Your browser doesn't support javascript.
loading
The evolution of incisional hernia repair in Spain. A comparative analysis of results from the EVEREG registry.
Pereira-Rodríguez, J A; Hernández-Granados, P; Olona-Casa, C; López-Cano, M.
Afiliación
  • Pereira-Rodríguez JA; Servicio de Cirugía General, Hospital Universitari del Mar, Barcelona, Spain; Departament de Medicina i Ciéncies de la Vida, Universitat Pompeu Fabra, Barcelona, Spain. Electronic address: jpereira@parcdesalutmar.cat.
  • Hernández-Granados P; Hospital Universitario Fundación Alcorcón, Madrid, Spain.
  • Olona-Casa C; Departamento de Cirugía General y Digestiva, Hospital Universitario de Tarragona Joan XXIII, Spain.
  • López-Cano M; Servicio de Cirugía General, Hospital Vall d'Hebrón, Spain; Departament de Cirurgia, Universitat Autònoma de Barcelona, Spain.
Cir Esp (Engl Ed) ; 102(5): 275-280, 2024 May.
Article en En | MEDLINE | ID: mdl-38307255
ABSTRACT

BACKGROUND:

The aim of this study was to assess the utility of the EVEREG registry in evaluating the evolution of surgical treatment for incisional hernia and its outcomes in Spain by comparing data from 2 study periods.

METHODS:

A retrospective comparative analysis of hernia surgeries performed between 2011 and 2015 (first period) and between 2017 and 2022 (second period) was conducted using data collected from the EVEREG registry.

RESULTS:

Statistically significant differences were observed in the second cohort, including a decrease in minimally invasive procedures (11.7% vs 8.2%; P < .001), an increase in emergency surgeries for males (31.7% vs 41.2%; P = .017), an increase in trocar hernia repairs (16% vs 26.2%; P < .0001), a reduction in suture repairs (2.8% vs 1.5%; P < .0001), and an increase in retromuscular techniques (36.4% vs 52.4%; P < .001) in open surgery with mesh. In elective surgery, there was a decrease in the average length of stay (4.9 vs 3.8 days; P < .0001), the percentage of complications (27.9% vs 24.0%; P < .0001), reoperations (3.5% vs 1.4%; P < .0001), and mortality (0.6% vs 0.2%; P = .002). Long-term outcomes included a decrease in recurrences after 12 months (20.7% vs 14.5%; P < .0001) and in chronic pain (13.7% vs 2.5%; P < .0001) and chronic infections (9.1% vs 14.5%; P < .0001) after 6 months.

CONCLUSION:

In recent years, there has been a significant improvement in the outcomes of incisional hernia treatment. The registry serves as a fundamental tool for assessing the evolution of hernia treatment and enables the identification of key areas for improvement and the evaluation of treatment outcomes.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Registros / Herniorrafia / Hernia Incisional Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Cir Esp (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Registros / Herniorrafia / Hernia Incisional Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Cir Esp (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España