Open AccessOutcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit
Author(s) -
Matthew J. Lee,
Thomas M Drake,
A Sayers,
Ciaran J. Walsh,
Michael M. Davies,
Nicola Fearnhead,
John Abercrombie,
Austin G Acheson,
Derek Alderson,
I. D. Anderson,
Simon Bach,
Michael M. Davies,
Zaed Hamady,
Daniel Hind,
Marianne Hollyman,
Sarah Hare,
Ellen Lee,
John Northover,
Christopher Alan Lewis,
Paul Marriott,
Nick Maynard,
David Murray,
Gillian Tierney,
Azmina Verjee,
Jonathan Wild,
S. Abbott,
Yasser Abdulaal,
Salim Afshar,
J. Ah-Chuen,
Tasneem Ahmed,
MA Akhtar,
Farooq Akram,
Elaine M Aldred,
Amjad Ali,
Mohamed Aly,
Adaugo Amajuoyi,
Verda Amin,
Daren Anderson,
O. D. Anderson,
Alexander Andreou,
Abdul Basit Ansari,
Sasha C. Appleton,
Rohan Ardley,
Farukh Arshad,
Osama E. Ashour,
Amani Asour,
A. Athem,
M. Athersmith,
Fares Ayoub,
Hussain Azeem,
Bilal Azhar,
Thomas Badenoch,
Colin Baillie,
Dipankar Bandyopadhyay,
Jonathan Barker,
Sarah Barker,
Benjamin Barkham,
Ralf Baron,
Jenifer Barrie,
E. Barry-Yarrow,
Gareth Bashir,
Nick Battersby,
George Bazoua,
Nebil Behar,
Shashi Bellam,
Cigdem Berger,
Samrat Singh Bhandarı,
S Bhasin,
Sarah Nichole Biggs,
Carly Bisset,
Lucy Blake,
Natalie S Blencowe,
Tristan Boam,
Alex Boddy,
Catherine Boereboom,
Monica Bogdan,
Richard Bogle,
P Bohra,
M Boland,
Håkon A. Bolkan,
Cynthia-Michelle Borg,
Richard Boulton,
George Bouras,
Matthew Boyer,
J Boyle,
Graham Branagan,
H Brewer,
Christopher Briggs,
Jack Broadhurst,
Eric N. Brown,
James Brown,
Lenette Brown,
Oluwateniola Brown,
Kathryn Burns,
Katrina Butcher,
Mathew Butler,
Ben Byrne,
Leah Campbell,
Cameron P. Capper,
Mark Cartmell,
Therese V. Cash,
Sheila L Chan,
N. Chandratreya,
Jennifer Chapman,
Stephen J. Chapman,
Alexandros Charalabopoulos,
C. M. Cheek,
Kenneth S. H. Chok,
Wen Ling Choong,
Maria Yui Kwan Chow,
Jared Chowdhury,
Peter Coe,
Philip G. Conaghan,
Gemma Conn,
Nicole Cook,
Timothy A. Cook,
Sheldon C. Cooper,
Julie Cornish,
David B. Cotton,
Chelsea G. Cox,
Peter Coyne,
Richard Crook,
Joseph Crozier,
Giulio Cuffolo,
Pedro Cunha,
Nathan Curtis,
Joan Cutting,
Kimberly Da Costa,
L Silva,
Bhupati Bhusan Das,
Michael Davenport,
Justine Davies,
T. Davies,
Art L Day,
Saraswati Dayal,
S Dean,
Georgia Demetriou,
Fungai Dengu,
R Dennis,
Helen Dent,
Paul C. Dent,
M Deputy,
Laurence Devoto,
G. Di Benedetto,
Shiva Dindyal,
Eric D. Donnelly,
P T Doody,
Eleftheria Douka,
Christina Downham,
H Dowson,
H. Edent,
Keith Edgerton,
Neville Ekpete,
Mirna Farran,
Omer El-Amin,
M. Eljaafari,
Nora Y. Elsaid,
Mohamed Elsharif,
Jennifer Evans,
Martin D.D. Evans,
Renee Ewe,
Anne Ewing,
Klaire Exarchou,
Rosalind Fallaize,
Morad Faoury,
Sheima Farag,
Eleonora Farinella,
Gemma Faulkner,
Henry J.M. Ferguson,
Owain Fisher,
Jeffery Fletcher,
Amir Forouzanfar,
Ashley A. Foster,
Ray Fox,
Nnenia Francis,
Vicky Fretwell,
Didier Fung,
Emanuele Gammeri,
J. R. Garnham,
Alistair Geraghty,
Arthur I. Gilbert,
C Gill,
Martin J. Gill,
M. Boyd Gillespie,
Pasquale Giordano,
James Glasbey,
