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.
CONCLUSIONS: CVD is a known risk factor for perioperative morbidity in general surgery, however, the TAPP method does not elevate the individual perioperative risk.
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.
CONCLUSIONS: CVD is a known risk factor for perioperative morbidity in general surgery, however, the TAPP method does not elevate the individual perioperative risk.
摘要：
背景：腹股沟疝修补术是一种常见的外科手术。心血管疾病患者术后发病率的手术风险增加。该研究旨在确定对这些患者最有益的外科手术。
方法：纳入2015年12月至2020年2月期间接受单侧或双侧腹股沟疝择期手术的患者。将该队列分为有心血管疾病患者组（CVD组）和无心血管疾病患者组（NO组），并根据术后发病率分布进行分析，并与所使用的手术技术相关。
结果：在474例患者中，有223例（47％）使用Lichtenstein技术进行手术，有251例（53％）使用TAPP进行手术，分别。在CVD组中，Lichtenstein程序更为常见（n=102，68.9％），NO组是TAPP(n=205,62.9%;p<0.001)。CVD组13例（8.8％）患者和NO组12例（3.7％）患者发生术后血肿（p=0.023）。在进一步的亚组分析中，CVD组显示，香豆素治疗是术后血肿发展的危险因素，而腹腔镜方法并没有增加发病风险。
结论：CVD是普外科围手术期发病率的已知危险因素，然而,TAPP方法不会增加个体围手术期风险.
方法：纳入2015年12月至2020年2月期间接受单侧或双侧腹股沟疝择期手术的患者。将该队列分为有心血管疾病患者组（CVD组）和无心血管疾病患者组（NO组），并根据术后发病率分布进行分析，并与所使用的手术技术相关。
结果：在474例患者中，有223例（47％）使用Lichtenstein技术进行手术，有251例（53％）使用TAPP进行手术，分别。在CVD组中，Lichtenstein程序更为常见（n=102，68.9％），NO组是TAPP(n=205,62.9%;p<0.001)。CVD组13例（8.8％）患者和NO组12例（3.7％）患者发生术后血肿（p=0.023）。在进一步的亚组分析中，CVD组显示，香豆素治疗是术后血肿发展的危险因素，而腹腔镜方法并没有增加发病风险。
结论：CVD是普外科围手术期发病率的已知危险因素，然而,TAPP方法不会增加个体围手术期风险.
