Evidence map›Paper›PMID 28130603›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Linked hospital and primary care database analysis of the impact of short-term complications on recurrence in laparoscopic inguinal hernia repair.

G Bouras, E M Burns, A M Howell, A Bottle, T Athanasiou, A Darzi

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Impact of surgical approach on complications by sex following ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

G BourasDepartment of Surgery and Cancer, Imperial College London, London, UK. g.bouras@imperial.ac.uk.
E M BurnsDepartment of Surgery and Cancer, Imperial College London, London, UK.
A M HowellDepartment of Surgery and Cancer, Imperial College London, London, UK.
A BottleDr Foster Unit, Department of Primary Care and Public Health, Imperial College, Charing Cross Hospital, 3 Dorset Rise, London, EC4Y 8EN, UK.
T AthanasiouDepartment of Surgery and Cancer, Imperial College London, London, UK.
A DarziDepartment of Surgery and Cancer, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effects of short-term complications on recurrence following laparoscopic inguinal hernia repair using routine data.

backgroundLinked primary and secondary care databases can evaluate the quality of inguinal hernia surgery by quantifying short- and long-term outcome together.

methodsLongitudinal analysis of linked primary care (Clinical Practice Research Datalink) and hospital administrative (Hospital Episodes Statistics) databases quantified 30-day complications (wound infection and bleeding) and surgery for recurrence after primary repair performed between 1st April 1997 and 31st March 2012.

resultsOut of 41,545 primary inguinal hernia repairs, 10.3% (4296/41,545) were laparoscopic. Complications were less frequent following laparoscopic (1.8%, 78/4296) compared with open (3.5%, 1288/37,249) inguinal hernia repair (p < 0.05). Recurrence was more frequent following laparoscopic (3.5%, 84/2541) compared with open (1.2%, 366/31,859) repair (p < 0.05). Time to recurrence was shorter for laparoscopic (26.4 months SD 28.5) compared with open (46.7 months SD 37.6) repair (p < 0.05). Overall, complications were associated with recurrence (3.2%, 44/1366 with complications; 1.7%, 700/40,179 without complications; p < 0.05). Complications did not significantly increase the risk of recurrence in open hernia repair (OR = 1.49; 95% CI 0.97-2.30, p = 0.069). Complications following laparoscopic repair was significantly associated with increased risk of recurrence (OR = 7.86; 95% CI 3.46-17.85, p < 0.05).

conclusionsComplications recorded in linked routine data predicted recurrence following laparoscopic inguinal hernia repair. Focus must, therefore, be placed on achieving good short-term outcome, which is likely to translate to better longer term results using the laparoscopic approach.

Indexed as

Databases, FactualMedical Record LinkageAdultAgedFemaleHernia, InguinalHerniorrhaphyHospitalsHumansLaparoscopyMaleMiddle AgedPostoperative ComplicationsPrimary Health CareRecurrenceRisk FactorsComplicationsDatabaseInguinal hernia repairLaparoscopyPrimary careRecurrence

Identifiers

PMID28130603

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.