Abstract：
OBJECTIVE: Incisional hernia (IH) is a common complication following abdominal surgery. Surgical repair of IH is associated with the alleviation of symptoms and improvement of quality of life. Operative intervention can pose a significant burden to the patient and healthcare facilities. This study aims to describe and compare outcomes of elective and emergency surgical repair of IH.
METHODS: This study is a single-centre comparative retrospective study including patients who had repair of IH. Patients were divided into Group I (Emergency) and Group II (Elective), and a comparison was conducted between them.
RESULTS: Two hundred sixty-two patients were identified with a mean age of 61.8 ± 14.2 years, of which 152 (58%) were females. The mean BMI was 31.6 ± 7.2 kg/m2. More than 58% had at least one comorbidity. 169 (64.5%) patients had an elective repair, and 93 (35.5%) had an emergency repair. Patients undergoing emergency repair were significantly older and had higher BMI, p = 0.031 and p = 0.002, respectively. The significant complication rate (Clavien-Dindo III and IV) was 9.54%. 30 and 90-day mortality rates were 2.3% (n = 6) and 2.68% (n = 7), respectively. In the emergency group, the overall complications, 30-day and 90-day mortality rates were significantly higher than in the elective group, p ≤ 0.001, 0.002 and 0.001, respectively. Overall, 42 (16.1%) developed wound complications, 25 (9.6%) experienced a recurrence, and 41 (15.71%) were readmitted within 90 days, without significant differences between the two groups.
CONCLUSIONS: Patients who underwent emergency repair were significantly older and had a higher BMI than the elective cases. Emergency IH repair is associated with higher complication rates and mortality than elective repair.
METHODS: This study is a single-centre comparative retrospective study including patients who had repair of IH. Patients were divided into Group I (Emergency) and Group II (Elective), and a comparison was conducted between them.
RESULTS: Two hundred sixty-two patients were identified with a mean age of 61.8 ± 14.2 years, of which 152 (58%) were females. The mean BMI was 31.6 ± 7.2 kg/m2. More than 58% had at least one comorbidity. 169 (64.5%) patients had an elective repair, and 93 (35.5%) had an emergency repair. Patients undergoing emergency repair were significantly older and had higher BMI, p = 0.031 and p = 0.002, respectively. The significant complication rate (Clavien-Dindo III and IV) was 9.54%. 30 and 90-day mortality rates were 2.3% (n = 6) and 2.68% (n = 7), respectively. In the emergency group, the overall complications, 30-day and 90-day mortality rates were significantly higher than in the elective group, p ≤ 0.001, 0.002 and 0.001, respectively. Overall, 42 (16.1%) developed wound complications, 25 (9.6%) experienced a recurrence, and 41 (15.71%) were readmitted within 90 days, without significant differences between the two groups.
CONCLUSIONS: Patients who underwent emergency repair were significantly older and had a higher BMI than the elective cases. Emergency IH repair is associated with higher complication rates and mortality than elective repair.
摘要：
目的：切口疝（IH）是腹部手术后常见的并发症。IH的手术修复与症状的缓解和生活质量的改善有关。手术干预可能对患者和医疗保健设施造成重大负担。本研究旨在描述和比较IH的择期和急诊手术修复的结果。
方法：本研究是一项单中心回顾性对比研究，包括IH修复患者。患者分为I组（急诊）和II组（选择性），并在它们之间进行了比较。
结果：确定了200名患者，平均年龄为61.8±14.2岁，其中152人（58%）为女性。平均BMI为31.6±7.2kg/m2。超过58%有至少一种合并症。169例（64.5%）患者接受了选择性修复，93人(35.5%)接受了紧急维修。接受紧急修复的患者年龄明显较大，BMI较高，分别为p=0.031和p=0.002。显著并发症发生率(Clavien-DindoIII和IV)为9.54%。30天和90天死亡率分别为2.3％（n=6）和2.68％（n=7），分别。在紧急小组中，整体并发症，30天和90天的死亡率明显高于选修组，p分别≤0.001、0.002和0.001。总的来说,42（16.1%）出现伤口并发症，25（9.6％）经历了复发，41例（15.71%）在90天内再次入院，两组之间无显著差异。
结论：接受急诊修复的患者明显年龄较大，BMI高于择期病例。急诊IH修复比选择性修复具有更高的并发症发生率和死亡率。
方法：本研究是一项单中心回顾性对比研究，包括IH修复患者。患者分为I组（急诊）和II组（选择性），并在它们之间进行了比较。
结果：确定了200名患者，平均年龄为61.8±14.2岁，其中152人（58%）为女性。平均BMI为31.6±7.2kg/m2。超过58%有至少一种合并症。169例（64.5%）患者接受了选择性修复，93人(35.5%)接受了紧急维修。接受紧急修复的患者年龄明显较大，BMI较高，分别为p=0.031和p=0.002。显著并发症发生率(Clavien-DindoIII和IV)为9.54%。30天和90天死亡率分别为2.3％（n=6）和2.68％（n=7），分别。在紧急小组中，整体并发症，30天和90天的死亡率明显高于选修组，p分别≤0.001、0.002和0.001。总的来说,42（16.1%）出现伤口并发症，25（9.6％）经历了复发，41例（15.71%）在90天内再次入院，两组之间无显著差异。
结论：接受急诊修复的患者明显年龄较大，BMI高于择期病例。急诊IH修复比选择性修复具有更高的并发症发生率和死亡率。