Mui Heng Goh,
Allan M. Golder,
N Green,
T. Gregoir,
T Grey,
Ellen Groundwater,
T Grove,
Siona Growcott,
S. Gunasekaran,
Hassaan Yasin Habib,
J. B. Haddow,
Vijitha Chandima Halahakoon,
Constantine Halkias,
Claire Hall,
Alexander Hampson,
L Hancock,
Tarek N. Hanna,
Jonathan Hannay,
Athur Harikrishnan,
Rhian L Harries,
G Harris,
Jessica Hartley,
Kate Harvey,
P Hawkin,
Jemma Hawkins,
Robert W. Healy,
Rachel Heard,
R. Heartshorne,
Snir Heller,
Louise Hendra,
Philip Herrod,
Nick Heywood,
Gregory E. Hicks,
Brandy D. Hobson,
Stephen Holtham,
Stephen Holtham,
Carol Hope,
Philip Hopley,
Tanvir Hossain,
Sina Hossaini,
Frances Howse,
T.Bran Hubbard,
A.K. Humphreys,
H Ikram,
Mykoniatis Ioannis,
Muhammad Rafaih Iqbal,
Nayyer Iqbal,
Ritu Jain,
Jignesh Jatania,
P Jenkinson,
S Jokhan,
A.M. Jones,
Catherine Jones,
Lucie Jones,
Heman Joshi,
K Joshi,
Mark Joy,
P Jull,
Georgios Kakaniaris,
Georgios Kakaniaris,
R. Kallam,
Erica D. Kane,
Peter B. Kang,
Rohini Kanitkar,
Shahnaz Kauser,
Farasat Kazmi,
Martha Kedrzycki,
Sarah Kelly,
Jeffrey P Kendall,
Misbah Khan,
T Khan,
Gentry Teng King,
A Kisiel,
Christos Kitsis,
Israel Kayode Kolawole,
Salil Korambayil,
Sumitro Kosasih,
Anastasia Kosti,
Ahmed Kotb,
S. Kouris,
Kirosh Shankar Kshatriya,
Sanjeev Kumar,
Guillaume Lafaurie,
Romesh Lal,
Abigail Lau,
Taha Lazim,
Taha Lazim,
Antonio Lazzaro,
K Lee,
Rebecca Lefroy,
D. J. Leinhardt,
D. J. Leinhardt,
Hannah Len,
Kai Wen Leong,
Bruce D. Levy,
Eric Lim,
Jun Uk Lim,
S. Lindley,
D Liu,
P. Lloyd,
Dafydd Locker,
Sonia Lockwood,
Christopher F. Lowe,
Jonathan N. Lund,
Raimundas Lunevičius,
Aidan Lunt,
Samawal Lutfi,
Anil Luther,
S. Luwemba,
P. Mahankali-Rao,
S. Mahroof,
Dongmei Mai,
S. Majid,
Abu Baker Abdel Malik,
Kapil Malik,
K. Mann,
Safaei Mansour,
Nichola Manu,
R Mapara,
Charlene Martin,
Jocelyne Martin,
Raphaël Ewald Martin,
Carolyn Q. Mason,
Lisa Massey,
J. Mathias,
Priyanshu Mathur,
Karen Maude,
D. Ray McArthur,
Stephen McCain,
Simon McCluney,
Malcolm McFall,
Brendon McIlroy,
S McKay,
N. McKinley,
Angus G K McNair,
Derek McWhirter,
Peter Mekhail,
Katie Mellor,
James A. Merchant,
Louise Merker,
David Messenger,
Alexander Miles,
Shabeer Ahmad Mir,
Ami Mishra,
Preeya K. Mistry,
V Miu,
M. Moat,
Katherine Mockford,
Eyas Mohamed,
I. Mohamed,
M. Mondragon-Pritchard,
Nicola Moore,
Luigi Moretti,
Heather Morris,
Timothy Morrison,
Victoria MorrisonJones,
J Moss,
Susan Moug,
D Mountford,
Ray Moynihan,
Kabiru Muhammad,
D. Muldoon-Smith,
John H. Mulholland,
Michelle Mullan,
Ellen Murgitroyd,
K. Murugaiyan,
Abigail Myers,
Ioannis Mykoniatis,
Gael R Nana,
Thomas P. Nash,
Ahmed Nassar,
R. W. Newton,
Chin Ng,
Pamela Ng,
Pamela Ng,
Khang Nguyen,
Khang Nguyen,
F. G. Nicholas,
Muhammed Noor,
Jennifer Nowers,
Clare Nugent,
Andrew M. Nunn,
Rebecca Nunn,
Nicole Obeid,
John M. O’Callaghan,
Rozana Ohara,
Olatokunbo Oke,
James Olivier,
Áine O’Neill,
Stephen O’Neill,
Daniel OseiBordom,
L. Osgood,
Spyros Panagiotopoulos,
B. Panchasara,
RW Parks,
Hemali Patel,
