Risk factors for early and late morbidity in patients with cardiovascular disease undergoing inguinal hernia repair with a tailored approach: a single-center cohort study

BMC Surgery

Research

Kamran Hajili¹  Jakob Otten²  Alberto Vega Hernandez²  Claudia Rudroff²  Dana Richards² 

[1] Department for Cardiology and Intensive Care Medicine, Klinikum Leverkusen, Leverkusen, Germany;Promotion in Medical Studies, Medical Faculty of the University of Cologne, Cologne, Germany;Department of Visceral Surgery and Functional Surgery of the Lower Gastrointestinal Tract (UGI), Evangelisches Klinikum Koeln Weyertal, Weyertal 76, 50931, Cologne, Germany;

关键词: Cardiovascular disease;    Inguinal hernia;    Lichtenstein procedure;    Postoperative morbidity;    Postoperative risk factors;    TAPP;   

DOI  :  10.1186/s12893-023-01905-y

 received in 2022-09-02, accepted in 2023-01-04,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInguinal 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.MethodsPatients 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.ResultsOf 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.ConclusionCVD is a known risk factor for perioperative morbidity in general surgery, however, the TAPP method does not elevate the individual perioperative risk.

【 授权许可】

CC BY   
© The Author(s) 2023