ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
"Sarcopenia is associated with increased risk of burst abdomen after emergency midline laparotomy: a matched case-control study".
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 4 citations in OpenAlex.
- Short-term outcomes in mesh versus suture-only treatment of burst abdomen: a case-series from a university hospital.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The clinical consequences of burst abdomen after emergency midline laparotomy: a prospective, observational cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
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Authors and funding
4 authors at 3 institutions in 1 country.
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Abstract
purposeBurst abdomen is a serious complication commonly observed after emergency midline laparotomy. Sarcopenia has been associated with increased morbidity and mortality after abdominal surgery. This single-center, retrospective, matched case-control study aimed to investigate the association between sarcopenia and burst abdomen in patients undergoing emergency midline laparotomy.
methodsPatients who had burst abdomen after emergency midline laparotomy were matched 1:4 with controls based on age and sex. Abdominal wall closure was standardized in the study period with the small bites, small stitches technique. CT assessed psoas cross-sectional area was used as a surrogate measure of sarcopenia. Sarcopenia was defined as the sex-specific lowest quartile of psoas cross-sectional area adjusted for body surface area. The primary outcome was the incidence rate of sarcopenia amongst cases and controls. Secondary outcomes were risk factors for burst abdomen and death that were identified using multivariate logistic regression analysis.
results67 cases were matched to 268 controls during May 2016-December 2019. BMI > 30 kg/m
conclusionSarcopenia is associated with increased risk of burst abdomen after midline laparotomy. Prospective trials are needed.
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