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Am J Surg ; 194(5): 611-7, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17936422

ABSTRACT

BACKGROUND: We sought to determine perioperative variables predictive of complications or recurrence for patients undergoing surgical repair of inguinal hernias. PATIENTS AND METHODS: Using data from the Veterans Affairs trial, regression analyses were utilized to identify perioperative factors significantly associated with complications (overall, short-term and long-term), long-term pain, and to develop a risk model for recurrence. RESULTS: Recurrent and scrotal hernias were predictors for short term and overall complications, regardless of technique. Older age and higher Mental Component Score of the SF-36 were associated with higher risk of long term complications in the open group while prostatism and increased body mass index were the significant predictors in the laparoscopic group. Long-term pain complaints decreased as patient age increased in both groups. Patient and surgeon factors were predictive of recurrence but varied greatly depending on surgical technique. CONCLUSIONS: Regardless of technique, scrotal and recurrent hernias were associated with a greater risk of complications and younger patients had more long-term pain. Predictors of recurrence vary based on surgical technique.


Subject(s)
Hernia, Inguinal/surgery , Postoperative Complications/epidemiology , Humans , Laparoscopy/statistics & numerical data , Models, Statistical , Recurrence , Risk Assessment , Risk Factors
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