Kanters et al modified a grading scale proposed by the Ventral Hernia Working Group (BHWG) for predicting surgical site complications following ventral hernia repair. The modified scale improves accuracy of predicting surgical site occurrences. The authors are from University Hospitals Case Medical Center in Cleveland.
Patient selection: open ventral hernia repair
Outcomes: surgical site occurrences = surgical site infection (majority), seroma, wound dehiscence, enterocutaneous fistula
Parameters:
(1) history of wound infection
(2) comorbid conditions (smoker, obese, COPD, diabetes mellitus)
(3) surgical site status (clean, clean-contaminated, contaminated, dirty)
History Wound Infection |
Comorbid Conditions |
Surgical Site |
Grade |
No |
none |
clean |
Grade 1 |
No |
>= 1 |
clean |
Grade 2 |
Yes |
>= 0 |
clean |
Grade 2 |
NA |
NA |
other |
Grade 3 |
Grade |
Percent with Surgical Site Occurrence |
Grade 1 |
14% |
Grade 2 |
27% (2 –fold) |
Grade 3 |
46% (3-fold) |
Specialty: Infectious Diseases
ICD-10: ,