{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:35:06Z","timestamp":1777448106652,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Wound class in hernia repairs impacts surgical technique and outcomes. Hernia recurrence and complications are high when dirty wounds are treated in one stage. We hypothesize patients who undergo intentionally staged repairs are less likely to have adverse outcomes and associated costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were identified by retrospective chart review. Patient characteristics and outcome variables were collected. An economic analysis of cost variables was performed using medical records and published meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 8 patients in the staged repairs group and 10 patients in the control group. Length of stay was 14.9\u00a0days (\u00b18.8), and 8.7 days (\u00b16.4), respectively. Rate of hernia recurrence within 1\u00a0year was 14.3% and 37.5%. Rate of mesh infection at 30\u00a0days was 0% and 10%. Compared to controls, delayed-immediate repairs had a nearly 2-fold index surgical cost.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although there is an increased cost associated with delayed-immediate repairs, this cost may be offset by the decreased infection, seroma, dehiscence, enterocutaneous fistula formation, and hernia recurrence rate that necessitates future interventions. Further data collection is required to determine if clinical and economic benefit is seen long-term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221093804","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T21:40:35Z","timestamp":1651268435000},"page":"2345-2349","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cDelayed-Immediate\u201d Hernia Repairs in Infected Wounds: Clinical and Economic Outcomes"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2120-2253","authenticated-orcid":false,"given":"Paige N.","family":"Hackenberger","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Northwestern Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Eiferman","sequence":"additional","affiliation":[{"name":"Department of Trauma and Critical Care, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey E.","family":"Janis","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"bibr1-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.08.012"},{"key":"bibr2-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.01.008"},{"key":"bibr3-00031348221093804","doi-asserted-by":"publisher","DOI":"10.2307\/30148464"},{"key":"bibr4-00031348221093804","unstructured":"National Healthcare Safety Network, Centers for Disease Control and Prevention. Surgical site infection (SSI) event. http:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/9pscssicurrent.pdf. Published January 2017. Accessed October 21, 2020."},{"key":"bibr5-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-006-0164-5"},{"key":"bibr6-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.04.008"},{"key":"bibr7-00031348221093804","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i15.1928"},{"key":"bibr8-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpsurg.2013.08.003"},{"key":"bibr9-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.08.064"},{"key":"bibr10-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.11.017"},{"key":"bibr11-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-020-02124-7"},{"key":"bibr12-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.05.003"},{"key":"bibr13-00031348221093804","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2013.40.5.522"},{"key":"bibr14-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000225083.27182.85"},{"key":"bibr15-00031348221093804","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.62106"},{"key":"bibr16-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.04.003"},{"key":"bibr17-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001189"},{"key":"bibr18-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.11.002"},{"key":"bibr19-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000475775.44891.56"},{"key":"bibr20-00031348221093804","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31829cb65e"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221093804","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221093804","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221093804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:58Z","timestamp":1777379818000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221093804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,29]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/00031348221093804"],"URL":"https:\/\/doi.org\/10.1177\/00031348221093804","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,29]]}}}