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Purpose <p>The purpose of this study was to identify patient and operative factors that increase the likelihood of VTE after RVHR.</p> Methods <p>Patients aged 18 and older who underwent RVHR for a midline ventral hernia with 30-day follow-up in the Abdominal Core Health Quality Collaborative (ACHQC) database were included. Those who were under 18 years of age, had incomplete 30-day follow-up, lacked operative details, and or had inguinal or lateral abdominal wall hernia repair were excluded. A variety of patient demographic and operative factors were collected. Chi-squared tests were used to evaluate significance. A p-value of 0.05 was used as the level of statistical significance.</p> Results <p>7422 patients were included in the final study. BMI &gt; 30 (<i>p</i> = 0.0061), age &gt; 60 (<i>p</i> &lt; 0.0001), ASA class (<i>p</i> = 0.0002), median hernia size (<i>p</i> &lt; 0.0001), prior mesh placement (<i>p</i> = 0.0003), and hernia recurrence (<i>p</i> = 0.0043) were significantly associated with VTE. Operative approach (<i>p</i> = 0.562), OR time &gt; 2&#xa0;h (<i>p</i> = 0.0708), males (<i>p</i> = 0.9924), diabetes (<i>p</i> = 0.4256), history of abdominal wall SSI (<i>p</i> = 0.3793), and any intraoperative complication (<i>p</i> = 0.3277) were not significantly associated with VTE.</p> Conclusion <p>Beyond established patient factors, larger defect width was independently associated with 30-day VTE after RVHR. Complexity markers–including recurrent hernia, prior mesh, and larger mesh dimensions–also tracked with VTE, and pre-operative anticoagulant therapy was more frequent among VTE cases, informing RVHR specific risk stratification and prophylaxis.</p>

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Factors associated with venous thromboembolism in retromuscular ventral hernia repair - an abdominal core health quality collaborative analysis

  • 期刊论文

  • 发表日期：

    2025年12月12日

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  • Sofia Piperno,
  • Vincent Yang,
  • Jaclyn Dempsey,
  • Rui-Min Mao,
  • Richard Lu

摘要

Purpose

The purpose of this study was to identify patient and operative factors that increase the likelihood of VTE after RVHR.

Methods

Patients aged 18 and older who underwent RVHR for a midline ventral hernia with 30-day follow-up in the Abdominal Core Health Quality Collaborative (ACHQC) database were included. Those who were under 18 years of age, had incomplete 30-day follow-up, lacked operative details, and or had inguinal or lateral abdominal wall hernia repair were excluded. A variety of patient demographic and operative factors were collected. Chi-squared tests were used to evaluate significance. A p-value of 0.05 was used as the level of statistical significance.

Results

7422 patients were included in the final study. BMI > 30 (p = 0.0061), age > 60 (p < 0.0001), ASA class (p = 0.0002), median hernia size (p < 0.0001), prior mesh placement (p = 0.0003), and hernia recurrence (p = 0.0043) were significantly associated with VTE. Operative approach (p = 0.562), OR time > 2 h (p = 0.0708), males (p = 0.9924), diabetes (p = 0.4256), history of abdominal wall SSI (p = 0.3793), and any intraoperative complication (p = 0.3277) were not significantly associated with VTE.

Conclusion

Beyond established patient factors, larger defect width was independently associated with 30-day VTE after RVHR. Complexity markers–including recurrent hernia, prior mesh, and larger mesh dimensions–also tracked with VTE, and pre-operative anticoagulant therapy was more frequent among VTE cases, informing RVHR specific risk stratification and prophylaxis.