Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit
BJS Open, Volume 4, No. 5, Year 2020
Notification
URL copied to clipboard!
Description
Background: Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods: NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co-morbidity, imaging, operative treatment, and in-hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results: NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non-operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in-hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion: NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group. © 2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society
Authors & Co-Authors
Lee, Matthew J.
Unknown Affiliation
Drake, Thomas M.
Unknown Affiliation
Fearnhead, Nicola S.
Unknown Affiliation
Alderson, Derek A.
Unknown Affiliation
Hamady, Zaed Z.R.
Unknown Affiliation
Maynard, Nick David
Unknown Affiliation
Verjee, Azmina
Unknown Affiliation
Abdulaal, Yasser
Unknown Affiliation
Andreou, Alexandros G.
Unknown Affiliation
Berger, Claudie J.
Unknown Affiliation
Blencowe, Natalie S.
Unknown Affiliation
Boddy, Alexander P.
Unknown Affiliation
Boland, Michael R.
Unknown Affiliation
Boyer, Matthew J.
Unknown Affiliation
Brown, Jason N.
Unknown Affiliation
Byrne, Benjamin E.
Unknown Affiliation
Chapman, Stephen J.
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Conn, Gemma
Unknown Affiliation
Cook, Timothy M.
Unknown Affiliation
Davies, Richard Justin
Unknown Affiliation
Demetriou, George A.
Unknown Affiliation
Donnelly, Eric D.
Unknown Affiliation
Elsaid, Nashwa
Unknown Affiliation
Evans, Jessica D.
Unknown Affiliation
Fisher, Oliver M.
Unknown Affiliation
Francis, Nader Kamal
Unknown Affiliation
Haddow, James Boyd
Unknown Affiliation
Hawkins, Jessica
Unknown Affiliation
Heller, Simon R.
Unknown Affiliation
Hossaini, Sina
Unknown Affiliation
Jones, Laura L.
Unknown Affiliation
Jull, Patrick
Unknown Affiliation
Lee, Kuok Chung
Unknown Affiliation
Lunevicius, Raimundas
Unknown Affiliation
Malik, Ahmad Azam
Unknown Affiliation
McArthur, David R.
Unknown Affiliation
McKay, Siobhan Chloe
Unknown Affiliation
Mellor, Katie
Unknown Affiliation
Moss, Jana Lee
Unknown Affiliation
Moug, Susan Joan
Unknown Affiliation
Nassar, Ahmad H.M.
Unknown Affiliation
Nowers, Jennifer
Unknown Affiliation
Nunn, Andrew J.
Unknown Affiliation
Nunn, Rebecca
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Osei-Bordom, Daniel Clement
Unknown Affiliation
Parks, Rowan W.
Unknown Affiliation
Patel, Puja
Unknown Affiliation
Petronio, Barbara
Unknown Affiliation
Carceller Navarro, María Soledad
Unknown Affiliation
Qureshi, Ahmad Uzair
Unknown Affiliation
Sadien, Iannish D.
Unknown Affiliation
Seal, Sheila
Unknown Affiliation
Shaban, Fadlo
Unknown Affiliation
Sheel, Andrea Rhiannon Glynne
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Stylianides, Nicholas A.
Unknown Affiliation
Thompson, Ellen J.
Unknown Affiliation
Thompson, Robert L.
Unknown Affiliation
Venn, Mary L.
Unknown Affiliation
Wafi, Arsalan
Unknown Affiliation
Watson, Nicholas F.S.
Unknown Affiliation
Statistics
Citations: 7
Authors: 63
Identifiers
Doi:
10.1002/bjs5.50315
ISSN:
24749842
Research Areas
Environmental
Health System And Policy
Study Design
Case-Control Study