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Identification of risk factors for evisceration in open radical cystectomy
R Monsonís-Usó1, P Ponce-Blasco1, B Amaya-Barroso1
1Servicio de Urología, Hospital General Universitario de Castellón, Castellón, Spain.
Introduction:
Abdominal wall closure defects (AWCD) represent a cause of morbidity and mortality in patients undergoing laparotomy.
Objective:
The aim of this study was to determine the risk factors contributing to the appearance of AWCD in open radical cystectomy.
Methods:
A retrospective, analytical, observational, descriptive study and multivariate analysis was conducted including patients who underwent open radical cystectomy for bladder cancer at the General University Hospital of Castellón between January 2018 and December 2021.
Results:
A total of 80 patients were included. The mean age was 70 years, with 86.3% being men. Sixteen presented with an evisceration (20%). Risk factors in the multivariate analysis were age, history of vascular or coronary disease, preoperative albumin, hemodynamic instability, and surgical time. Eight patients presented with an eventration (10%). A higher body mass index and a lower preoperative hemoglobin level were associated with eventration.
Conclusion:
The risk factors associated with abdominal wall closure defects are identifiable and preventable.
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