This document outlines factors that define a hernia as complex, including a BMI over 35, smoking, diabetes, steroid use, congestive heart failure, COPD, intraoperative enterotomy or bowel resection, urgent procedures for incarceration or obstruction, hernias resulting from damage control laparotomies with sequential closing, hernias with contaminated wounds from ostomies, fistulas, or prior surgical site infections, recurrent hernias, and prolonged operative time.
This document outlines factors that define a hernia as complex, including a BMI over 35, smoking, diabetes, steroid use, congestive heart failure, COPD, intraoperative enterotomy or bowel resection, urgent procedures for incarceration or obstruction, hernias resulting from damage control laparotomies with sequential closing, hernias with contaminated wounds from ostomies, fistulas, or prior surgical site infections, recurrent hernias, and prolonged operative time.
This document outlines factors that define a hernia as complex, including a BMI over 35, smoking, diabetes, steroid use, congestive heart failure, COPD, intraoperative enterotomy or bowel resection, urgent procedures for incarceration or obstruction, hernias resulting from damage control laparotomies with sequential closing, hernias with contaminated wounds from ostomies, fistulas, or prior surgical site infections, recurrent hernias, and prolonged operative time.
complex • BMI > 35 • Smoking • Diabetes mellitus • Steroid use • Congestive heart failure • Chronic obstructive pulmonary disease • Intraoperative enterotomy or bowel resection • Urgent procedure for incarceration or obstruction • Hernias that result from damage control laparotomies with sequential closing • Hernias with contaminated wounds from ostomies, fistulas, or prior surgical site infections • Recurrent hernias • Prolonged operative time