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Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study.
Choi, Mi Jeong; Lee, Kang-Seok; Oh, Heung-Kwon; Ahn, Sang-Hoon; Ahn, Hong-Min; Shin, Hye-Rim; Lee, Tae-Gyun; Jo, Min Hyeong; Kim, Duck-Woo; Kang, Sung-Bum.
Afiliación
  • Choi MJ; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Lee KS; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • Oh HK; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Ahn SH; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • Ahn HM; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Shin HR; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • Lee TG; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Jo MH; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Kim DW; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Kang SB; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Ann Surg Treat Res ; 106(6): 330-336, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38868581
ABSTRACT

Purpose:

Managing recurrent inguinal hernias is complex, and choosing the right surgical approach (laparoscopic vs. open) is vital for patient outcomes. This study compared the outcomes of using the same vs. different surgical approaches for initial and subsequent hernia repairs.

Methods:

We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the "concordant" and "discordant" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared.

Results:

In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003).

Conclusion:

Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient's condition and surgeon's preference may be advisable.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Surg Treat Res Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Surg Treat Res Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur