F Köckerling1, D Adolf2, R Lorenz3, B Stechemesser4, A Kuthe5, J Conze6, B Lammers7, R Fortelny8, F Mayer9, K Zarras10, W Reinpold11, H Hoffmann12, D Weyhe13. 1. Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de. 2. StatConsult GmbH, Halberstädter Strasse 40 a, 39112, Magdeburg, Germany. 3. 3+Chirurgen, Klosterstrasse 34/35, 13581, Berlin, Germany. 4. Pan Hospital, Hernia Center, Zeppelinstrasse 1, 50667, Cologne, Germany. 5. DRK-Hospital Clementinenhaus, Lützerodestr. 1, 30161, Hannover, Germany. 6. UM Hernia Center, Arabellastr. 17, 81925, Munich, Germany. 7. Section Coloproctology and Hernia Surgery, Department of Surgery I, Lukas Hospital, Preussenstr. 84, 41464, Neuss, Germany. 8. Department of General Surgery, Medical Faculty, Wilhelminenhospital, Sigmund Freud University Vienna, Freudplatz 3, 1020, Vienna, Austria. 9. Department of Surgery, Paracelsus Medical University Salzburg, University Hospital of Salzburg, Müllner Hauptstrasse 48, 5020, Salzburg, Austria. 10. Department of Visceral, Minimally Invasive and Oncologic Surgery, Academic Teaching Hospital of University of Düsseldorf, Marien Hospital, Rochusstrasse 2, 40479, Düsseldorf, Germany. 11. Department of Surgery, Wilhelmsburger Hospital Gross Sand, Academic Teaching Hospital of University Hamburg, Gross Sand, 321107, Hamburg, Germany. 12. ZweiChirurgen GmbHCenter for Hernia Surgery and Proctology, St. Johanns-Vorstadt 44, 4056, Basel, Switzerland. 13. Department of General and Visceral Surgery, University Hospital of Visceral Surgery, Georgstrasse 12, 26121, Oldenburg, Germany.
Abstract
INTRODUCTION: Using registry analyses, a large number of influencing factors on the perioperative outcome of groin hernia repair has been identified. The interactions between several influencing factors and differences in the influencing value have to date been inadequately investigated. METHODS: This retrospective analysis of prospectively collected data from the Herniamed Registry included all fully documented cases with minimum age of 16 years and groin hernia repair. Patients were assigned to the risk groups unilateral, bilateral, recurrent and emergency groin hernia repair. Multivariable analysis was performed to investigate the influence of confirmatory defined patient- and procedure-related characteristics on the outcome parameters intraoperative, postoperative general and postoperative surgical complications, complication-related reoperation and total perioperative complications. RESULTS: A highly significantly unfavorable association with the total perioperative complication rate was identified for emergency groin hernia repair, scrotal hernia, anticoagulant medication and coagulopathy. A significantly unfavorable relation with the total perioperative complication rate was found for recurrence procedure, bilateral repair, high age, ASA score III/IV, femoral hernia, antithrombotic medication, smoking, COPD and corticosteroid medication. A significantly favorable correlation with the total perioperative complication rate was observed for the laparo-endoscopic techniques, smaller defects, female gender, normal weight and medial hernia. CONCLUSION: Both the number of potential influencing factors and their influencing value on the perioperative outcome should be considered when estimating the individual risk of a patient with groin hernia repair.
INTRODUCTION: Using registry analyses, a large number of influencing factors on the perioperative outcome of groin hernia repair has been identified. The interactions between several influencing factors and differences in the influencing value have to date been inadequately investigated. METHODS: This retrospective analysis of prospectively collected data from the Herniamed Registry included all fully documented cases with minimum age of 16 years and groin hernia repair. Patients were assigned to the risk groups unilateral, bilateral, recurrent and emergency groin hernia repair. Multivariable analysis was performed to investigate the influence of confirmatory defined patient- and procedure-related characteristics on the outcome parameters intraoperative, postoperative general and postoperative surgical complications, complication-related reoperation and total perioperative complications. RESULTS: A highly significantly unfavorable association with the total perioperative complication rate was identified for emergency groin hernia repair, scrotal hernia, anticoagulant medication and coagulopathy. A significantly unfavorable relation with the total perioperative complication rate was found for recurrence procedure, bilateral repair, high age, ASA score III/IV, femoral hernia, antithrombotic medication, smoking, COPD and corticosteroid medication. A significantly favorable correlation with the total perioperative complication rate was observed for the laparo-endoscopic techniques, smaller defects, female gender, normal weight and medial hernia. CONCLUSION: Both the number of potential influencing factors and their influencing value on the perioperative outcome should be considered when estimating the individual risk of a patient with groin hernia repair.
Authors: A Eklund; C Rudberg; S Smedberg; L K Enander; C E Leijonmarck; J Osterberg; A Montgomery Journal: Br J Surg Date: 2006-09 Impact factor: 6.939
Authors: F Köckerling; A J Sheen; F Berrevoet; G Campanelli; D Cuccurullo; R Fortelny; H Friis-Andersen; J F Gillion; J Gorjanc; D Kopelman; M Lopez-Cano; S Morales-Conde; J Österberg; W Reinpold; R K J Simmermacher; M Smietanski; D Weyhe; M P Simons Journal: Hernia Date: 2019-11-21 Impact factor: 4.739