{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:48:33Z","timestamp":1777380513496,"version":"3.51.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T00:00:00Z","timestamp":1419206400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec id=\"S0899823X14000440_abs2\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To investigate whether operative factors are associated with risk of surgical site infection (SSI) after hernia repair.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X14000440_abs3\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X14000440_abs4\" sec-type=\"general\"><jats:title>Patients<\/jats:title><jats:p>Commercially insured enrollees aged 6 months-64 years with <jats:italic>International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic> procedure or <jats:italic>Current Procedural Terminology<\/jats:italic>, fourth edition, codes for inguinal\/femoral, umbilical, and incisional\/ventral hernia repair procedures from January 1, 2004, through December 31, 2010.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X14000440_abs5\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>SSIs within 90 days after hernia repair were identified by diagnosis codes. The \u03c7<jats:sup>2<\/jats:sup> and Fisher exact tests were used to compare SSI incidence by operative factors.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X14000440_abs6\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 119,973 hernia repair procedures were analyzed. The incidence of SSI differed significantly by anatomic site, with rates of 0.45% (352\/77,666) for inguinal\/femoral, 1.16% (288\/24,917) for umbilical, and 4.11% (715\/17,390) for incisional\/ventral hernia repair. Within anatomic sites, the incidence of SSI was significantly higher for open versus laparoscopic inguinal\/femoral (0.48% [295\/61,142] vs 0.34% [57\/16,524], <jats:italic>P<\/jats:italic>=.020) and incisional\/ventral (4.20% [701\/16,699] vs 2.03% [14\/691], <jats:italic>P<\/jats:italic>=.005) hernia repairs. The rate of SSI was higher following procedures with bowel obstruction\/necrosis than procedures without obstruction\/necrosis for open inguinal\/femoral (0.89% [48\/5,422] vs 0.44% [247\/55,720], <jats:italic>P<\/jats:italic>&lt;.001) and umbilical (1.57% [131\/8,355] vs 0.95% [157\/16,562], <jats:italic>P<\/jats:italic>&lt;.001), but not incisional\/ventral hernia repair (4.01% [224\/5,585] vs 4.16% [491\/11,805], <jats:italic>P<\/jats:italic>=.645).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X14000440_abs7\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The incidence of SSI was highest after open procedures, incisional\/ventral repairs, and hernia repairs with bowel obstruction\/necrosis. Stratification of hernia repair SSI rates by some operative factors may facilitate accurate comparison of SSI rates between facilities.<\/jats:p><jats:p>Infect Control Hosp Epidemiol 2014;00(0): 1\u20137<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2014.44","type":"journal-article","created":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T05:42:27Z","timestamp":1419313347000},"page":"329-335","source":"Crossref","is-referenced-by-count":32,"title":["Stratification of Surgical Site Infection by Operative Factors and Comparison of Infection Rates after Hernia Repair"],"prefix":"10.1017","volume":"36","author":[{"given":"Margaret A.","family":"Olsen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katelin B.","family":"Nickel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna E.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Mines","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria J.","family":"Fraser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K.","family":"Warren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,12,22]]},"reference":[{"key":"S0899823X14000440_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0988-0"},{"key":"S0899823X14000440_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.07.018"},{"key":"S0899823X14000440_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0938-x"},{"key":"S0899823X14000440_ref3","unstructured":"Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN): about NHSN. Centers for Disease Control and Prevention website. http:\/\/www.cdc.gov\/nhsn\/about.html. Updated November 6, 2013. Accessed January 24, 2014."},{"key":"S0899823X14000440_ref19","doi-asserted-by":"publisher","DOI":"10.1086\/662016"},{"key":"S0899823X14000440_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1164-6-1"},{"key":"S0899823X14000440_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-010-0779-4"},{"key":"S0899823X14000440_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.2246"},{"key":"S0899823X14000440_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31823009e6"},{"key":"S0899823X14000440_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.11.022"},{"key":"S0899823X14000440_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.3587"},{"key":"S0899823X14000440_ref4","unstructured":"Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN) procedure-associated (PA) module: surgical site infection (SSI) event. Centers for Disease Control and Prevention website. http:\/\/www.cdc.gov\/nhsn\/PDFs\/pscManual\/9pscSSIcurrent.pdf. Accessed November 14, 2013."},{"key":"S0899823X14000440_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318196d0b0"},{"key":"S0899823X14000440_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2743-0"},{"key":"S0899823X14000440_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-003-0186-1"},{"key":"S0899823X14000440_ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa040093"},{"key":"S0899823X14000440_ref20","doi-asserted-by":"publisher","DOI":"10.1086\/501620"},{"key":"S0899823X14000440_ref14","volume-title":"Advances in the Prevention and Control of HAIs","author":"Nickel","year":"2014"},{"key":"S0899823X14000440_ref22","unstructured":"American College of Surgeons. About American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). American College of Surgeons website. http:\/\/site.acsnsqip.org\/about\/. Accessed February 14, 2014."},{"key":"S0899823X14000440_ref5","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1007\/s00464-002-8851-5","article-title":"A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs","volume":"17","author":"McGreevy","year":"2003","journal-title":"Surg Endosc"},{"key":"S0899823X14000440_ref21","volume-title":"Risk Adjustment for Measuring Health Care Outcomes","author":"Iezzoni","year":"2003"},{"key":"S0899823X14000440_ref23","unstructured":"Centers for Medicare & Medicaid Services. Global surgery fact sheet. Centers for Medicare & Medicaid Services website. http:\/\/www.cms.gov\/Outreach-and-Education\/Medicare-Learning-Network-MLN\/MLNProducts\/downloads\/GloballSurgery-ICN907166.pdf. Accessed November 14, 2013."},{"key":"S0899823X14000440_ref8","first-page":"CD007781","article-title":"Laparoscopic versus open surgical techniques for ventral or incisional hernia repair","author":"Sauerland","year":"2011","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X14000440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,21]],"date-time":"2019-04-21T03:52:26Z","timestamp":1555818746000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X14000440\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,22]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["S0899823X14000440"],"URL":"https:\/\/doi.org\/10.1017\/ice.2014.44","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,22]]}}}