The benefits of preoperative smoking cessation on abdominal wall reconstruction outcomes: An examination of abstinent versus never smokers.

Preoperative optimization Smoking cessation Ventral hernia

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
14 Jul 2024
Historique:
received: 16 04 2024
revised: 18 06 2024
accepted: 09 07 2024
medline: 19 7 2024
pubmed: 19 7 2024
entrez: 18 7 2024
Statut: aheadofprint

Résumé

Active smoking is related to wound and respiratory complications following abdominal wall reconstruction (AWR), but no AWR studies directly compare outcomes of abstinent-smokers (AS), fulfilling four-weeks of smoking cessation, to non-smokers (NS). Prospectively maintained institutional database was queried for all AWR between 2012 and 2019. AS and NS were included. Primary outcomes were wound and respiratory complications; secondary outcome was recurrence. Standard statistical analyses were performed. Evaluation included 1088 patients, 305 AS and 783 NS. AS had a lower BMI (31.3 vs 32.7 ​kg/m Despite greater patient and hernia complexity, smoking cessation appears to result in similar outcomes to never-smokers in this AWR population.

Identifiants

pubmed: 39024729
pii: S0002-9610(24)00395-7
doi: 10.1016/j.amjsurg.2024.115843
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

115843

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest Dr. Kercher received speaking honoraria from WL Gore. Dr. Augenstein received speaking honoraria from Allergan, Pacira and Bard, and is a consultant for Medtronic and Vicarious Surgical. Dr. Heniford received a surgical education grant and honoraria from WL Gore. Drs. Lorenz, Holland, Kerr, Mead, and Mr. Scarola have no disclosures. We did not receive outside funding for this work. Generative AI software was not used in the evaluation of data or drafting of the manuscript.

Auteurs

William R Lorenz (WR)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Alexis M Holland (AM)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Samantha W Kerr (SW)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Brittany S Mead (BS)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Gregory T Scarola (GT)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Kent W Kercher (KW)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

Vedra A Augenstein (VA)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

B Todd Heniford (BT)

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Todd.Heniford@gmail.com.

Classifications MeSH