Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”

INTRODUCTION: Hernias, particularly groin hernias, are prevalent surgical pathologies worldwide, often necessitating surgery in cases of complications. This study investigates the safety and efficacy of performing bilateral inguinal hernioplasty when one side faces complications, addressing the lack...

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Autores: Bravo-Salva, Alejandro, Ochoa Segarra, Francisco, González Castillo, Ana María, Juvany, Montserrat, Téllez-Marqués, Clara, Riba Combatti, Luisana, Pérez-Guitart, Marc, Pereira Rodríguez, José Antonio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/70054
Acceso en línea:http://hdl.handle.net/10230/70054
http://dx.doi.org/10.4103/ijawhs.ijawhs_46_24
Access Level:acceso abierto
Palabra clave:Bilateral hernia repair
Emergency hernia repair
Hernia surgery
Open posterior hernia repair
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spelling Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”Bravo-Salva, AlejandroOchoa Segarra, FranciscoGonzález Castillo, Ana MaríaJuvany, MontserratTéllez-Marqués, ClaraRiba Combatti, LuisanaPérez-Guitart, MarcPereira Rodríguez, José AntonioBilateral hernia repairEmergency hernia repairHernia surgeryOpen posterior hernia repairINTRODUCTION: Hernias, particularly groin hernias, are prevalent surgical pathologies worldwide, often necessitating surgery in cases of complications. This study investigates the safety and efficacy of performing bilateral inguinal hernioplasty when one side faces complications, addressing the lack of consensus in emergency groin hernia treatment. MATERIALS AND METHODS: A retrospective, single-center study spanning a duration of 10 years was conducted, including adult patients who underwent emergency surgery for inguinal hernia. Propensity score matching was employed to create similar groups for comparative analysis of unilateral versus bilateral emergency groin hernioplasty. Surgical techniques, complications, mortality, and long-term outcomes were evaluated. RESULTS: This study included 341 patients. Data obtained from the study revealed high morbidity and 90-day mortality rates, consistent with the data of existing literature. Propensity score matching yielded two comparable groups. Short-term outcomes showed no significant differences in complication rates, mortality, surgical site infection, or hospital stay between unilateral and bilateral hernioplasty groups. Bilateral surgery takes approximately 15 min of the procedure time. Long-term outcomes exhibited similar recurrence rates between groups. CONCLUSION: This study supports the practice of bilateral inguinal hernioplasty in emergency scenarios when one side faces complications. It is a safe approach without any significant increase in morbidity or hospital stay, while reducing the need for a subsequent intervention and its associated risks and costs. Further prospective research is necessary to confirm these findings.Wolters Kluwer (LWW)202520252024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/70054http://dx.doi.org/10.4103/ijawhs.ijawhs_46_24reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésInternational Journal of Abdominal Wall and Hernia Surgery. 2024;7(3):124-30This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.http://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/700542026-06-12T07:21:37Z
dc.title.none.fl_str_mv Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
title Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
spellingShingle Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
Bravo-Salva, Alejandro
Bilateral hernia repair
Emergency hernia repair
Hernia surgery
Open posterior hernia repair
title_short Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
title_full Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
title_fullStr Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
title_full_unstemmed Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
title_sort Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”
dc.creator.none.fl_str_mv Bravo-Salva, Alejandro
Ochoa Segarra, Francisco
González Castillo, Ana María
Juvany, Montserrat
Téllez-Marqués, Clara
Riba Combatti, Luisana
Pérez-Guitart, Marc
Pereira Rodríguez, José Antonio
author Bravo-Salva, Alejandro
author_facet Bravo-Salva, Alejandro
Ochoa Segarra, Francisco
González Castillo, Ana María
Juvany, Montserrat
Téllez-Marqués, Clara
Riba Combatti, Luisana
Pérez-Guitart, Marc
Pereira Rodríguez, José Antonio
author_role author
author2 Ochoa Segarra, Francisco
González Castillo, Ana María
Juvany, Montserrat
Téllez-Marqués, Clara
Riba Combatti, Luisana
Pérez-Guitart, Marc
Pereira Rodríguez, José Antonio
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Bilateral hernia repair
Emergency hernia repair
Hernia surgery
Open posterior hernia repair
topic Bilateral hernia repair
Emergency hernia repair
Hernia surgery
Open posterior hernia repair
description INTRODUCTION: Hernias, particularly groin hernias, are prevalent surgical pathologies worldwide, often necessitating surgery in cases of complications. This study investigates the safety and efficacy of performing bilateral inguinal hernioplasty when one side faces complications, addressing the lack of consensus in emergency groin hernia treatment. MATERIALS AND METHODS: A retrospective, single-center study spanning a duration of 10 years was conducted, including adult patients who underwent emergency surgery for inguinal hernia. Propensity score matching was employed to create similar groups for comparative analysis of unilateral versus bilateral emergency groin hernioplasty. Surgical techniques, complications, mortality, and long-term outcomes were evaluated. RESULTS: This study included 341 patients. Data obtained from the study revealed high morbidity and 90-day mortality rates, consistent with the data of existing literature. Propensity score matching yielded two comparable groups. Short-term outcomes showed no significant differences in complication rates, mortality, surgical site infection, or hospital stay between unilateral and bilateral hernioplasty groups. Bilateral surgery takes approximately 15 min of the procedure time. Long-term outcomes exhibited similar recurrence rates between groups. CONCLUSION: This study supports the practice of bilateral inguinal hernioplasty in emergency scenarios when one side faces complications. It is a safe approach without any significant increase in morbidity or hospital stay, while reducing the need for a subsequent intervention and its associated risks and costs. Further prospective research is necessary to confirm these findings.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/70054
http://dx.doi.org/10.4103/ijawhs.ijawhs_46_24
url http://hdl.handle.net/10230/70054
http://dx.doi.org/10.4103/ijawhs.ijawhs_46_24
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Abdominal Wall and Hernia Surgery. 2024;7(3):124-30
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wolters Kluwer (LWW)
publisher.none.fl_str_mv Wolters Kluwer (LWW)
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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