Hernia rate after damage control laparotomy: a retrospective review using ten core outcomes for damage control laparotomy - 07/11/25
Abstract |
Background |
Long-term outcomes including incisional hernia (IH) after damage control laparotomy (DCL) are poorly understood. Ten core outcomes were recently proposed to standardize DCL studies. We evaluated these outcomes and IH rates post-DCL, hypothesizing that delayed closure, abdominal complications, leak, abscess and fistula would be associated with IH.
Methods |
We performed a single-center retrospective review of 262 patients who underwent DCL (2016–2019). IH was assessed by exam or CT at one year. Core outcomes measured were fascial closure at index hospitalization, days to closure, abdominal complications, major complications requiring reoperation or unplanned re-exploration, GI anastomotic leak, secondary intra-abdominal sepsis, enterocutaneous fistula, in-hospital mortality, 30 day mortality, and 12-month functional outcome.
Results |
IH occurred in 50.5 % of patients; 10.0 % had planned ventral hernias. No core outcome was significantly associated with IH.
Conclusion |
IH is common one year after DCL. Further studies are needed to identify modifiable factors and develop strategies to reduce IH rates.
Le texte complet de cet article est disponible en PDF.Highlights |
• | This study reports hernia rates and 10 core outcomes after damage control laparotomy for trauma and emergency general surgery. |
• | 50.5 % of patients developed a hernia after damage control laparotomy. |
• | Quality of life at 1 year after DCL was assessed using the HerQLes score. |
Plan
| This article is part of a special issue entitled: SWSC 2025 published in The American Journal of Surgery. |
Vol 250
Article 116601- décembre 2025 Retour au numéro
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