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 language | English (US) |
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Pages (from-to) | 611-617 |
Number of pages | 7 |
Journal | American journal of surgery |
Volume | 194 |
Issue number | 5 |
DOIs | |
State | Published - Nov 2007 |
Keywords
- Complications
- Herniorrhaphy
- Inguinal
- Laparoscopic
- Lichtenstein
- Recurrence
ASJC Scopus subject areas
- Surgery