The impact of diabetes and presurgical glycemic control on wound morbidity following open complex abdominal wall reconstruction: a single-center experience.
Nir MesserBenjamin T MillerLucas R A BeffaClayton C PetroDavid M KrpataSerrgio Mazzola Poli de FigueiredoAldo FafajLi-Ching HuangRyan C EllisSara M MaskalAjita S PrabhuMichael J RosenPublished in: Hernia : the journal of hernias and abdominal wall surgery (2024)
In general, diabetes is a marker for increased wound morbidity and complications following complex abdominal wall reconstruction. However, we could not establish a hard cutoff to justify withholding surgery in symptomatic patients based on an arbitrary HbA1C level. We believe this data is important for shared decision-making when considering AWR for symptomatic ventral hernias in diabetic patients.
Keyphrases
- glycemic control
- type diabetes
- minimally invasive
- blood glucose
- end stage renal disease
- cardiovascular disease
- surgical site infection
- weight loss
- ejection fraction
- newly diagnosed
- chronic kidney disease
- insulin resistance
- coronary artery bypass
- electronic health record
- metabolic syndrome
- risk factors
- big data
- machine learning
- coronary artery disease
- acute coronary syndrome
- spinal cord injury
- percutaneous coronary intervention
- skeletal muscle