Complex Abdominal Wall Reconstruction in Neutropenic Patients

Agon Kajmolli, Abbas Smiley, Matthew McGuirk, Mahir Gachabayov, Roxana Bodin, Rifat Latifi

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
JournalAmerican Surgeon
StateAccepted/In press - 2021
Externally publishedYes


  • complex abdominal wall reconstruction
  • immunosuppression and elective surgery
  • neutropenia

ASJC Scopus subject areas

  • Surgery


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