Nationwide study of early outcomes after incisional hernia repair

TY - JOUR

T1 - Nationwide study of early outcomes after incisional hernia repair

AU - Bisgaard, T

AU - Kehlet, H

AU - Bay-Nielsen, M B

AU - Iversen, M G

AU - Wara, P

AU - Rosenberg, J

AU - Friis-Andersen, H F

AU - Jorgensen, L N

N1 - Keywords: Adult; Aged; Aged, 80 and over; Denmark; Female; Hernia, Ventral; Humans; Laparoscopy; Length of Stay; Male; Middle Aged; Postoperative Complications; Surgical Procedures, Elective; Surgicenters; Treatment Outcome; Young Adult Times Cited: 0ArticleEnglishBisgaard, TGen Bahnsons Vej 1, DK-2000 Copenhagen, DenmarkCited References Count: 21531FXJOHN WILEY & SONS LTDTHE ATRIUM, SOUTHERN GATE, CHICHESTER PO19 8SQ, W SUSSEX, ENGLANDCHICHESTER

PY - 2009

Y1 - 2009

N2 - BACKGROUND: There are no nationwide studies on early outcomes after incisional hernia repair. METHODS: This study included all patients aged 18 years or more who had surgery for incisional hernia in Denmark between 1 January 2005 and 31 December 2006, and analysed clinical outcomes within 30 days of surgery. Patients having acute operations and those whose hernia repair was secondary to other procedures were excluded. RESULTS: Of a total of 2896 incisional hernia repairs (1872 open, 1024 laparoscopic), 2754 (95.1 per cent) were for primary hernia and 142 (4.9 per cent) for recurrence. The median hospital stay was 1 (range 0-88) day (open, 1 day; laparoscopic, 2 days); 10.0 per cent stayed for more than 6 days. Some 11.2 per cent of patients were readmitted (open, 10.1 per cent; laparoscopic, 13.1 per cent). Major complications were observed in 3.5 per cent (open, 2.8 per cent; laparoscopic, 4.8 per cent) with a total morbidity rate of 10.7 per cent (open, 10.1 per cent; laparoscopic, 11.8 per cent). The mortality rate was 0.4 per cent (open, 0.2 per cent; laparoscopic, 0.7 per cent). Morbidity and mortality were not related to surgical volume. CONCLUSION: Outcomes after incisional hernia repair seem unsatisfactory.

AB - BACKGROUND: There are no nationwide studies on early outcomes after incisional hernia repair. METHODS: This study included all patients aged 18 years or more who had surgery for incisional hernia in Denmark between 1 January 2005 and 31 December 2006, and analysed clinical outcomes within 30 days of surgery. Patients having acute operations and those whose hernia repair was secondary to other procedures were excluded. RESULTS: Of a total of 2896 incisional hernia repairs (1872 open, 1024 laparoscopic), 2754 (95.1 per cent) were for primary hernia and 142 (4.9 per cent) for recurrence. The median hospital stay was 1 (range 0-88) day (open, 1 day; laparoscopic, 2 days); 10.0 per cent stayed for more than 6 days. Some 11.2 per cent of patients were readmitted (open, 10.1 per cent; laparoscopic, 13.1 per cent). Major complications were observed in 3.5 per cent (open, 2.8 per cent; laparoscopic, 4.8 per cent) with a total morbidity rate of 10.7 per cent (open, 10.1 per cent; laparoscopic, 11.8 per cent). The mortality rate was 0.4 per cent (open, 0.2 per cent; laparoscopic, 0.7 per cent). Morbidity and mortality were not related to surgical volume. CONCLUSION: Outcomes after incisional hernia repair seem unsatisfactory.

U2 - 10.1002/bjs.6728

DO - 10.1002/bjs.6728

M3 - Journal article

C2 - 19918863

SN - 0007-1323

VL - 96

SP - 1452

EP - 1457

JO - British Journal of Surgery

JF - British Journal of Surgery

IS - 12

ER -