PDF(Pubmed)
Abstract：
UNASSIGNED: Managing recurrent inguinal hernias is complex, and choosing the right surgical approach (laparoscopic vs. open) is vital for patient outcomes. This study compared the outcomes of using the same vs. different surgical approaches for initial and subsequent hernia repairs.
UNASSIGNED: We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the \"concordant\" and \"discordant\" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared.
UNASSIGNED: In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003).
UNASSIGNED: Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient\'s condition and surgeon\'s preference may be advisable.
UNASSIGNED: We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the \"concordant\" and \"discordant\" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared.
UNASSIGNED: In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003).
UNASSIGNED: Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient\'s condition and surgeon\'s preference may be advisable.
摘要：
■治疗复发性腹股沟疝很复杂，并选择正确的手术方法(腹腔镜与开放)对患者预后至关重要。这项研究比较了使用相同与初始和后续疝修补的不同手术方法。
■我们回顾性分析了2014年1月至2023年5月在首尔国立大学Bundang医院接受复发性腹股沟疝修补术的患者。患者分为“一致”和“不一致”组，包括在两种手术中接受相同和不同方法的患者，分别。术前基线特征,索引手术数据，术后结果,并对复发率进行分析比较。
■总共，入选131例患者；一致和不一致组包括31例(开放，n=19；腹腔镜，n=12）和100例患者（开放至腹腔镜，n=68；腹腔镜开腹，n=32),分别。在平均手术时间（50.5±21.7分钟与50.2±20.0分钟，P=0.979),并发症发生率（6.5%vs.14.0%,P=0.356),或36个月累积复发率（9.8%vs.9.8%；P=0.865）。不一致组的平均术后住院时间明显短于一致组（1.8±0.7vs.1.4±0.6,P=0.003)。
■大多数复发性腹股沟疝修补术采用不一致的手术入路进行。总的来说,手术入路的一致性对术后结局无显著影响.因此,根据患者的病情和外科医生的偏好选择手术方式可能是明智的。
■我们回顾性分析了2014年1月至2023年5月在首尔国立大学Bundang医院接受复发性腹股沟疝修补术的患者。患者分为“一致”和“不一致”组，包括在两种手术中接受相同和不同方法的患者，分别。术前基线特征,索引手术数据，术后结果,并对复发率进行分析比较。
■总共，入选131例患者；一致和不一致组包括31例(开放，n=19；腹腔镜，n=12）和100例患者（开放至腹腔镜，n=68；腹腔镜开腹，n=32),分别。在平均手术时间（50.5±21.7分钟与50.2±20.0分钟，P=0.979),并发症发生率（6.5%vs.14.0%,P=0.356),或36个月累积复发率（9.8%vs.9.8%；P=0.865）。不一致组的平均术后住院时间明显短于一致组（1.8±0.7vs.1.4±0.6,P=0.003)。
■大多数复发性腹股沟疝修补术采用不一致的手术入路进行。总的来说,手术入路的一致性对术后结局无显著影响.因此,根据患者的病情和外科医生的偏好选择手术方式可能是明智的。
