Outpatient groin hernia repair: assessment of 9330 patients from the French "Club Hernie" database

Hernia : the Journal of Hernias and Abdominal Wall Surgery
F DrissiFor “Club Hernie”

Abstract

Groin hernia repair (GHR) is one of the most frequent surgical interventions practiced worldwide. Outpatient surgery for GHR is known to be safe and effective. To assess the outpatient practice for GHR in France and identify predictive factors of failure. Forty one surgeons of the French "Club Hernie" prospectively gathered data concerning successive GHR over a period of 4 years within a multicenter database. A total of 9330 patients were operated on during the period of the study. Mean age was 61.8 (1-100) years old and 8245 patients (88.4%) were males. 6974 GHR (74.7%) were performed as outpatient procedures. In 262 patients (3.6%), the outpatient setting, previously selected, did not succeed. Upon multivariate analysis, predictive factors of ambulatory failure were ASA grade ≥ III (OR 0.42, p < 0.001), bilateral GHR (OR 0.47, p < 0.001), emergency surgery for incarcerated hernia (OR 0.10, p < 0.001), spinal anesthesia (OR 0.27, p < 0.001) and occurrence of an early post-operative complication (OR 0.07, p < 0.001). The more frequent complications were acute urinary retention and surgical site collections. 2094 patients (21.5%) were not selected preoperatively for 1-day surgery. More than 74% of the patients benefited from out...Continue Reading

References

Apr 4, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P SanjayA Woodward
Oct 17, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H KehletUNKNOWN Danish Hernia Database Collaboration
May 16, 2008·Biometrical Journal. Biometrische Zeitschrift·Torsten HothornPeter Westfall
Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Oct 19, 2010·Journal of Visceral Surgery·P NgoB Gayet
Dec 7, 2013·BMC Surgery·Bruno AmatoSalvatore Massa
Aug 28, 2014·International Journal of Surgery·Piergaspare PalumboFrancesco Vietri

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Citations

Jul 2, 2020·Journal of Perioperative Practice·J Jeffery ReevesRuth S Waterman
Jul 5, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B RomainUNKNOWN Club Hernie
Oct 2, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C SarakatsianouG Tzovaras
Aug 20, 2020·Journal of Visceral Surgery·F DrissiUNKNOWN Club Hernie
Sep 18, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingD Weyhe

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