Identification of risk factors for evisceration in open radical cystectomy.

Abstract

<h4>Introduction</h4>Abdominal wall closure defects (AWCD) represent a cause of morbidity and mortality in patients undergoing laparotomy.<h4>Objective</h4>The aim of this study was to determine the risk factors contributing to the appearance of AWCD in open radical cystectomy.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>The risk factors associated with abdominal wall closure defects are identifiable and preventable.