Laparoscopic inguinal hernia repair in women: Trends, disparities, and postoperative outcomes
| Autor: | Nicole Ilonzo, Erica Pettke, Jeanie L. Gribben, I. Michael Leitman, Sean N Neifert |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Databases Factual MEDLINE Hernia Inguinal 03 medical and health sciences 0302 clinical medicine Postoperative Complications Sex Factors Sex factors Medicine Humans Hernia Healthcare Disparities Herniorrhaphy Retrospective Studies business.industry General surgery Retrospective cohort study General Medicine Middle Aged medicine.disease Quality Improvement United States Acs nsqip stomatognathic diseases Inguinal hernia surgical procedures operative Treatment Outcome Elective Surgical Procedures 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Female Laparoscopy business Elective Surgical Procedure Procedures and Techniques Utilization |
| Zdroj: | American journal of surgery. 218(4) |
| ISSN: | 1879-1883 |
| Popis: | This study analyzed trends in laparoscopic inguinal hernia repair over time, rates of laparoscopic repair in women, and subsequent postoperative outcomes.Data for 237,503 patients undergoing repair of an initial, reducible inguinal hernia were analyzed using the National Surgical Quality Improvement Program (NSQIP) database for years 2006-2017. Data were analyzed by univariate and multivariate analysis.Since 2006, there was an increased proportion of laparoscopic inguinal hernia surgeries, from 20.49% in 2006 to 36.36% in 2017 (p .001). The percentage of women with bilateral inguinal hernias that underwent laparoscopic repair was less than the percentage of men (31.58% vs. 41.43%, p .001). Based on multivariate analysis, women were less likely to have laparoscopic hernia repair (OR 0.74, CI 0.71-0.76). Postoperative complications were overall low.A greater proportion of inguinal hernia repairs are performed laparoscopically. Women with bilateral inguinal hernias are more likely than men to undergo open rather than laparoscopic inguinal hernia repair. |
| Databáze: | OpenAIRE |
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