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

Background 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) hernioplast...

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Bibliographic Details
Published in:World journal of surgery 2015-08, Vol.39 (8), p.1878-1884
Main Authors: Kouhia, Sanna, Vironen, Jaana, Hakala, Tapio, Paajanen, Hannu
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Cardiac Surgery
Deep Infection
Female
Finland - epidemiology
General Surgery
Hernia Repair
Hernia, Femoral - surgery
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
Inguinal Hernia
Inguinal Hernia Repair
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Open Mesh
Original Scientific Report
Postoperative Complications
Registries
Retrospective Studies
Surgery
Surgical Mesh
Thoracic Surgery
Vascular Surgery
Young Adult
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Summary:Background 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. Methods 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. Results 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  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-015-3028-2