Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study
Abstract Background Inguinal hernia repair is a common procedure in surgery. Patients with cardiovascular disease have an increased operative risk for postoperative morbidity. The study aimed to identify the most beneficial surgical procedure for these patients. Methods Patients undergoing elective...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-01905-y |
| _version_ | 1797952692411170816 |
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| author | Kamran Hajili Alberto Vega Hernandez Jakob Otten Dana Richards Claudia Rudroff |
| author_facet | Kamran Hajili Alberto Vega Hernandez Jakob Otten Dana Richards Claudia Rudroff |
| author_sort | Kamran Hajili |
| collection | DOAJ |
| description | Abstract Background Inguinal hernia repair is a common procedure in surgery. Patients with cardiovascular disease have an increased operative risk for postoperative morbidity. The study aimed to identify the most beneficial surgical procedure for these patients. Methods Patients undergoing elective surgery for unilateral or bilateral inguinal hernia between December 2015 and February 2020 were included. The cohort was divided into the group of patients with (CVD group) and without (NO group) cardiovascular disease and analyzed according to the postoperative morbidity distribution and correlated to the surgical technique used. Results Of the 474 patients included 223 (47%) were operated on using the Lichtenstein technique and 251 (53%) using TAPP, respectively. In the CVD group the Lichtenstein procedure was more common (n = 102, 68.9%), in the NO group it was TAPP (n = 205, 62.9%; p < 0.001). 13 (8.8%) patients in the CVD group and 12 (3.7%) patients in the NO group developed a postoperative hematoma (p = 0.023). In the further subgroup analysis within the CVD group revealed cumarine treatment as a risk factor for postoperative hematoma development, whereas the laparoscopic approach did not elevate the morbidity risk. Conclusion CVD is a known risk factor for perioperative morbidity in general surgery, however, the TAPP method does not elevate the individual perioperative risk. |
| first_indexed | 2024-04-10T22:50:22Z |
| format | Article |
| id | doaj.art-5bc87f4fac114c0cafdb8f8fe88583f9 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-10T22:50:22Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-5bc87f4fac114c0cafdb8f8fe88583f92023-01-15T12:03:23ZengBMCBMC Surgery1471-24822023-01-012311810.1186/s12893-023-01905-yRisk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort studyKamran Hajili0Alberto Vega Hernandez1Jakob Otten2Dana Richards3Claudia Rudroff4Department for Cardiology and Intensive Care Medicine, Klinikum LeverkusenDepartment of Visceral Surgery and Functional Surgery of the Lower Gastrointestinal Tract (UGI), Evangelisches Klinikum Koeln WeyertalDepartment of Visceral Surgery and Functional Surgery of the Lower Gastrointestinal Tract (UGI), Evangelisches Klinikum Koeln WeyertalDepartment of Visceral Surgery and Functional Surgery of the Lower Gastrointestinal Tract (UGI), Evangelisches Klinikum Koeln WeyertalDepartment of Visceral Surgery and Functional Surgery of the Lower Gastrointestinal Tract (UGI), Evangelisches Klinikum Koeln WeyertalAbstract Background Inguinal hernia repair is a common procedure in surgery. Patients with cardiovascular disease have an increased operative risk for postoperative morbidity. The study aimed to identify the most beneficial surgical procedure for these patients. Methods Patients undergoing elective surgery for unilateral or bilateral inguinal hernia between December 2015 and February 2020 were included. The cohort was divided into the group of patients with (CVD group) and without (NO group) cardiovascular disease and analyzed according to the postoperative morbidity distribution and correlated to the surgical technique used. Results Of the 474 patients included 223 (47%) were operated on using the Lichtenstein technique and 251 (53%) using TAPP, respectively. In the CVD group the Lichtenstein procedure was more common (n = 102, 68.9%), in the NO group it was TAPP (n = 205, 62.9%; p < 0.001). 13 (8.8%) patients in the CVD group and 12 (3.7%) patients in the NO group developed a postoperative hematoma (p = 0.023). In the further subgroup analysis within the CVD group revealed cumarine treatment as a risk factor for postoperative hematoma development, whereas the laparoscopic approach did not elevate the morbidity risk. Conclusion CVD is a known risk factor for perioperative morbidity in general surgery, however, the TAPP method does not elevate the individual perioperative risk.https://doi.org/10.1186/s12893-023-01905-yCardiovascular diseaseInguinal herniaLichtenstein procedurePostoperative morbidityPostoperative risk factorsTAPP |
| spellingShingle | Kamran Hajili Alberto Vega Hernandez Jakob Otten Dana Richards Claudia Rudroff Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study BMC Surgery Cardiovascular disease Inguinal hernia Lichtenstein procedure Postoperative morbidity Postoperative risk factors TAPP |
| title | Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study |
| title_full | Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study |
| title_fullStr | Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study |
| title_full_unstemmed | Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study |
| title_short | Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study |
| title_sort | risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach a single center cohort study |
| topic | Cardiovascular disease Inguinal hernia Lichtenstein procedure Postoperative morbidity Postoperative risk factors TAPP |
| url | https://doi.org/10.1186/s12893-023-01905-y |
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