Risk factors for perioperative complications in inguinal hernia repair – a systematic review
| Autor: | Navid Tabriz, Bianca Sahlmann, Verena-Nicole Uslar, Dirk Weyhe |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Clavien-Dindo Classification RD1-811 business.industry Incidence (epidemiology) Reviews clavien-dindo classification Perioperative 030230 surgery Inguinal hernia surgery medicine.disease Surgery 03 medical and health sciences Inguinal hernia 0302 clinical medicine 030220 oncology & carcinogenesis medicine inguinal hernia surgery Clinical significance Hernia Elective surgery business |
| Zdroj: | Innovative Surgical Science, Vol 2, Iss 2, Pp 47-52 (2017) Innovative Surgical Sciences |
| ISSN: | 2364-7485 |
| Popis: | The current literature suggests that perioperative complications occur in 8%–10% of all inguinal hernia repairs. However, the clinical relevance of these complications is currently unknown. In our review, based on 571,445 hernia repairs reported in 39 publications, we identified the following potential risk factors: patient age, ASA score, diabetes, smoking, mode of admission (emergency vs. elective surgery), surgery in low resource settings, type of anesthesia, and (in men) bilateral and sliding hernias. The most commonly reported complications are bleeding (0.9%), wound infection (0.5%), and pulmonary and cardiovascular complications (0.2%). In 3.9% of the included publications, a reliable grading of the reported complications according to Clavien-Dindo classification was possible. Using this classification retrospectively, we could show that, in patients with complications, these are clinically relevant for about 22% of these patients (Clavien-Dindo grade ≥IIIa). About 78% of all patients suffered from complications needing only minor (meaning mostly medical) intervention (Clavien-Dindo grade |
| Databáze: | OpenAIRE |
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