Increasing volume but declining resident autonomy in laparoscopic inguinal hernia repair: an inverse relationship

Sehat, Alvand J.; Oliver, Joseph B.; Yu, Yasong; Kunac, Anastasia; Anjaria, Devashish J.

doi:10.1007/s00464-022-09476-4

Cited by 7 publications

(1 citation statement)

References 26 publications

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“…4,5 Laparoscopic inguinal hernia repair (LIHR) and open inguinal hernia repair (OIHR) procedures are often compared during the 20 years. 4,[6][7][8][9] Importantly, with the advantages of minimally invasive technology, such as reduced wound complications, less recurrence rate, and faster recovery, which is highly favored by not only surgeons but also patients. 10 However, no prospective studies have reported the correlation between age, surgical methods (LIHR and OIHR), and surgical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus Open Inguinal Hernia Repair in Aging Patients: A Propensity Score Matching-Based Retrospective Study

Xu¹,

Zhao²,

Fang³

et al. 2023

TCRM

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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 popular 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 OIHR groups. 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 for relieving postoperative pain. Meanwhile, no obvious differences were detected in postoperative complications [LIHR 7.7% (6/78) vs OIHR 14.1% (11/78), P = 0.199]. Conclusion LIHR was closely associated with reducing intraoperative hemorrhage and shortening postoperative hospitalization time. Whilst LIHR and age were independently affecting factors for relieving postoperative pain.

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