Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair

a report from the VA Cooperative Hernia Study Group

Richard D. Matthews, Thomas Anthony, Lawrence T. Kim, Jia Wang, Robert Joseph Fitzgibbons, Anita Giobbie-Hurder, Domenic J. Reda, Kamal M F Itani, Leigh A. Neumayer

Research output: Contribution to journalArticle

34 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)611-617
Number of pages7
JournalAmerican Journal of Surgery
Volume194
Issue number5
DOIs
StatePublished - Nov 2007

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Inguinal Hernia
Herniorrhaphy
Hernia
Recurrence
Pain
Prostatism
Veterans
Body Mass Index
Regression Analysis
Incisional Hernia

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair : a report from the VA Cooperative Hernia Study Group. / Matthews, Richard D.; Anthony, Thomas; Kim, Lawrence T.; Wang, Jia; Fitzgibbons, Robert Joseph; Giobbie-Hurder, Anita; Reda, Domenic J.; Itani, Kamal M F; Neumayer, Leigh A.

In: American Journal of Surgery, Vol. 194, No. 5, 11.2007, p. 611-617.

Research output: Contribution to journalArticle

Matthews, Richard D. ; Anthony, Thomas ; Kim, Lawrence T. ; Wang, Jia ; Fitzgibbons, Robert Joseph ; Giobbie-Hurder, Anita ; Reda, Domenic J. ; Itani, Kamal M F ; Neumayer, Leigh A. / Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair : a report from the VA Cooperative Hernia Study Group. In: American Journal of Surgery. 2007 ; Vol. 194, No. 5. pp. 611-617.
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AB - 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.

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