Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up
Introduction The recommendation in the European Hernia Society Guidelines for the treatment of recurrent inguinal hernias is to modify the technique in relation to the previous technique, and use a new plane of dissection for mesh implantation. However, the registry data show that even following pre...
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| Veröffentlicht in: | World journal of surgery 2016-04, Vol.40 (4), p.813-825 |
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| description | Introduction
The recommendation in the European Hernia Society Guidelines for the treatment of recurrent inguinal hernias is to modify the technique in relation to the previous technique, and use a new plane of dissection for mesh implantation. However, the registry data show that even following previous open suture and mesh repair to treat a primary inguinal hernia, open suture and mesh repair can be used once again for a recurrent hernia. It is therefore important to know what the outcome of open repair of recurrent inguinal hernias is compared with open repair of primary inguinal hernias, while taking the previous operation into account.
Patients and methods
In the Herniamed Registry, a total of 17,594 patients with an open primary or recurrent unilateral inguinal hernia repair in men with a 1-year follow-up were prospectively documented between September 1, 2009 and August 31, 2013. Of these patients, 15,274 (86.8 %) had an open primary and 2320 (13.2 %) open recurrent repair. In the unadjusted and multivariable analyses, the dependent variables were intra- and postoperative complications, reoperations, recurrences, pain at rest, pain on exertion, and pain requiring treatment.
Results
Open recurrent repair compared with the open primary operation is a significant influence factor for higher intraoperative (
p
= 0.01) and postoperative (
p
= 0.05) complication rates, recurrence rate (
p
|
| doi_str_mv | 10.1007/s00268-015-3325-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4767863</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1768556110</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5201-8502d2c74ddaf216a415c28c743247598a41acb246823e521ae34bba512fa8e63</originalsourceid><addsrcrecordid>eNqFUV1rFDEUDaLYtfUH-CIBX_oyNd8z44Ogi9tWKi1qFZ9CNnNnTckm02Snpf56s0wtVSg-5ebecw_n3IPQC0oOKCH160wIU01FqKw4Z7JqH6EZFZxVjDP-GM0IV6LUlO-gZzlfEEJrRdRTtMOUbChX7Qz9Oh0g4M8wGJdw7PFZcmuTbvA3SHnMZWDHlCBs8CfjAZ8H580GkvH4OKxGF0pxBCk4k9_gM0guDmW4cVeA53E9eGfLJ4aMTegwrX6ASXgRvY_X1TjsoSe98Rme37676Hzx4ev8qDo5PTyevzuprGSEVo0krGO2Fl1nekaVEVRa1pQGZ6KWbVMaxi6ZUA3jIBk1wMVyaSRlvWlA8V30duIdxuUaOlvcFAN6mJzqaJz-exLcT72KV1rUqm4ULwT7twQpXo6QN3rtsgXvTYA4Zl2u2kipKCUF-uof6EUcUznTFlWTljApaUHRCWVTzDlBfyeGEr1NVk_J6pKs3iar27Lz8r6Lu40_URZAOwGunYeb_zPq7x-_vF-QuhZbQWzazWUtrCDdk_2got-wAcAP</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770902551</pqid></control><display><type>article</type><title>Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Köckerling, F. ; Koch, A. ; Lorenz, R. ; Reinpold, W. ; Hukauf, M. ; Schug-Pass, C.</creator><creatorcontrib>Köckerling, F. ; Koch, A. ; Lorenz, R. ; Reinpold, W. ; Hukauf, M. ; Schug-Pass, C.</creatorcontrib><description>Introduction
The recommendation in the European Hernia Society Guidelines for the treatment of recurrent inguinal hernias is to modify the technique in relation to the previous technique, and use a new plane of dissection for mesh implantation. However, the registry data show that even following previous open suture and mesh repair to treat a primary inguinal hernia, open suture and mesh repair can be used once again for a recurrent hernia. It is therefore important to know what the outcome of open repair of recurrent inguinal hernias is compared with open repair of primary inguinal hernias, while taking the previous operation into account.
