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Logistic regression analysis of risk factors for intra-abdominal hypertension after giant ventral hernia repair: a retrospective cohort study

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Abstract

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.

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Author notes

  1. H. Zhou and Z. Zhang contributed equally to this work.

Authors and Affiliations

  1. The Third Clinical Medical School of Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China

    H. Zhou, Z. Zhang & J. Chen

  2. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, No. 5 JingYuan Road, Shijingshan District, Beijing, 100043, China

    S. Yang, Y. Liu & J. Chen

  3. Department of Radiology, Beijing Chao-Yang Hospital, No. 5 JingYuan Road, Shijingshan District, Beijing, 100043, China

    X. Gong

  4. Department of Radiology, Lin Yi Geriatric Hospital, Lanshan District, Linyi, 276003, China

    G. Du

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  1. H. Zhou
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Contributions

HZ and ZZ did the literature search. JC and GD formed the study design. Data collection done by ZZ and XG. HZ and GD analyzed the data. GD and XG interpreted the data. HZ and ZZ wrote the manuscript. SY, YL, and JC critically reviewed the manuscript.

Corresponding author

Correspondence to J. Chen.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the ethics committee of the Affiliated Beijing Chaoyang Hospital of Capital Medical University (No. 2018-ke-1).

Human and animal rights

All procedures performed in this study were in accordance with the ethical standards of the Ethics Committee of Beijing Chao-Yang Hospital and with the 1964 Helsinki declaration and its later amendments. This study does not contain any animals performed by the authors.

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The informed consent forms were obtained from all patients.

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Zhou, H., Zhang, Z., Yang, S. et al. Logistic regression analysis of risk factors for intra-abdominal hypertension after giant ventral hernia repair: a retrospective cohort study. Hernia 27, 305–309 (2023). https://doi.org/10.1007/s10029-022-02667-x

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