Is a Technically Challenging Procedure More Likely to Fail? A Prospective Single-Center Study on the Short- and Long-Term Outcomes of Inguinal Hernia Repair
Joint Authors
Berndsen, M. R.
Gudbjartsson, Tomas
Berndsen, Fritz Hendrik
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and Aims.
The aim of this prospective single-center study was to evaluate the outcome of inguinal hernia repair.
Materials and Methods.
A total of 485 inguinal hernias (452 patients and 33 patients with bilateral hernias) were operated between January 2004 and December 2010.
Mean age was 56 years, and 93% were male.
Patient demographics and operative data were collected, and the operating surgeon assessed the technical difficulty of the operation.
Five years after surgery, a questionnaire evaluated recurrence and chronic discomfort according to the Cunningham scale.
372 responded (82%), and mean follow-up was 5.5 years.
Results.
There were 390 repairs for a primary and 62 for a recurrent hernia.
Totally extraperitoneal (TEP) operation was most frequently performed (56%), transabdominal preperitoneal (TAPP) operation in 31%, and Lichtenstein and Shouldice in 12% and 2%, respectively.
At 5-year follow-up, the primary outcome of chronic discomfort was 19.5%.
The independent positive predictors were young age and operation for a recurrent hernia (OR: 3.7), with TEP operation reducing the risk of chronic discomfort (OR: 0.5).
The secondary outcome was the recurrence rate of 2.5%.
Risk factors were strenuous work (OR: 13.7), technically difficult repairs (OR: 7.2), and chronic discomfort (OR: 6.7).
Conclusions.
Every fifth patient had chronic discomfort in long-term follow-up.
The recurrence rate was 2.5%, and a technically difficult procedure was a risk factor.
American Psychological Association (APA)
Berndsen, M. R.& Gudbjartsson, Tomas& Berndsen, Fritz Hendrik. 2018. Is a Technically Challenging Procedure More Likely to Fail? A Prospective Single-Center Study on the Short- and Long-Term Outcomes of Inguinal Hernia Repair. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214817
Modern Language Association (MLA)
Berndsen, M. R.…[et al.]. Is a Technically Challenging Procedure More Likely to Fail? A Prospective Single-Center Study on the Short- and Long-Term Outcomes of Inguinal Hernia Repair. Surgery Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1214817
American Medical Association (AMA)
Berndsen, M. R.& Gudbjartsson, Tomas& Berndsen, Fritz Hendrik. Is a Technically Challenging Procedure More Likely to Fail? A Prospective Single-Center Study on the Short- and Long-Term Outcomes of Inguinal Hernia Repair. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214817
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1214817