Patients and methods
In the Herniamed Registry, a total of 17,594 patients with an open primary or recurrent unilateral inguinal hernia repair in men with a 1-year follow-up were prospectively documented between September 1, 2009 and August 31, 2013. Of these patients, 15,274 (86.8 %) had an open primary and 2320 (13.2 %) open recurrent repair. In the unadjusted and multivariable analyses, the dependent variables were intra- and postoperative complications, reoperations, recurrences, pain at rest, pain on exertion, and pain requiring treatment.
Results
Open recurrent repair compared with the open primary operation is a significant influence factor for higher intraoperative (
p
= 0.01) and postoperative (
p
= 0.05) complication rates, recurrence rate (
p
< 0.001), and pain rates (
p
< 0.001). With regard to repair of recurrent inguinal hernia, previous open mesh repair was associated with the least favorable outcome, and with the highest odds ratio, for all outcome criteria. Open recurrent repair following previous endoscopic operation presented the least risk for postoperative complications, complication-related reoperations, and re-recurrences. The pain rates identified on follow-up after open recurrent repair were lower following previous open suture operation compared with following open and endoscopic mesh repair.
Summary
A significantly less favorable perioperative and 1-year follow-up outcome must be expected for open repair of recurrent inguinal hernia in comparison with open primary inguinal hernia repair. After open recurrent repair, the most favorable perioperative complication and recurrence rates were identified following previous endoscopic repair, and the lowest pain rates following previous open suture repair. Open recurrent repair following previous open mesh operation was associated with the highest risks for perioperative complications, re-recurrences, and pain.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3325-9</identifier><identifier>PMID: 26581369</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Cardiac Surgery ; Dissection - adverse effects ; Follow-Up Studies ; General Surgery ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Humans ; Inguinal Hernia ; Inguinal Hernia Repair ; Male ; Medicine ; Medicine & Public Health ; Mesh Repair ; Middle Aged ; Multivariate Analysis ; Original Scientific Report ; Pain - surgery ; Pain Management ; Pain, Postoperative ; Postoperative Complications - epidemiology ; Primary Inguinal Hernia ; Recurrence ; Recurrent Inguinal Hernia ; Registries ; Reoperation - methods ; Retrospective Studies ; Surgery ; Surgical Mesh ; Sutures ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2016-04, Vol.40 (4), p.813-825</ispartof><rights>The Author(s) 2015</rights><rights>2016 The Author(s)</rights><rights>Société Internationale de Chirurgie 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5201-8502d2c74ddaf216a415c28c743247598a41acb246823e521ae34bba512fa8e63</citedby><cites>FETCH-LOGICAL-c5201-8502d2c74ddaf216a415c28c743247598a41acb246823e521ae34bba512fa8e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-015-3325-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-015-3325-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26581369$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Köckerling, F.</creatorcontrib><creatorcontrib>Koch, A.</creatorcontrib><creatorcontrib>Lorenz, R.</creatorcontrib><creatorcontrib>Reinpold, W.</creatorcontrib><creatorcontrib>Hukauf, M.</creatorcontrib><creatorcontrib>Schug-Pass, C.</creatorcontrib><title>Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Introduction
The recommendation in the European Hernia Society Guidelines for the treatment of recurrent inguinal hernias is to modify the technique in relation to the previous technique, and use a new plane of dissection for mesh implantation. However, the registry data show that even following previous open suture and mesh repair to treat a primary inguinal hernia, open suture and mesh repair can be used once again for a recurrent hernia. It is therefore important to know what the outcome of open repair of recurrent inguinal hernias is compared with open repair of primary inguinal hernias, while taking the previous operation into account.
Patients and methods
In the Herniamed Registry, a total of 17,594 patients with an open primary or recurrent unilateral inguinal hernia repair in men with a 1-year follow-up were prospectively documented between September 1, 2009 and August 31, 2013. Of these patients, 15,274 (86.8 %) had an open primary and 2320 (13.2 %) open recurrent repair. In the unadjusted and multivariable analyses, the dependent variables were intra- and postoperative complications, reoperations, recurrences, pain at rest, pain on exertion, and pain requiring treatment.
