BACKGROUND: Obesity's influence on postoperative complications in either @entity4037 repair (LVHR) or open @entity4037 (OVHR) has yet to be defined. Although 30-day postoperative complications increase with higher body mass index (BMI), we propose LVHR minimizes surgical site infections (SSIs) and surgical site occurrences (SSOs) for given BMI categories. METHODS: Retrospective review of the American College of Surgeons National Surgical Quality Improvement Program database (2009 to 2012) for @entity1 aged 18 years or more undergoing elective @entity4037 . Exclusion criteria included immunosuppression, disseminated @entity5 , advanced @entity409 , or pregnancy. @entity1 were stratified by BMI (20 to 25, 25 to 30, 30 to 35, 35 to 40, and >40 kg/m(2)), and 30-day SSOs evaluated across BMI groups for LVHR vs OVHR. RESULTS: A total of 106,968 @entity1 met inclusion criteria, with 60% @entity1 @entity28 . LVHR decreased SSO for all @entity1 (odds ratio, .4; confidence interval, .19 to .60). Obesity classes I/II/III have increased odds of superficial SSI, deep SSI, and dehiscence for OVHR compared with LVHR. Only @entity28 class III has increased odds of organ space SSI and reoperation for OVHR vs LVHR (P < .05). CONCLUSIONS: @entity28 @entity1 are over-represented in VHRs. Thirty-day postoperative wound complications increase with higher BMI. LVHR minimizes both SSIs and SSOs, especially in higher @entity28 classes.

Tailoring surgical approach for elective XXXX based on @entity28 and National Surgical Quality Improvement Program outcomes.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity28 :: ('MESH:D009765', 'Disease') :: ['Obese', 'obese', 'obesity'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity409 :: ('MESH:D008107', 'Disease') :: ['liver disease'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia repair', 'laparoscopic ventral hernia']
@entity4037 :: (MESH:D006555,Disease) :: ['ventral hernia repair']
