From: Fascial dehiscence after radical cystectomy: Is abdominal exploration mandatory?
Characteristic | Total N = 27 (%) | Patients with accompanying intra-abdominal complications N = 7 | Patients without accompanying intra-abdominal complications N = 20 | P |
---|---|---|---|---|
Type of urinary diversion | ||||
Ileal conduit | 24 (89) | 7 (100) | 17 (85) | 0.55 |
Orthotopic neobladder | 3 (11) | 0 | 3 (15) | |
Operating room time (min) | 353 (275, 414) | 355 (275, 450) | 349 (264, 406) | 0.9 |
Estimated blood loss (ml) | 500 (450, 1000) | 550 (500, 700) | 500 (425, 1000) | 0.88 |
Admitted to the intensive care unit (post-cystectomy) | 4 (15) | 2 (29) | 2 (10) | 0.27 |
Other preioperative complications† | 19 (70) | 5 (71) | 14 (70) | 1 |
Respiratory failure | 2 | 1 | 1 | |
Cerebrovascular accident | 1 | 0 | 1 | |
Prolonged ileus | 3 | 0 | 3 | |
Deep venous thrombosis | 2 | 1 | 1 | |
Pneumonia | 1 | 1 | 0 | |
Cardiac arrhythmia | 2 | 0 | 2 | |
Urinary tract infection | 12 | 2 (29) | 10 (50) | 0.33 |
Wound infection | 16 (59) | 5 (71) | 11 (55) | 0.12 |
Wound pathogen resistant to preoperative anibiotics | 12 (75) | 5 (100) | 7 (64) | 0.25 |
Post-operative day of dehiscence diagnosis | 7 (5, 10) | 10 (6, 15) | 7 (5, 9) | 0.03 |
Pre-dehiscence Albumin g/dL | 2.8 (2.5, 3.6) | 2.5 (2.2, 3.5) | 2.8 (2.6, 3.1) | 0.38 |
Pre-dehiscence Creatinine mg/dL | 1.14 (0.9, 1.4) | 1.15 (1.1, 1.4) | 1.11 (0.85, 1.3) | 0.36 |
Pre-dehiscence Hemoglobin g/dL | 10.2 (9.7, 11) | 9.9 (9.6, 11) | 10.3 (9.9, 11.2) | 0.38 |
Pre-dehiscence Leukocyte count 103/µl | 10.7 (8.2, 12.8) | 11.7 (8.3, 19) | 10.6 (7.3, 12.4) | 0.2 |
Pre-dehiscence C-reactive protein mg/dL | 12.4 (9.2, 18.7) | 19.8 (11.2, 22.8) | 11.6 (9.6, 13.1) | 0.2 |
APACHE II score | 10.4 (2.9) | 10.1 (1.7) | 10.5 (3.3) | 0.8 |