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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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| Published in: | World journal of surgery 2015-08, Vol.39 (8), p.1878-1884 |
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| container_end_page | 1884 |
| container_issue | 8 |
| container_start_page | 1878 |
| container_title | World journal of surgery |
| container_volume | 39 |
| creator | Kouhia, Sanna Vironen, Jaana Hakala, Tapio Paajanen, Hannu |
| description | 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
|
| doi_str_mv | 10.1007/s00268-015-3028-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1695182421</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3738052301</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4223-b48dbdbc6690cd9602d27ef962785c3a24bf6dd8290ea6d4fd86a771fb9b1c9a3</originalsourceid><addsrcrecordid>eNqFkc1u1DAURi0EokPhAdggS2zYBOxrx0nYlRGlRUMrMSCWluOfqaskDnaiat6Bh8adtICQECtfWed8urofQs8peU0Jqd4kQkDUBaFlwQjUBTxAK8oZFMCAPUQrwgTPM2VH6ElK14TQShDxGB1BWQkATlbox-VoB_zJpiv82Y7KR-xCxOfDbvaD6vCZjYNX2Ce8Vc5GPF2pAW_UqGJIOoxe31tZOiRdhKHof6e9xSf4Qk0-DDfe2Py582mKe7ydZrPHweF16MfO6wOSnqJHTnXJPrt7j9HX0_df1mfF5vLD-fpkU2gOwIqW16Y1rRaiIdo0goCByrpGQFWXmingrRPG1NAQq4ThztRCVRV1bdNS3Sh2jF4tuWMM32ebJtn7pG3XqcGGOUkqmpLWwIFm9OVf6HWYYz7NgeINEE7KTNGF0vkuKVonx-h7FfeSEnlblVyqkrkqeVuVhOy8uEue296aX8Z9NxloFuDGd3b__0T57eP23SmpOGPZhcVNWRt2Nv6x9j83-gmfO6-j</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1694920405</pqid></control><display><type>article</type><title>Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications</title><source>Springer Nature</source><creator>Kouhia, Sanna ; Vironen, Jaana ; Hakala, Tapio ; Paajanen, Hannu</creator><creatorcontrib>Kouhia, Sanna ; Vironen, Jaana ; Hakala, Tapio ; Paajanen, Hannu</creatorcontrib><description><![CDATA[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
< 0.001). Visceral complications (
p
< 0.001), deep infections (
p
< 0.001), and deep hemorrhagic complications (
p
< 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (
p
< 0.001), recurrences (
p
< 0.001), and severe neuropathic pain (
p
< 0.001) predominated.
Conclusion
LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study.]]></description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3028-2</identifier><identifier>PMID: 25762240</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>World journal of surgery, 2015-08, Vol.39 (8), p.1878-1884</ispartof><rights>Société Internationale de Chirurgie 2015</rights><rights>2015 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4223-b48dbdbc6690cd9602d27ef962785c3a24bf6dd8290ea6d4fd86a771fb9b1c9a3</citedby><cites>FETCH-LOGICAL-c4223-b48dbdbc6690cd9602d27ef962785c3a24bf6dd8290ea6d4fd86a771fb9b1c9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25762240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kouhia, Sanna</creatorcontrib><creatorcontrib>Vironen, Jaana</creatorcontrib><creatorcontrib>Hakala, Tapio</creatorcontrib><creatorcontrib>Paajanen, Hannu</creatorcontrib><title>Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description><![CDATA[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
< 0.001). Visceral complications (
p
< 0.001), deep infections (
p
< 0.001), and deep hemorrhagic complications (
p
< 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (
p
< 0.001), recurrences (
p
< 0.001), and severe neuropathic pain (
p
< 0.001) predominated.
Conclusion
LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study.]]></description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Surgery</subject><subject>Deep Infection</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>General Surgery</subject><subject>Hernia Repair</subject><subject>Hernia, Femoral - surgery</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Inguinal Hernia</subject><subject>Inguinal Hernia Repair</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Open Mesh</subject><subject>Original Scientific Report</subject><subject>Postoperative Complications</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><subject>Young Adult</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFkc1u1DAURi0EokPhAdggS2zYBOxrx0nYlRGlRUMrMSCWluOfqaskDnaiat6Bh8adtICQECtfWed8urofQs8peU0Jqd4kQkDUBaFlwQjUBTxAK8oZFMCAPUQrwgTPM2VH6ElK14TQShDxGB1BWQkATlbox-VoB_zJpiv82Y7KR-xCxOfDbvaD6vCZjYNX2Ce8Vc5GPF2pAW_UqGJIOoxe31tZOiRdhKHof6e9xSf4Qk0-DDfe2Py582mKe7ydZrPHweF16MfO6wOSnqJHTnXJPrt7j9HX0_df1mfF5vLD-fpkU2gOwIqW16Y1rRaiIdo0goCByrpGQFWXmingrRPG1NAQq4ThztRCVRV1bdNS3Sh2jF4tuWMM32ebJtn7pG3XqcGGOUkqmpLWwIFm9OVf6HWYYz7NgeINEE7KTNGF0vkuKVonx-h7FfeSEnlblVyqkrkqeVuVhOy8uEue296aX8Z9NxloFuDGd3b__0T57eP23SmpOGPZhcVNWRt2Nv6x9j83-gmfO6-j</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Kouhia, Sanna</creator><creator>Vironen, Jaana</creator><creator>Hakala, Tapio</creator><creator>Paajanen, Hannu</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><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></search><sort><creationdate>201508</creationdate><title>Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications</title><author>Kouhia, Sanna ; Vironen, Jaana ; Hakala, Tapio ; Paajanen, Hannu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4223-b48dbdbc6690cd9602d27ef962785c3a24bf6dd8290ea6d4fd86a771fb9b1c9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Surgery</topic><topic>Deep Infection</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>General Surgery</topic><topic>Hernia Repair</topic><topic>Hernia, Femoral - surgery</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Inguinal Hernia</topic><topic>Inguinal Hernia Repair</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Open Mesh</topic><topic>Original Scientific Report</topic><topic>Postoperative Complications</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kouhia, Sanna</creatorcontrib><creatorcontrib>Vironen, Jaana</creatorcontrib><creatorcontrib>Hakala, Tapio</creatorcontrib><creatorcontrib>Paajanen, Hannu</creatorcontrib><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)</collection><collection>ProQuest Central</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>PML(ProQuest Medical Library)</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><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kouhia, Sanna</au><au>Vironen, Jaana</au><au>Hakala, Tapio</au><au>Paajanen, Hannu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2015-08</date><risdate>2015</risdate><volume>39</volume><issue>8</issue><spage>1878</spage><epage>1884</epage><pages>1878-1884</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract><![CDATA[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
< 0.001). Visceral complications (
p
< 0.001), deep infections (
p
< 0.001), and deep hemorrhagic complications (
p
< 0.001) were overrepresented in the LAP group. In the OS group, visceral complications (
p
< 0.001), recurrences (
p
< 0.001), and severe neuropathic pain (
p
< 0.001) predominated.
Conclusion
LAP and OS repairs of inguinal hernia were associated with more severe complications than open surgery with mesh in this study.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>25762240</pmid><doi>10.1007/s00268-015-3028-2</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-2313 |
| ispartof | World journal of surgery, 2015-08, Vol.39 (8), p.1878-1884 |
| issn | 0364-2313 1432-2323 |
| language | eng |
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| source | Springer Nature |
| 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 |
| title | Open Mesh Repair for Inguinal Hernia is Safer than Laparoscopic Repair or Open Non-mesh Repair: A Nationwide Registry Study of Complications |
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