METHODS: A retrospective cohort study was conducted using LIH data recorded over 10 years (2012-2022). Comorbidities, hernia characteristics, short-term complications, and recurrences were studied, along with their association with the type of approach used, either open or laparoscopic, in elective surgery.
RESULTS: 1742 LIH cases were studied. According to the EHS classification, these included L1 409 (23.5%), L2 388 (22.3%), L3 565 (32.4%), L4 150 (8.6%) and combined 230 (13.2%). An open approach was performed in 1528 (87.7%) cases and laparoscopic in 214 (12.3%). The median age was 66 ± 12.45 years, with a majority of males, 934 (53.6%). The median body mass index was 29 ± 5.18 kg/m2. The most observed comorbidity was arterial hypertension (957 patients, 55%). A specialist was present in 638 interventions (56%). The 24-month follow-up was 17.9%, and recurrence in those cases was 27.2%, with a higher incidence when there was no specialist present during the intervention, onlay mesh position, and larger defect size.
CONCLUSIONS: Surgery for LIH is common, although laparoscopic approach remains infrequent. Furthermore, it is associated with a high percentage of recurrences that increases when there is no specialist in abdominal wall surgery present.
方法:使用10年(2012-2022年)记录的LIH数据进行回顾性队列研究。合并症,疝的特点,短期并发症,并对复发情况进行了研究,以及它们与所用方法类型的联系,开放或腹腔镜,在选择性手术中。
结果:研究了1742例LIH病例。根据EHS分类,其中包括L1409(23.5%),L2388(22.3%),L3565(32.4%),L4150(8.6%)和合并230(13.2%)。开腹手术1528例(87.7%),腹腔镜手术214例(12.3%)。中位年龄为66±12.45岁,大多数男性,934(53.6%)。中位体重指数为29±5.18kg/m2。最常见的合并症是动脉高血压(957例患者,55%)。638项干预措施中有一名专家(56%)。24个月的随访率为17.9%,复发率为27.2%,当干预期间没有专家在场时,发病率较高,onlay网格位置,和更大的缺陷尺寸。
结论:LIH手术很常见,尽管腹腔镜方法仍然很少见。此外,它与高百分比的复发相关,当没有腹壁手术专家时,复发会增加。