Association of Nicotine Cessation Time on the Incidence of Recurrent Incisional Hernia Repair and Postoperative Surgical Site Occurrences

Author:

McBee Patrick J.1,Larsen Nicholas K.1,Reilly Matthew J.1,Walters Ryan W.2ORCID,Olson Molly A.3,Fitzgibbons Robert J.1ORCID

Affiliation:

1. Department of Surgery, Creighton University School of Medicine, Omaha, NE, USA

2. Department of Clinical Research, Creighton University School of Medicine, Omaha, NE, USA

3. Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA

Abstract

Background Nicotine products are believed to be associated with a higher incidence of incisional hernia (IH) recurrence and postoperative complications after IH repair. Methods A retrospective analysis of the Abdominal Core Health Quality Collaborative (ACHQC) database was performed. Outcomes included risk of IH recurrence, 30-day surgical site infection (SSI), and 30-day surgical site occurrence (SSO). Results We included 14,663 patients. Nicotine users who quit within 1 year of surgery had a 26% higher risk of IH recurrence compared to patients who quit more than a year before surgery or never users. Patients who quit using nicotine within 1 year of surgery had a 54% higher odds of SSI compared to former nicotine users who quit more than a year before surgery. Conclusion Former nicotine users with less than 1 year of nicotine use cessation before surgery exhibited worse outcomes than those with more than a year of cessation or no prior use.

Publisher

SAGE Publications

Subject

General Medicine

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