0.01), while higher pain levels (OR = 0.12, p = 0.004) and a longer hospital stay reduced the odds of no FU, with each additional day of hospitalization decreasing the odds of presenting no follow-up (OR = 0.16, p < 0.001).

Conclusion

Our findings indicate that patients with multiple comorbidities and more complex and symptomatic hernias tend to have longer follow-up periods. A racial disparity was also identified, with non-white patients being followed up less frequently than white patients. Higher recurrence rates in longer follow-up groups highlight the necessity to track patients for a longer follow-up period.

Institutional review board (IRB) registration number

PHXU-22-500-241-73-21, 03/26/2022.