BACKGROUND: Preoperative imaging with computed tomography (CT) scans can be useful in preoperative planning. We hypothesized that CT measurements of @entity4037 size and @entity15342 ( @entity15342 ) would correlate with @entity260 and need for complex abdominal wall reconstruction (AWR). MATERIALS AND METHODS: @entity1 who underwent open @entity4037 repair and had preoperative abdominal CT imagining were identified from an institutional @entity547 -specific surgery outcomes database at our tertiary referral @entity547 center. Grade III and IV @entity547 and biologic mesh cases were excluded. CT measures of defect size and @entity15342 were analyzed and correlated to complications and the need for AWR techniques using univariate, multivariate, and principal component (PC) analyses. @entity13704 and @entity25900 used five @entity15342 measures, @entity154 width, and body mass index to create a new component variable. RESULTS: There were 151 open @entity4037 repairs included in the study. Preoperative findings included 37.7% male; age 55.3      12.5  years; body mass index (BMI) 33.3      7.8  kg/m(2); 60.3% were recurrent @entity547 with @entity154 .5      5.0  cm and area 178.3      214  cm(2); @entity15342 at umbilicus 3.5      1.8  cm; and @entity15342 at pubis 7.0      3.2. Component separation was performed in 24.0% of @entity1 and panniculectomy in 34.4%. Wound complications occurred in 13.3% @entity1 , and 2.7% had @entity547 recurrence. Increasing defect width, length, and area as well as select @entity15342 measurements were associated with increased need for component separation, concomitant panniculectomy, and higher rates of wound and total complications (all P  <  0.05). Using multivariate regression, @entity13704 was associated with wound complications (odds ratio [OR], 1.08; 95% confidence interval [CI], 1.01-1.16); @entity25900 ( @entity154 width) was associated with the need for component separation (OR, 1.16; 95% CI, 1.03-1.30). @entity547 recurrence was not predicted by @entity15342 or defect size (OR, 1.00; 95%CI, 0.87-1.15). CONCLUSIONS: Preoperative CT measurements of @entity154 and @entity15342 predict wound complications and the need for complex AWR techniques. Obtaining preoperative CT imaging should be a consideration in preoperative planning and may help with @entity1 counseling.

Computed tomographic measurements predict component separation in XXXX repair.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['average defect width 8', 'hernia defects', 'hernia defect'] @entity13704 :: ('5310', 'Gene') :: ['PC1'] @entity25900 :: ('5311', 'Gene') :: ['PC2'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity15342 :: ('MESH:D011535', 'Disease') :: ['abdominal wall thickness', 'AWT'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Hernia', 'hernia', 'hernias'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia defect', 'ventral hernia']
@entity4037 :: (MESH:D006555,Disease) :: ['ventral hernia']
