{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T17:24:16Z","timestamp":1780334656588,"version":"3.54.1"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Despite increasing use of cannabis, literature on perioperative effects is lagging. We compared active cannabis-smokers versus non-smokers and postoperative wound morbidity and reoperations following open abdominal wall reconstruction (AWR).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients who underwent open, clean, AWR with transversus abdominis release and retromuscular synthetic mesh placement at our institution between January 2014 and May 2022 were identified using the Abdominal Core Health Quality Collaborative database. Active cannabis-smokers were 1:3 propensity matched to non-smokers based on demographics and comorbidities. Wound complications, 30\u00a0day morbidity, pain (PROMIS 3a-Pain Intensity), and hernia-specific quality of life (HerQles) were compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seventy-two cannabis-smokers were matched to 216 non-smokers. SSO (18% vs 17% <jats:italic>p<\/jats:italic>\u2009=\u20090.86), SSI (11.1% vs 9.3%, <jats:italic>p<\/jats:italic>\u2009=\u20090.65), SSOPI (12% vs 12%, <jats:italic>p<\/jats:italic>\u2009=\u20090.92), and all postoperative complications (46% vs 43%, <jats:italic>p<\/jats:italic>\u2009=\u20090.63) were similar between cannabis-smokers and non-smokers. Reoperations were more common in the cannabis-smoker group (8.3% vs 2.8%, <jats:italic>p<\/jats:italic>\u2009=\u20090.041), driven by major wound complications (6.9% vs 3.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.004). No mesh excisions occurred. HerQles scores were similar at baseline (22 [11, 41] vs 35 [14, 55], <jats:italic>p<\/jats:italic>\u2009=\u20090.06), and were worse for cannabis-smokers compared to non-smokers at 30\u00a0days (30 [12, 50] vs 38 [20, 67], <jats:italic>p<\/jats:italic>\u2009=\u20090.032), but not significantly different at 1\u00a0year postoperatively (72 [53, 90] vs 78 [57, 92], <jats:italic>p<\/jats:italic>\u2009=\u20090.39). Pain scores were worse for cannabis-smokers compared to non-smokers at 30\u00a0days postoperatively (52 [46, 58] vs 49 [44, 54], <jats:italic>p<\/jats:italic>\u2009=\u20090.01), but there were no differences at 6\u00a0months or 1\u00a0year postoperatively (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05 for all).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Cannabis smokers will likely experience similar complication rates after clean, open AWR, but should be counseled that despite similar wound complication rates, the severity of their wound complications may be greater than non-smokers.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-024-02976-3","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T07:03:51Z","timestamp":1708585431000},"page":"847-855","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cannabis smoking and abdominal wall reconstruction outcomes: a propensity score-matched analysis"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-1944","authenticated-orcid":false,"given":"S.","family":"Maskal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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Michael Rosen is the medical director of Abdominal Core Health Quality Collaborative and has stock options with Ariste. Ajita Prabhu accepts speaking fees and research support paid to institution from Intuitive Surgical, consulting fees and is on the Advisory Board for CMR Surgical and is on the Advisory Board for Surgimatix. Lucas Beffa accepts honoraria from Intuitive Surgical. Sara Maskal accepted a resident research grant from ACHQC. Megan Melland-Smith, Nir Messer, Benjamin Miller, Ryan Ellis, Sharon Phillips, and Justin Foreman have no financial disclosures.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This project was conducted under approval by our Institutional Review Board.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval, Human and animal rights and Informed consent"}}]}}