@article{4c525515c3ca4590b215bf2746552199,
title = "Risk factors for recurrence in blunt traumatic abdominal wall hernias: A secondary analysis of a Western Trauma association multicenter study",
abstract = "Background: Few studies have investigated risk factors for recurrence of blunt traumatic abdominal wall hernias (TAWH). Methods: Twenty trauma centers identified repaired TAWH from January 2012 to December 2018. Logistic regression was used to investigate risk factors for recurrence. Results: TAWH were repaired in 175 patients with 21 (12.0%) known recurrences. No difference was found in location, defect size, or median time to repair between the recurrence and non-recurrence groups. Mesh use was not protective of recurrence. Female sex, injury severity score (ISS), emergency laparotomy (EL), and bowel resection were associated with hernia recurrence. Bowel resection remained significant in a multivariable model. Conclusion: Female sex, ISS, EL, and bowel resection were identified as risk factors for hernia recurrence. Mesh use and time to repair were not associated with recurrence. Surgeons should be mindful of these risk factors but could attempt acute repair in the setting of appropriate physiologic parameters.",
keywords = "Abdominal trauma, Hernia, Trauma, Traumatic abdominal wall hernia",
author = "Harrell, {Kevin N.} and Grimes, {Arthur D.} and Harkanwar Gill and Reynolds, {Jessica K.} and Ueland, {Walker R.} and Sciarretta, {Jason D.} and Todd, {Samual R.} and Trust, {Marc D.} and Marielle Ngoue and Thomas, {Bradley W.} and Ayuso, {Sullivan A.} and Aimee LaRiccia and Spalding, {M. Chance} and Collins, {Michael J.} and Collier, {Bryan R.} and Karam, {Basil S.} and {de Moya}, {Marc A.} and Lieser, {Mark J.} and Chipko, {John M.} and Haan, {James M.} and Lightwine, {Kelly L.} and Cullinane, {Daniel C.} and Falank, {Carolyne R.} and Phillips, {Ryan C.} and Kemp, {Michael T.} and Alam, {Hasan B.} and Udekwu, {Pascal O.} and Sanin, {Gloria D.} and Hildreth, {Amy N.} and Biffl, {Walter L.} and Schaffer, {Kathryn B.} and Gary Marshall and Omaer Muttalib and Jeffry Nahmias and Niti Shahi and Moulton, {Steven L.} and Maxwell, {Robert A.}",
note = "Funding Information: No financial support was received for this study. The authors would like to thank Shenequa Deas, Pat Lewis, and Denis D. Bensard for their assistance with this work. Publisher Copyright: {\textcopyright} 2022",
year = "2023",
month = jun,
doi = "10.1016/j.amjsurg.2022.12.006",
language = "English (US)",
volume = "225",
pages = "1069--1073",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",
}