F Köckerling1, R Lorenz2, W Reinpold3, K Zarras4, J Conze5, A Kuthe6, B Lammers7,2,3,4,5,6,8,9,10,11,12,13,14, B Stechemesser8, F Mayer9, R Fortelny10, H Hoffmann11,12, J Kukleta13, D Weyhe14. 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. Hernia Center 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany. 3. Hernia Center Hamburg, Helios Mariahilf Klinik, Stader Str. 203C, 21075, Hamburg, Germany. 4. Marien Hospital Düsseldorf, Rochusstraße 2, 40479, Düsseldorf, Germany. 5. UM Hernia Center, Arabellastr. 17, 81925, München, Germany. 6. DRK-Krankenhaus Clementinenhaus, Lützerodestr. 1, 30161, Hannover, Germany. 7. Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. 8. Rheinland Klinikum Neuss GmbH , Preußenstrasse 84, 41464, Neuss, Germany. 9. Pan Hospital , Hernia Center , Zeppelinstrasse 1, 50667, Köln, Germany. 10. Department of General, Visceral and Thoracic Surgery , Paracelsus Medical University, 5020, Salzburg, Austria. 11. Private Hospital Confraternitaet, Sigmund Freud Private University, 1080, Vienna, Austria. 12. Center for Hernia Surgery and Proctology, ZweiChirurgen GmbH, St. Johanns-Vorstadt 44, 4056, Basel, Switzerland. 13. Klinik Im Park Zurich (Hirslanden Group), Grossmuensterplatz 9, 8001, Zurich, Switzerland. 14. Department of General and Visceral Surgery, Pius Hospital, University Hospital of Visceral Surgery, Georgstrasse 12, 26121, Oldenburg, Germany.
Abstract
INTRODUCTION: Groin hernia repair is performed increasingly more often as an outpatient procedure across the world. However, the rates are extremely different and vary between below 10% and above 90%. The outpatient procedure appears to negatively impact the proportion of laparo-endoscopic repairs. To date, only very few studies have compared inpatient vs outpatient groin hernia repair. METHODS: All outpatient and inpatient primary elective unilateral groin hernia repairs performed between 2010 and 2019 were identified in the Herniamed Registry and their treatment and outcomes compared. RESULTS: The 737 participating hospitals/surgeons performed a total of 342,072 primary elective unilateral groin hernia repairs from 2010 to 2019. The proportion of outpatient repairs was 20.2% in 2013 and 14.3% in 2019. Whereas the proportion of laparo-endoscopic repairs among the inpatient cases was 71.9% in 2019, the last year for which data are available, it was only 34.3%.for outpatient repairs. In outpatient groin hernia repairs, the rates of patients aged ≥ 60 years, with ASA score III and IV and risk factors were highly significantly lower. Given this rigorous patient selection for outpatient groin hernia repair, a more favorable perioperative outcome was achieved. At 1-year follow-up there were no significant differences in the pain and recurrence rates. CONCLUSION: With an appropriate patient selection, outpatient primary elective unilateral groin hernia repair can be performed with acceptable risks and good outcomes. Since to date no studies have compared inpatient vs outpatient groin hernia repair, the impact of a higher rate of outpatient groin hernia repair cannot currently be evaluated.
INTRODUCTION: Groin hernia repair is performed increasingly more often as an outpatient procedure across the world. However, the rates are extremely different and vary between below 10% and above 90%. The outpatient procedure appears to negatively impact the proportion of laparo-endoscopic repairs. To date, only very few studies have compared inpatient vs outpatient groin hernia repair. METHODS: All outpatient and inpatient primary elective unilateral groin hernia repairs performed between 2010 and 2019 were identified in the Herniamed Registry and their treatment and outcomes compared. RESULTS: The 737 participating hospitals/surgeons performed a total of 342,072 primary elective unilateral groin hernia repairs from 2010 to 2019. The proportion of outpatient repairs was 20.2% in 2013 and 14.3% in 2019. Whereas the proportion of laparo-endoscopic repairs among the inpatient cases was 71.9% in 2019, the last year for which data are available, it was only 34.3%.for outpatient repairs. In outpatient groin hernia repairs, the rates of patients aged ≥ 60 years, with ASA score III and IV and risk factors were highly significantly lower. Given this rigorous patient selection for outpatient groin hernia repair, a more favorable perioperative outcome was achieved. At 1-year follow-up there were no significant differences in the pain and recurrence rates. CONCLUSION: With an appropriate patient selection, outpatient primary elective unilateral groin hernia repair can be performed with acceptable risks and good outcomes. Since to date no studies have compared inpatient vs outpatient groin hernia repair, the impact of a higher rate of outpatient groin hernia repair cannot currently be evaluated.
Authors: D Weyhe; C Winnemöller; A Hellwig; K Meurer; H Plugge; K Kasoly; H Laubenthal; K-H Bauer; W Uhl Journal: Chirurg Date: 2006-09 Impact factor: 0.955
Authors: F Köckerling; R Lorenz; W Reinpold; K Zarras; J Conze; A Kuthe; B Lammers; B Stechemesser; F Mayer; R Fortelny; H Hoffmann; J Kukleta; D Weyhe Journal: Hernia Date: 2021-09-16 Impact factor: 2.920
Authors: I Kyle-Leinhase; F Köckerling; L N Jørgensen; A Montgomery; J F Gillion; J A P Rodriguez; W Hope; F Muysoms Journal: Hernia Date: 2018-01-06 Impact factor: 4.739
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
Authors: F Köckerling; R Lorenz; W Reinpold; K Zarras; J Conze; A Kuthe; B Lammers; B Stechemesser; F Mayer; R Fortelny; H Hoffmann; J Kukleta; D Weyhe Journal: Hernia Date: 2021-09-16 Impact factor: 2.920