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Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome?
INTRODUCTION: To date, there are no prospective randomized studies that compare the outcome of endoscopic repair of primary versus recurrent inguinal hernias. It is therefore now attempted to answer that key question on the basis of registry data. PATIENTS AND METHODS: In total, 20,624 patients were...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757618/ https://www.ncbi.nlm.nih.gov/pubmed/26139485 http://dx.doi.org/10.1007/s00464-015-4318-3 |
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author | Köckerling, F. Jacob, D. Wiegank, W. Hukauf, M. Schug-Pass, C. Kuthe, A. Bittner, R. |
author_facet | Köckerling, F. Jacob, D. Wiegank, W. Hukauf, M. Schug-Pass, C. Kuthe, A. Bittner, R. |
author_sort | Köckerling, F. |
collection | PubMed |
description | INTRODUCTION: To date, there are no prospective randomized studies that compare the outcome of endoscopic repair of primary versus recurrent inguinal hernias. It is therefore now attempted to answer that key question on the basis of registry data. PATIENTS AND METHODS: In total, 20,624 patients were enrolled between September 1, 2009, and April 31, 2013. Of these patients, 18,142 (88.0 %) had a primary and 2482 (12.0 %) had a recurrent endoscopic repair. Only patients with male unilateral inguinal hernia and with a 1-year follow-up were included. The dependent variables were intra- and postoperative complications, reoperations, recurrence, and chronic pain rates. The results of unadjusted analyses were verified via multivariable analyses. RESULTS: Unadjusted analysis did not reveal any significant differences in the intraoperative complications (1.28 vs 1.33 %; p = 0.849); however, there were significant differences in the postoperative complications (3.20 vs 4.03 %; p = 0.036), the reoperation rate due to complications (0.84 vs 1.33 %; p = 0.023), pain at rest (4.08 vs 6.16 %; p < 0.001), pain on exertion (8.03 vs 11.44 %; p < 0.001), chronic pain requiring treatment (2.31 vs 3.83 %; p < 0.001), and the recurrence rates (0.94 vs 1.45 %; p = 0.0023). Multivariable analysis confirmed the significant impact of endoscopic repair of recurrent hernia on the outcome. CONCLUSION: Comparison of perioperative and 1-year outcome for endoscopic repair of primary versus recurrent male unilateral inguinal hernia showed significant differences to the disadvantage of the recurrent operation. Therefore, endoscopic repair of recurrent inguinal hernias calls for particular competence on the part of the hernia surgeon. |
format | Online Article Text |
id | pubmed-4757618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-47576182016-02-26 Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? Köckerling, F. Jacob, D. Wiegank, W. Hukauf, M. Schug-Pass, C. Kuthe, A. Bittner, R. Surg Endosc Article INTRODUCTION: To date, there are no prospective randomized studies that compare the outcome of endoscopic repair of primary versus recurrent inguinal hernias. It is therefore now attempted to answer that key question on the basis of registry data. PATIENTS AND METHODS: In total, 20,624 patients were enrolled between September 1, 2009, and April 31, 2013. Of these patients, 18,142 (88.0 %) had a primary and 2482 (12.0 %) had a recurrent endoscopic repair. Only patients with male unilateral inguinal hernia and with a 1-year follow-up were included. The dependent variables were intra- and postoperative complications, reoperations, recurrence, and chronic pain rates. The results of unadjusted analyses were verified via multivariable analyses. RESULTS: Unadjusted analysis did not reveal any significant differences in the intraoperative complications (1.28 vs 1.33 %; p = 0.849); however, there were significant differences in the postoperative complications (3.20 vs 4.03 %; p = 0.036), the reoperation rate due to complications (0.84 vs 1.33 %; p = 0.023), pain at rest (4.08 vs 6.16 %; p < 0.001), pain on exertion (8.03 vs 11.44 %; p < 0.001), chronic pain requiring treatment (2.31 vs 3.83 %; p < 0.001), and the recurrence rates (0.94 vs 1.45 %; p = 0.0023). Multivariable analysis confirmed the significant impact of endoscopic repair of recurrent hernia on the outcome. CONCLUSION: Comparison of perioperative and 1-year outcome for endoscopic repair of primary versus recurrent male unilateral inguinal hernia showed significant differences to the disadvantage of the recurrent operation. Therefore, endoscopic repair of recurrent inguinal hernias calls for particular competence on the part of the hernia surgeon. Springer US 2015-07-03 2016 /pmc/articles/PMC4757618/ /pubmed/26139485 http://dx.doi.org/10.1007/s00464-015-4318-3 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Köckerling, F. Jacob, D. Wiegank, W. Hukauf, M. Schug-Pass, C. Kuthe, A. Bittner, R. Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title | Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title_full | Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title_fullStr | Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title_full_unstemmed | Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title_short | Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? |
title_sort | endoscopic repair of primary versus recurrent male unilateral inguinal hernias: are there differences in the outcome? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757618/ https://www.ncbi.nlm.nih.gov/pubmed/26139485 http://dx.doi.org/10.1007/s00464-015-4318-3 |
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