Laparoscopic versus open ventral hernia repair in the elderly: a propensity score-matched analysis

Aly, Sherif; Geus, Susanna W.L. de; Carter, C O; Hess, Donald T.; Tseng, Jennifer F.; Pernar, Luise I.M.

doi:10.1007/s10029-020-02243-1

Cited by 12 publications

(10 citation statements)

References 17 publications

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“…Although unilateral inguinal hernias may be controversial, the benefit of LIHR over open repair is well‐established in patients with bilateral or recurrent inguinal hernias, and current guidelines recommend minimally invasive surgical repair for such cases 15 . Furthermore, the use of LIHR is not age‐restricted, so elderly patients can also benefit from this approach, as previously reported 16 . Still, patients with inguinal hernia tend to have individual differences, so preoperative evaluation of age, operation time, hernia sac diameter, intraoperative hemorrhage, postoperative hospitalization, postoperative complications, and other factors may also influence the surgeon's choice of a surgical method for treating the patients.…”

Section: Introductionmentioning

confidence: 69%

“…Statistical analysis suggested that LIHR was an independent factor for prolonged operation time in the treatment of inguinal hernia (Table 2 ), which was consistent with a previous study. 16 Of note, age, surgical technique, size of inguinal hernia, and teamwork could affect the operation time, but not only in LIHR. 23 , 24 Therefore, we also plotted the learning curve of LIHR.…”

Section: Discussionmentioning

confidence: 99%

“… 15 Furthermore, the use of LIHR is not age‐restricted, so elderly patients can also benefit from this approach, as previously reported. 16 Still, patients with inguinal hernia tend to have individual differences, so preoperative evaluation of age, operation time, hernia sac diameter, intraoperative hemorrhage, postoperative hospitalization, postoperative complications, and other factors may also influence the surgeon's choice of a surgical method for treating the patients. Therefore, choosing a more appropriate surgical method for such patients is of great importance.…”

Section: Introductionmentioning

confidence: 99%

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The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

Zhao

Wang

et al. 2023

Health Science Reports

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Objectives Although laparoscopic inguinal hernia repair (LIHR) has been widely accepted for treating inguinal hernia, the procedure remains very technical and challenging. The present study aimed to assess the effect of LIHR in relation to operation time, intraoperative hemorrhage and postoperative hospitalization. Methods A total of 503 patients with inguinal hernia admitted at the Wuxi Rehabilitation Hospital between June 2019 and July 2021 were included in this retrospective cohort study. Binary logistic and linear regressions were used for categorical and continuous outcomes, respectively. The learning curve was drawn by cumulative sum analysis. Results Multivariate logistic regression analysis identified LIHR as an independent factor associated with prolonging operation time (odd ratio [OR] = 1.750, 95% confidence interval [CI]: 1.215−2.520, p = 0.003) and decreasing intraoperative hemorrhage levels (OR = 0.079, 95 CI: 0.044−0.142, p < 0.001). Multivariate linear regression identified LIHR (Coefficient = −0.702, 95% CI: [−1.050] to [−0.354], p < 0.001) as an independent factor for shortening postoperative hospitalization time. After learning curve, LIHR (OR = 1.409, 95% CI: 0.948 to 2.094, p = 0.090) no longer resulted as a risk factor prolonging operation time. Conclusions LIHR is an important independent predictive factor for decreasing intraoperative hemorrhage levels and shortening postoperative hospitalization time. Additionally, LIHR does not prolong operation time after the learning curve.

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Section: Introductionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

Zhao

Wang

et al. 2023

Health Science Reports

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“…Moreover, a large study including patients ≥65 years of age undergoing elective open or laparoscopic ventral hernia repair showed that the laparoscopic approach was associated with lower overall morbidity, reduced incidence of surgical site infections, postoperative infections, and reoperation. All other major surgical outcomes were either better in the group treated with laparoscopic surgery or comparable between both treatment groups, except for operative time [10].…”

Section: Discussionmentioning

confidence: 88%

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Sayers

Laliotis²

2021

Cureus

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Linea arcuate herniae (LAH) are rare and usually asymptomatic but can present with generalized abdominal pain in the absence of bulging and are impalpable. Diagnosis is dependent on cross-sectional imaging, and operative approach to their management is debatable. Here, we report the case of a 56-year-old female with abdominal pain diagnosed with a linea arcuate hernia by computed tomography (CT) scan. She went on to have laparoscopic primary suture closure of the hernial defect with reinforcing underlay mesh. LAH are effectively elucidated with CT. Although there are concerns regarding mesh-related complications, we advocate a laparoscopic approach and repair with prosthetic mesh reinforcement, fixated with sutures. Long-term follow-up of these patients is still required.

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“…Although, many randomized controlled trials (RCTs) have been published in the early stage [16][17][18] , but they're fewer related research reports based on propensity score matching (PSM)-paired in elderly patients [19,20] . At present, China's aging process is accelerating, and the number of elderly patients increasing year by year has put unprecedented pressure on the current medical system.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open inguinal hernia repair in aging patients: A propensity score matching-based retrospective study

Xu¹,

Zhao²,

et al. 2023

Preprint

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Objective: Although laparoscopic repair has been widely carried out and promoted due to its minimally invasive advantages, open surgery is still popularly compared to elderly patients. This study aims to compare the outcomes of laparoscopic (LIHR) vs. open repair of inguinal hernias (OIHR) in elderly patients. Methods: A retrospective analysis of the database was performed to identify elderly patients, from January 2021 through December 2022, who underwent surgery for an inguinal hernia. After a 1:1 propensity score matching (PSM) with a caliper of 0.1 was conducted to balance potential bias, binary logistic regressions were used for categorical and continuous outcomes. Results: After PSM, 78 pairs of elderly patients were enrolled in this study, and there were no significant differences in baseline between LIHR and OIHRgroups. Compared to OIHR, univariable and multivariable logistic regression analysis showed that LIHR was independently affected for reducing intraoperative hemorrhage (OR=0.06, 95%CI: 0.02-0.18, P <0.001) and shortening postoperative hospitalization time (OR=0.29, 95%CI: 0.15-0.57, P <0.001) in elderly patients. Furthermore, LIHR (OR=0.28, 95%CI: 0.14-0.57, P <0.001) and age (OR=0.89, 95%CI: 0.82-0.96, P=0.002) were independent affecting factors forrelieving postoperative pain. While, no obvious differences were detected in postoperative complications [LIHR 7.7% (6/78) vs OIHR 14.1%(11/78)，P=0.199]. Conclusions: LIHRwas closely associated with reducing intraoperative hemorrhage and shortening postoperative hospitalization time. Whilst LIHR and age were independently affectingfactors for relieving postoperative pain.

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Laparoscopic versus open ventral hernia repair in the elderly: a propensity score-matched analysis

Cited by 12 publications

References 17 publications

The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Laparoscopic versus open inguinal hernia repair in aging patients: A propensity score matching-based retrospective study

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