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Risk factors for complications in Groin Hernia surgery: A National register study
Östersunds Hosp, Dept Surg, S-83183 Östersund, Sweden.
Karolinska Inst, Huddinge Univ Hosp, Dept Surg, Stockholm, Sweden.
Helsingborg Hosp, Dept Surg, Helsingborg, Sweden.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. (Östersunds Hosp, Dept Surg, S-83183 Östersund, Sweden)
2012 (English)In: Annals of Surgery, ISSN 0003-4932, E-ISSN 1528-1140, Vol. 255, no 4, 784-788 p.Article in journal (Refereed) Published
Abstract [en]

Objective: This study aims to analyze and identify risk factors for postoperative complications and analyze the relative risk of reoperation for recurrence for respective complication. Background: The outcome of groin hernia surgery is evaluated mostly by comparing recurrence rates and long-term pain. The aim of this observational population-based registry study was to identify risk factors for postoperative complications and analyze the relative risk of reoperation for recurrence for respective complication. Methods: Using data from the nationwide Swedish Hernia Register between 1998 and 2009, 150,514 herniorrhaphies were analyzed with respect to postoperative complications occurring within 30 days of surgery. Results: Risk factors significantly affecting the rate of postoperative complications were laparoscopic repair (odds ratio [OR] 1.35, 95% confidence interval [CI] 1.24-1.47) and open preperitoneal techniques (OR: 1.31, 95% CI: 1.15-1.49), with open anterior mesh as reference category. Other significant risk factors were general (OR: 1.30, 95% CI: 1.23-1.37) and regional anesthesia (OR: 1.53, 95% CI: 1.43-1.63), with local anesthesia as reference category, emergency procedures (OR: 1.53, 95% CI: 1.43-1.63); recurrent hernia repair (OR: 1.39, 95% CI: 1.27-1.52); femoral hernia (OR: 1.30, 95% CI: 1.14-1.48); aged older than 65 years (OR: 1.26, 95% CI: 1.21-1.31); and duration of surgery exceeding 50 minutes (OR: 1.27, 95% CI: 1.22-1.33). Conclusions: Open anterior approach and surgery under local anesthesia are associated with less risk of postoperative complications.

Place, publisher, year, edition, pages
Philasdelphia, PA, USA: Lippincott Williams & Wilkins, 2012. Vol. 255, no 4, 784-788 p.
Keyword [en]
Inguinal-Hernia, Open repair, Follow-up, Open mesh, Randomized-trial, Lichtenstein, Reoperation, Recurrence, Anesthesia, Pain
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-135045OAI: oai:DiVA.org:umu-135045DiVA: diva2:1096132
Available from: 2017-05-17 Created: 2017-05-17 Last updated: 2017-05-17

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