Table 4.
Uni- and multivariable analysis of risk factors for recurrence following primary ventral hernia repair
Parameters | Univariable analysis | Multivariable analysis | |||
---|---|---|---|---|---|
Recurrence (n=79) | No recurrence (n=575) | p value | Odds ratio (95% CI) | p value | |
Age, years, mean (SD) | 46.9 (13.4) | 50.3 (14.4) | 0.35 | ||
Gender (female), n (%) | 34 (43%) | 239 (41.6%) | 0.8 | ||
Body mass index, kg/m2, mean (SD) | 26.1 (4.9) | 27.9 (21.6) | 0.32 | ||
Hernia size > 4 cm, n (%) | 5 (6.3%) | 17 (2.9%) | 0.17 | ||
Multiple hernia, n (%) | 75 (94.9%) | 549 (95.6%) | 0.77 | ||
Incarcerated hernia, n (%) | 4 (5.1%) | 28 (4.9%) | 1.0 | ||
Preoperative function score, mean (SD) | 11.5 (4.2) | 13.1 (2.6) | < 0.01 | 0.88 (0.81–0.94) | < 0.01 |
Surgeon (trainee), n (%) | 33 (41.8%) | 178 (31%) | 0.05 | 1.5 (0.86–2.61) | 0.15 |
Defect closure, n (%) | 17 (21.5%) | 130 (22.6%) | 0.83 | ||
Repair technique, n (%) | < 0.01 | ||||
Open mesh+ | 13 (16.5%) | 235 (40.9%) | baseline | ||
Open mesh- | 41 (51.9%) | 184 (32%) | 4.11 (1.94–8.72) | 0.001 | |
IPOM* | 25 (31.6%) | 156 (27.1%) | 3.36 (1.55–7.27) | 0.002 | |
Postoperative complications, n (%) | 10 (12.7%) | 65 (11.3%) | 0.72 | ||
Surgical site infection, n (%) | 3 (3.8%) | 34 (5.9%) | 0.61 | ||
Reoperation, n (%) | 3 (3.8%) | 13 (2.3%) | 0.43 |
*Intraperitoneal onlay mesh