Results
Open recurrent repair compared with the open primary operation is a significant influence factor for higher intraoperative (
p
= 0.01) and postoperative (
p
= 0.05) complication rates, recurrence rate (
p
< 0.001), and pain rates (
p
< 0.001). With regard to repair of recurrent inguinal hernia, previous open mesh repair was associated with the least favorable outcome, and with the highest odds ratio, for all outcome criteria. Open recurrent repair following previous endoscopic operation presented the least risk for postoperative complications, complication-related reoperations, and re-recurrences. The pain rates identified on follow-up after open recurrent repair were lower following previous open suture operation compared with following open and endoscopic mesh repair.
Summary
A significantly less favorable perioperative and 1-year follow-up outcome must be expected for open repair of recurrent inguinal hernia in comparison with open primary inguinal hernia repair. After open recurrent repair, the most favorable perioperative complication and recurrence rates were identified following previous endoscopic repair, and the lowest pain rates following previous open suture repair. Open recurrent repair following previous open mesh operation was associated with the highest risks for perioperative complications, re-recurrences, and pain.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Surgery</subject><subject>Dissection - adverse effects</subject><subject>Follow-Up Studies</subject><subject>General Surgery</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Inguinal Hernia</subject><subject>Inguinal Hernia Repair</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesh Repair</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Original Scientific Report</subject><subject>Pain - surgery</subject><subject>Pain Management</subject><subject>Pain, Postoperative</subject><subject>Postoperative Complications - epidemiology</subject><subject>Primary Inguinal Hernia</subject><subject>Recurrence</subject><subject>Recurrent Inguinal Hernia</subject><subject>Registries</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Sutures</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFUV1rFDEUDaLYtfUH-CIBX_oyNd8z44Ogi9tWKi1qFZ9CNnNnTckm02Snpf56s0wtVSg-5ebecw_n3IPQC0oOKCH160wIU01FqKw4Z7JqH6EZFZxVjDP-GM0IV6LUlO-gZzlfEEJrRdRTtMOUbChX7Qz9Oh0g4M8wGJdw7PFZcmuTbvA3SHnMZWDHlCBs8CfjAZ8H580GkvH4OKxGF0pxBCk4k9_gM0guDmW4cVeA53E9eGfLJ4aMTegwrX6ASXgRvY_X1TjsoSe98Rme37676Hzx4ev8qDo5PTyevzuprGSEVo0krGO2Fl1nekaVEVRa1pQGZ6KWbVMaxi6ZUA3jIBk1wMVyaSRlvWlA8V30duIdxuUaOlvcFAN6mJzqaJz-exLcT72KV1rUqm4ULwT7twQpXo6QN3rtsgXvTYA4Zl2u2kipKCUF-uof6EUcUznTFlWTljApaUHRCWVTzDlBfyeGEr1NVk_J6pKs3iar27Lz8r6Lu40_URZAOwGunYeb_zPq7x-_vF-QuhZbQWzazWUtrCDdk_2got-wAcAP</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Köckerling, F.</creator><creator>Koch, A.</creator><creator>Lorenz, R.</creator><creator>Reinpold, W.</creator><creator>Hukauf, M.</creator><creator>Schug-Pass, C.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201604</creationdate><title>Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up</title><author>Köckerling, F. ; Koch, A. ; Lorenz, R. ; Reinpold, W. ; Hukauf, M. ; Schug-Pass, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5201-8502d2c74ddaf216a415c28c743247598a41acb246823e521ae34bba512fa8e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Surgery</topic><topic>Dissection - adverse effects</topic><topic>Follow-Up Studies</topic><topic>General Surgery</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Inguinal Hernia</topic><topic>Inguinal Hernia Repair</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesh Repair</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Original Scientific Report</topic><topic>Pain - surgery</topic><topic>Pain Management</topic><topic>Pain, Postoperative</topic><topic>Postoperative Complications - epidemiology</topic><topic>Primary Inguinal Hernia</topic><topic>Recurrence</topic><topic>Recurrent Inguinal Hernia</topic><topic>Registries</topic><topic>Reoperation - methods</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Sutures</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Köckerling, F.