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Am J Surg. 2007 Nov;194(5):611-7.

Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair: a report from the VA Cooperative Hernia Study Group.

Author information

1
George E. Wahlen Salt Lake City VA Health Care System and University of Utah Department of Surgery, VAMC-112, 500 Foothill Dr, Salt Lake City, UT 84148, USA.

Abstract

BACKGROUND:

We sought to determine perioperative variables predictive of complications or recurrence for patients undergoing surgical repair of inguinal hernias.

PATIENTS AND METHODS:

Using data from the Veterans Affairs trial, regression analyses were utilized to identify perioperative factors significantly associated with complications (overall, short-term and long-term), long-term pain, and to develop a risk model for recurrence.

RESULTS:

Recurrent and scrotal hernias were predictors for short term and overall complications, regardless of technique. Older age and higher Mental Component Score of the SF-36 were associated with higher risk of long term complications in the open group while prostatism and increased body mass index were the significant predictors in the laparoscopic group. Long-term pain complaints decreased as patient age increased in both groups. Patient and surgeon factors were predictive of recurrence but varied greatly depending on surgical technique.

CONCLUSIONS:

Regardless of technique, scrotal and recurrent hernias were associated with a greater risk of complications and younger patients had more long-term pain. Predictors of recurrence vary based on surgical technique.

PMID:
17936422
DOI:
10.1016/j.amjsurg.2007.07.018
[Indexed for MEDLINE]

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