Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications
Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplast...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Kouhia, Sanna [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2015 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 39(2015), 8 vom: 12. März, Seite 1878-1884 |
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| Übergeordnetes Werk: |
volume:39 ; year:2015 ; number:8 ; day:12 ; month:03 ; pages:1878-1884 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-015-3028-2 |
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SPR003453391 |
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| 520 | |a Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. | ||
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| 650 | 4 | |a Deep Infection |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Open Mesh |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Hakala, Tapio |4 aut | |
| 700 | 1 | |a Paajanen, Hannu |4 aut | |
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10.1007/s00268-015-3028-2 doi (DE-627)SPR003453391 (SPR)s00268-015-3028-2-e DE-627 ger DE-627 rakwb eng Kouhia, Sanna verfasserin aut Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 Vironen, Jaana aut Hakala, Tapio aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 8 vom: 12. März, Seite 1878-1884 (DE-627)SPR003391159 nnns volume:39 year:2015 number:8 day:12 month:03 pages:1878-1884 https://dx.doi.org/10.1007/s00268-015-3028-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 39 2015 8 12 03 1878-1884 |
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10.1007/s00268-015-3028-2 doi (DE-627)SPR003453391 (SPR)s00268-015-3028-2-e DE-627 ger DE-627 rakwb eng Kouhia, Sanna verfasserin aut Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 Vironen, Jaana aut Hakala, Tapio aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 8 vom: 12. März, Seite 1878-1884 (DE-627)SPR003391159 nnns volume:39 year:2015 number:8 day:12 month:03 pages:1878-1884 https://dx.doi.org/10.1007/s00268-015-3028-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 39 2015 8 12 03 1878-1884 |
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10.1007/s00268-015-3028-2 doi (DE-627)SPR003453391 (SPR)s00268-015-3028-2-e DE-627 ger DE-627 rakwb eng Kouhia, Sanna verfasserin aut Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 Vironen, Jaana aut Hakala, Tapio aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 8 vom: 12. März, Seite 1878-1884 (DE-627)SPR003391159 nnns volume:39 year:2015 number:8 day:12 month:03 pages:1878-1884 https://dx.doi.org/10.1007/s00268-015-3028-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 39 2015 8 12 03 1878-1884 |
| allfieldsGer |
10.1007/s00268-015-3028-2 doi (DE-627)SPR003453391 (SPR)s00268-015-3028-2-e DE-627 ger DE-627 rakwb eng Kouhia, Sanna verfasserin aut Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 Vironen, Jaana aut Hakala, Tapio aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 8 vom: 12. März, Seite 1878-1884 (DE-627)SPR003391159 nnns volume:39 year:2015 number:8 day:12 month:03 pages:1878-1884 https://dx.doi.org/10.1007/s00268-015-3028-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 39 2015 8 12 03 1878-1884 |
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10.1007/s00268-015-3028-2 doi (DE-627)SPR003453391 (SPR)s00268-015-3028-2-e DE-627 ger DE-627 rakwb eng Kouhia, Sanna verfasserin aut Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 Vironen, Jaana aut Hakala, Tapio aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 8 vom: 12. März, Seite 1878-1884 (DE-627)SPR003391159 nnns volume:39 year:2015 number:8 day:12 month:03 pages:1878-1884 https://dx.doi.org/10.1007/s00268-015-3028-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 39 2015 8 12 03 1878-1884 |
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Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. 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Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Deep Infection (dpeaa)DE-He213 Open Mesh (dpeaa)DE-He213 |
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Kouhia, Sanna Vironen, Jaana Hakala, Tapio Paajanen, Hannu |
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Kouhia, Sanna |
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10.1007/s00268-015-3028-2 |
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open mesh repair for inguinal hernia is safer than laparoscopic repair or open non-mesh repair: a nationwide registry study of complications |
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Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications |
| abstract |
Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. © Société Internationale de Chirurgie 2015 |
| abstractGer |
Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. © Société Internationale de Chirurgie 2015 |
| abstract_unstemmed |
Background Inguinal hernia repair is the most common elective procedure in general surgery. Therefore, the number of patients having complications related to inguinal hernia surgery is relatively large. The aim of this study was to compare complication profiles of inguinal open mesh (OM) hernioplasties with open non-mesh (OS) repairs and laparoscopic (LAP) repairs using retrospective nationwide registry data. Methods The database of the Finnish Patient Insurance Centre (FPIC) was searched for complications of inguinal and femoral hernia repairs during 2002–2010. Complications of OM repairs were compared to complications of OS repairs and LAP repairs. Results Over 75 % of all inguinal hernia procedures during the study period in Finland were OM hernioplasties. FPIC received 245 complication reports after OM repairs, 40 after OS repairs, and 50 after LAP repairs. Reported complications were significantly more severe after LAP and OS repairs than OM surgery (p < 0.001). Visceral complications (p < 0.001), deep infections (p < 0.001), and deep hemorrhagic complications (p < 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (p < 0.001), recurrences (p < 0.001), and severe neuropathic pain (p < 0.001) predominated. Conclusion LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study. © Société Internationale de Chirurgie 2015 |
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Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications |
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