Abstract
To analyze the effect of underweight, overweight, and obesity in relation to clinical characteristics, the risk of postoperative complications, 30-day mortality, and reoperations for recurrence after groin hernia surgery. Groin hernia surgery is one of the most frequent operations performed in general surgery. Several studies have demonstrated a protective effect of overweight and obesity on the risk of developing primary groin hernia. However, obesity has also been suggested to increase the risk for recurrence of groin hernia. Through the Swedish Hernia Register, 49,094 primary groin hernia operations were identified between January 1, 2003 and December 31, 2007. Patients were divided into 4 body mass index (BMI) groups: BMI 1, <20 kg/m2; BMI 2, 20 to 25 kg/m2; BMI 3, 25-30 kg/m2; and BMI 4, >30 kg/m2. Of the 49,094 patients, 3.5% had a BMI <20 kg/m2 and 5.2% were obese. Altogether, women constituted only 7.7% of the studied group, but among patients with BMI <20 kg/m2 that had surgical procedures for femoral hernia, 81.4% were women. The relation between BMI and postoperative complications was U-shaped and after adjustment for age, gender, and emergency procedure, patients with BMI <20 and >25 had a significant increased risk...Continue Reading
References
Mar 1, 1978·Journal of Epidemiology and Community Health·J H AbramsonL M Epstein
Aug 1, 1996·International Journal of Epidemiology·P Primatesta, M J Goldacre
Nov 21, 1997·American Journal of Epidemiology·M S LiemT J van Vroonhoven
Apr 16, 1998·The European Journal of Surgery = Acta Chirurgica·A KaldA Stubberöd
May 23, 2002·The European Journal of Surgery = Acta Chirurgica·Staffan Haapaniemi, Erik Nilsson
Jun 20, 2003·Lancet·Daniel DindoPierre-Alain Clavien
Sep 19, 2003·Lancet·Pär NordinErik Nilsson
Aug 4, 2005·Acta Oncologica·Thomas N NickelsenOle Kronborg
Apr 6, 2006·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Jun 10, 2006·Scandinavian Journal of Public Health. Supplement·Gunnel Boström, Mats Eliasson
Dec 7, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D LindströmJ Adami
Mar 22, 2007·American Journal of Epidemiology·Constance E Ruhl, James E Everhart
Apr 7, 2007·Annals of Surgery·Hanna NilssonPär Nordin
Oct 16, 2007·American Journal of Surgery·Richard D MatthewsUNKNOWN Veterans Affairs Cooperative 456 Studies Program Investigators
Dec 1, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·I OzyaylaliH Kulacoglu
Jun 4, 2008·Annals of Surgery·Anders RosemarAnnika Rosengren
Mar 21, 2009·Annals of Surgery·Ursula DahlstrandUlf Gunnarsson
Citations
May 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J YangF Abdullah
Jun 15, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R Hernández-IrizarryD R Farley
Feb 8, 2013·Annals of Surgery·Benjamin ZendejasDavid R Farley
Oct 14, 2011·BMC Musculoskeletal Disorders·Jasvinder A SinghRobert H Cofield
Nov 16, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B ZendejasD R Farley
Apr 1, 2014·World Journal of Surgery·Ursula DahlstrandUlf Gunnarsson
Apr 26, 2014·Singapore Medical Journal·Kai Xiong CheongMing Terk Chiu
Oct 30, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N SchoutenJ P J Burgmans
Apr 30, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Y T WangF Abdullah
Feb 21, 2014·Surgery Today·Yuki HayashiYoichiro Kobayashi
Sep 6, 2011·Seminars in Vascular Surgery·Robert J Feezor
Jan 19, 2015·Surgery·Barry de GoedeJohannes Jeekel
Mar 6, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J J KellerS-T Tsai
Jun 16, 2015·Case Reports in Medicine·Seisuke OtaTadashi Matsumra
Jul 23, 2016·Surgical Endoscopy·Dvir FroylichMichael J Rosen
Sep 24, 2016·Biomaterials·G S A BoersemaY M Bastiaansen-Jenniskens
Oct 2, 2014·Surgical Innovation·Jakob BurcharthJacob Rosenberg
Jun 12, 2013·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·F CoccoliniF Catena
Feb 8, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B L MurphyK Paley
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jun 13, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H YangY Shen
Apr 8, 2020·Surgical Endoscopy·Nadine van VeenendaalUNKNOWN HerniaSurge Group
Nov 21, 2013·Annals of Surgery·Grigoris ChatzimavroudisKonstantinos Atmatzidis
Aug 1, 2020·ANZ Journal of Surgery·Michael L WilliamsChristopher J Young
Nov 18, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C Idiz, C Cakir
Jan 29, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G BourasA Darzi
Jun 25, 2017·Surgical Endoscopy·Ramachandra KolachalamAnthony Gonzalez
Sep 14, 2018·The Cochrane Database of Systematic Reviews·Kathleen LockhartMieke L van Driel
Dec 7, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D AshrafiM A Memon
Jan 31, 2017·Innovative Surgical Sciences·Ferdinand Köckerling
May 9, 2014·Diseases of the Colon and Rectum·Radhika K SmithE Carter Paulson
Dec 9, 2016·Langenbeck's Archives of Surgery·Gustaf HellspongGabriel Sandblom
Apr 27, 2019·Frontiers in Surgery·Hakan Kulacoglu, Ferdinand Köckerling
Jul 29, 2020·Surgical Endoscopy·Tatsuya OtakiAkira Miyajima
Dec 18, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Cristina González-CallejasTeresa Nestares
Apr 13, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H NilssonE Haglind
Oct 12, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Juliana Mika KatoWellington Andraus
Feb 26, 2019·Frontiers in Surgery·Ferdinand KöckerlingRalph Lorenz
Mar 11, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S HuertaT Pham
Apr 20, 2021·ANZ Journal of Surgery·Michael L WilliamsGeoffrey L Brooke-Cowden
Nov 3, 2021·World Journal of Surgery·A HembergP Nordin