Complex Abdominal Wall Reconstruction in Neutropenic Patients
The aim of our study was to determine whether patients with neutropenia (absolute neutrophil count (ANC) ≤1,500 cells/µL) had higher rates of surgical site infection after elective abdominal wall reconstruction. This was a case series from a prospective complex abdominal wall reconstruction cohort describing the surgical outcomes of 4 neutropenic patients (ANC ≤1,500 cells/µL) within 48 hours of index operation. Median age was 55 years, 3 patients were female. All patients had liver cirrhosis as a comorbidity: 2 patients as a result of alcohol abuse and 2 patients secondary to cryptogenic and nonalcoholic fatty liver disease, respectively. All patients underwent a posterior component separation with transversus abdominis release and retro-rectus biologic mesh. None of the 4 patients developed a surgical site infection 90 days postoperatively. Complex abdominal wall reconstruction in neutropenic patients could be safe.
Kajmolli, A., Smiley, A., McGuirk, M., Gachabayov, M., Bodin, R., & Latifi, R. (2021). Complex Abdominal Wall Reconstruction in Neutropenic Patients. The American Surgeon, 31348211011086-31348211011086. https://doi.org/10.1177/00031348211011086