</creatorcontrib><creatorcontrib>Koch, A.</creatorcontrib><creatorcontrib>Lorenz, R.</creatorcontrib><creatorcontrib>Reinpold, W.</creatorcontrib><creatorcontrib>Hukauf, M.</creatorcontrib><creatorcontrib>Schug-Pass, C.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Köckerling, F.</au><au>Koch, A.</au><au>Lorenz, R.</au><au>Reinpold, W.</au><au>Hukauf, M.</au><au>Schug-Pass, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2016-04</date><risdate>2016</risdate><volume>40</volume><issue>4</issue><spage>813</spage><epage>825</epage><pages>813-825</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Introduction
The recommendation in the European Hernia Society Guidelines for the treatment of recurrent inguinal hernias is to modify the technique in relation to the previous technique, and use a new plane of dissection for mesh implantation. However, the registry data show that even following previous open suture and mesh repair to treat a primary inguinal hernia, open suture and mesh repair can be used once again for a recurrent hernia. It is therefore important to know what the outcome of open repair of recurrent inguinal hernias is compared with open repair of primary inguinal hernias, while taking the previous operation into account.
Patients and methods
In the Herniamed Registry, a total of 17,594 patients with an open primary or recurrent unilateral inguinal hernia repair in men with a 1-year follow-up were prospectively documented between September 1, 2009 and August 31, 2013. Of these patients, 15,274 (86.8 %) had an open primary and 2320 (13.2 %) open recurrent repair. In the unadjusted and multivariable analyses, the dependent variables were intra- and postoperative complications, reoperations, recurrences, pain at rest, pain on exertion, and pain requiring treatment.
Results
Open recurrent repair compared with the open primary operation is a significant influence factor for higher intraoperative (
p
= 0.01) and postoperative (
p
= 0.05) complication rates, recurrence rate (
p
< 0.001), and pain rates (
p
< 0.001). With regard to repair of recurrent inguinal hernia, previous open mesh repair was associated with the least favorable outcome, and with the highest odds ratio, for all outcome criteria. Open recurrent repair following previous endoscopic operation presented the least risk for postoperative complications, complication-related reoperations, and re-recurrences. The pain rates identified on follow-up after open recurrent repair were lower following previous open suture operation compared with following open and endoscopic mesh repair.
Summary
A significantly less favorable perioperative and 1-year follow-up outcome must be expected for open repair of recurrent inguinal hernia in comparison with open primary inguinal hernia repair. After open recurrent repair, the most favorable perioperative complication and recurrence rates were identified following previous endoscopic repair, and the lowest pain rates following previous open suture repair. Open recurrent repair following previous open mesh operation was associated with the highest risks for perioperative complications, re-recurrences, and pain.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26581369</pmid><doi>10.1007/s00268-015-3325-9</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Adult Aged Cardiac Surgery Dissection - adverse effects Follow-Up Studies General Surgery Hernia, Inguinal - surgery Herniorrhaphy - methods Humans Inguinal Hernia Inguinal Hernia Repair Male Medicine Medicine & Public Health Mesh Repair Middle Aged Multivariate Analysis Original Scientific Report Pain - surgery Pain Management Pain, Postoperative Postoperative Complications - epidemiology Primary Inguinal Hernia Recurrence Recurrent Inguinal Hernia Registries Reoperation - methods Retrospective Studies Surgery Surgical Mesh Sutures Thoracic Surgery Vascular Surgery |
| title | Open Repair of Primary Versus Recurrent Male Unilateral Inguinal Hernias: Perioperative Complications and 1-Year Follow-up |
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