Pooja Patel,
Reece Patel,
Saavan Patel,
Katarzyna Pawelec,
Camryn Payne,
Kristina K. Pearson,
Giordano Perin,
Ioannis Peristerakis,
B. Petronio,
Liam Phelan,
Jonathan Phillips,
C. Pisaneschi,
J Pitt,
K. Plunkett-Reed,
Luca Ponchietti,
A Pouzi,
M. Pouzi,
Anathea C. Powell,
Anna Powell-Chandler,
Nagarajan Pranesh,
VK Proctor,
Sarah Pywell,
Adnan I Qureshi,
Nabeel Qureshi,
Mushfiqur Rahman,
L. Zainab,
S Ramcharan,
Karan Rangarajan,
Madeeha Rashid,
Harriet Reader,
Abdul Rehman,
Saqib Rehman,
C Donoso Rengifo,
Eric Richards,
Neil Richardson,
Alec Robinson,
David Robinson,
Barbara Rossi,
Fiona Rutherford,
Iannish Sadien,
Tahir Saghir,
Kapil Sahnan,
G. Salahia,
Janahan Sarveswaran,
Milda Saunders,
Benjamin Scott,
Kelly Scott,
Andrew Seager,
Stella Seal,
E Sezen,
Fadlo Shaban,
Poonam Shah,
Poonam Shah,
Mohammadreza Shahmohammadi,
Amira Shamsiddinova,
Shivakumar Shankar,
A Sharpe,
Veeranna Shatkar,
Andrea Sheel,
Theresa Shields,
M. Shinkwin,
J. Shurmer,
Arifa Siddika,
Safia Siddiqui,
R Simson,
Paul Sinclair,
Balaji Singh,
Siddhartha Singh,
Jayaram Sivaraj,
Paul Skaife,
Brendan Skelly,
Asheley Cockrell Skinner,
N. Slim,
C. J. Smart,
Neil Smart,
Fiona Smith,
Ian Smith,
Ralph Smith,
Gavin Spence,
Arsha Sreedhar,
J Steinke,
Lianne Stevenson,
Emma Stewart-Parker,
Martyn Stott,
Brendon Stubbs,
Brendon Stubbs,
Nicholas Stylianides,
Sriram Subramonia,
M. Swinkin,
Mark Thomas Swinscoe,
Nicholas Symons,
Warda Tahir,
Tahir Taj,
Katalin Takács,
Judy K. Tam,
Ker Kan Tan,
Sobhana Iftekhar Tani,
Nichole T. Tanner,
Tao Duan,
Maxwell D. Taylor,
B Thava,
K. Thippeswamy,
Christophe Thomas,
E Thompson,
Richard E. Thompson,
C. Thompson-Reil,
CC Thorn,
F. Tongo,
Gábor Tóth,
Alison E. Turnbull,
Jennifer Turnbull,
Carmen Valero,
Gijs van Boxel,
Massimo Varcada,
Mary L Venn,
NT Ventham,
Marco Venza,
Dale Vimalachandran,
Ioannis Virlos,
Wade Tp,
Arsalan Wafi,
Kathryn Waite,
Morgan Walker,
Nathan Walker,
Thomas E. Walker,
Una Walsh,
Stacy Wardle,
Richard Warner,
J Watfah,
Nora Watson,
Jennifer Watt,
Jennifer J. Watts,
John G. Webb,
C Weegenaar,
Hannah West,
M. Stewart West,
Lauren N. Whitehurst,
M. Whyler,
M. G. Wiggans,
Sanjaya Wijeyekoon,
G. Williams,
R. Williams,
Anne E. Williamson,
Jonathan B. Williamson,
John L. Wilson,
Anke Winter,
Lewis Wolpert,
Jane J Wong,
Evie Yeap,
T. Yeong,
S. Zaman,
B Zappa,
Dimitrios Zosimas
Publication year - 2020
Publication title -
bjs open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.974
H-Index - 9
ISSN - 2474-9842
DOI - 10.1002/bjs5.50315
Subject(s) - medicine , bowel obstruction , hernia , incisional hernia , groin , abdominal wall , bowel resection , surgery , general surgery , mortality rate , abdominal surgery
Background Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co‐morbidity, imaging, operative treatment, and in‐hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non‐operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in‐hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group.