Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications

World Journal of Surgery
Sanna KouhiaH Paajanen

Abstract

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. 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. 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. LAP and OS repairs of i...Continue Reading

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References

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Citations

Apr 28, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R GamagamiR Kolachalam
May 22, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B Ravo, Giuliano Falasco
Oct 26, 2018·Surgical Endoscopy·Adam TruongShirin Towfigh
Feb 22, 2017·The British Journal of Surgery·C HoyuelaM López-Cano
Jul 7, 2017·Nursing·Vincent M Vacca
Sep 26, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J SereyskyJ McNelis
Jul 24, 2020·Journal of Surgical Case Reports·René Gordon Holzheimer, Nikolai Gaschütz
Sep 2, 2016·Deutsches Ärzteblatt International·René Holzheimer
May 6, 2016·Deutsches Ärzteblatt International·René G Holzheimer
Apr 11, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S GuillaumesM Trias

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