A multi-center study on recurrent inguinal hernias: assessment of surgeons’ compliance to guideline-based repair and evaluation of short-term outcomes
| Autor: | R Y Chen, V G Shelat, Clement L. K. Chia, S L Oh, S S N Goh, B G W Lee |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Recurrent Inguinal Hernia business.industry Retrospective cohort study Perioperative Guideline 030230 surgery Surgery 03 medical and health sciences 0302 clinical medicine Hernia recurrence 030220 oncology & carcinogenesis Multi center study medicine business Hospital stay Abdominal surgery |
| Zdroj: | Hernia. 25:1223-1229 |
| ISSN: | 1248-9204 1265-4906 |
| Popis: | As patients with recurrent inguinal hernia (RIH) are at a higher risk of perioperative complications, international guidelines have been developed to mitigate these risks by recommending the reverse approach for repair. We aim to study the characteristics of RIH, compliance to guidelines-based repair (GR) and determine factors influencing compliance to guidelines. A retrospective study of patients with RIH was carried out at two tertiary institutions in Singapore, over 10 years from January 2010 to 2020. There were 16 patients with bilateral recurrences and 214 patients with unilateral recurrences. The characteristics of patients with non-guidelines-based repair (NGR) versus GR were similar, p > 0.05. GR was performed for 128 (52.1%) hernias as compared to NGR for 118 (47.9%) hernias. The open approach was more common in NGR than GR, 115/118 (89.8%) versus 58/128 (45.3%), p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink