Dr Leigh Neumayer and colleagues from Utah, USA determined perioperative variables predictive of complications or recurrence for patients undergoing surgical repair of inguinal hernias used data from the Veterans Affairs trial.
The research team utilized regression analyses to identify perioperative factors significantly associated with complications, long-term pain, and to develop a risk model for recurrence.
|Patient factors were predictive of recurrence but varied depending on surgical technique|
|The American Journal of Surgery|
The researchers found that recurrent and scrotal hernias were predictors for short term and overall complications, regardless of technique.
Older age and higher Mental Component Score of the Short Form-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.
The team observed that 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.
Dr Neumayer's team concluded, "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."