Patient-related risk factors for the development of post-operative hernias
- 1First European University, Kyiv
- 2O. O. Bogomolets National Medical University, Kyiv; Ivano-Frankivsk National Medical University
- 3Ivano-Frankivsk National Medical University
Abstract
Objective. To identify the most significant patient-related risk factors for the development of hernias following emergency and elective surgical procedures.
Materials and methods. An analysis was carried out of the medical records of 315 patients with post-operative ventral hernias (main group) and 270 patients who did not develop ventral hernias following surgical procedures (control group). The time to onset of post-operative hernias ranged from 3 to 60 months. An M1 defect was present in 70 (22.2%) patients, an M2 defect in 153 (48.6%), an M3 defect in 31 (9.8%), an M4 defect in 17 (5.4%), and a lateral defect in 44 (14.0%) patients. A W1 defect (less than 4 cm) was observed in 113 (35.9%) patients, a W2 defect (4–10 cm) in 177 (56.2%) and a W3 defect (more than 10 cm) in 25 (7.9%) patients.
Results. According to the analysis, significant patient-related risk factors for the development of a post-operative hernia were: age 61–70 years: odds ratio 1.99 (1.42–2.78), p = 0.001; age 71–80 years: odds ratio 1.69 (1.08–2.64), p = 0.026; living in a rural area: odds ratio 1.54 (1.10–2.14), p = 0.014; regular physical labour: odds ratio 1.58 (1.13–2.19), p = 0.009; body mass index 35.0–40.0 kg/cm²: odds ratio 2.97 (1.95–4.52), p = 0.001 and over 40.0 kg/cm²: odds ratio 4.85 (1.07–22.07), p = 0.048); diabetes mellitus: odds ratio 2.33 (1.38–3.94), p = 0.002; haemoglobin A1c level ≥ 8.0 per cent: odds ratio 8.62 (1.83–40.57), p = 0.005; and chronic obstructive pulmonary disease: odds ratio 2.58 (1.13–5.87), p = 0.032.
Conclusions. The most significant patient-related factors associated with the development of post-operative hernias are as follows: age over 61 years, living in a rural area, regular physical labour, a body mass index above 35.0 kg/cm² , diabetes mellitus, a glycated haemoglobin level of ≥8.0 per cent, and chronic pulmonary disease.
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BibTeX
@article{bondariev2026patientrelated,
title = {{Patient-related risk factors for the development of post-operative hernias}},
author = {R. V. Bondariev and V. V. Kozlov and S. M. Vasyliuk and O. M. Makarchuk and A. S. Vasyliuk},
journal = {Український журнал клінічної хірургії},
year = {2026},
month = oct,
doi = {10.26779/2786-832x.2026.5.27},
url = {https://doi.org/10.26779/2786-832x.2026.5.27},
note = {CC BY},
}
RIS
TY - JOUR
TI - Patient-related risk factors for the development of post-operative hernias
AU - R. V. Bondariev
AU - V. V. Kozlov
AU - S. M. Vasyliuk
AU - O. M. Makarchuk
AU - A. S. Vasyliuk
PY - 2026
DA - 2026/10/23
JO - Український журнал клінічної хірургії
DO - 10.26779/2786-832x.2026.5.27
UR - https://doi.org/10.26779/2786-832x.2026.5.27
AB - Objective. To identify the most significant patient-related risk factors for the development of hernias following emergency and elective surgical procedures. Materials and methods. An analysis was carried out of the medical records of 315 patients with post-operative ventral hernias (main group) and 270 patients who did not develop ventral hernias following surgical procedures (control group). The time to onset of post-operative hernias ranged from 3 to 60 months. An M1 defect was present in 70 (22.2%) patients, an M2 defect in 153 (48.6%), an M3 defect in 31 (9.8%), an M4 defect in 17 (5.4%), and a lateral defect in 44 (14.0%) patients. A W1 defect (less than 4 cm) was observed in 113 (35.9%) patients, a W2 defect (4–10 cm) in 177 (56.2%) and a W3 defect (more than 10 cm) in 25 (7.9%) patients. Results. According to the analysis, significant patient-related risk factors for the development of a post-operative hernia were: age 61–70 years: odds ratio 1.99 (1.42–2.78), p = 0.001; age 71–80 years: odds ratio 1.69 (1.08–2.64), p = 0.026; living in a rural area: odds ratio 1.54 (1.10–2.14), p = 0.014; regular physical labour: odds ratio 1.58 (1.13–2.19), p = 0.009; body mass index 35.0–40.0 kg/cm²: odds ratio 2.97 (1.95–4.52), p = 0.001 and over 40.0 kg/cm²: odds ratio 4.85 (1.07–22.07), p = 0.048); diabetes mellitus: odds ratio 2.33 (1.38–3.94), p = 0.002; haemoglobin A1c level ≥ 8.0 per cent: odds ratio 8.62 (1.83–40.57), p = 0.005; and chronic obstructive pulmonary disease: odds ratio 2.58 (1.13–5.87), p = 0.032. Conclusions. The most significant patient-related factors associated with the development of post-operative hernias are as follows: age over 61 years, living in a rural area, regular physical labour, a body mass index above 35.0 kg/cm² , diabetes mellitus, a glycated haemoglobin level of ≥8.0 per cent, and chronic pulmonary disease.
SN - 2786-832X
SN - 2786-8311
ER -