ArticleHernia : the journal of hernias and abdominal wall surgery2018
Outpatient groin hernia repair: assessment of 9330 patients from the French "Club Hernie" database.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Single-port versus multi-port laparoscopic totally Extraperitoneal inguinal hernia repair: a systematic review and Meta-analysis of postoperative outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Robotic versus laparoscopic minimally invasive inguinal hernia repair: randomized clinical trial (the ROGER trial).The British journal of surgery · 2025Trial
- Quality of life after laparoscopic trans-abdominal pre-peritoneal inguinal hernia repair: spinal vs general anesthesia.Hernia : the journal of hernias and abdominal wall surgery · 2021Trial
- [Outpatient treatment for hernia surgery in Germany].Chirurgie (Heidelberg, Germany) · 2024Review
- Outpatient Surgery and Unplanned Overnight Admission in Bilateral Inguinal Hernia Repair: A Population-based Study.Langenbeck's archives of surgery · 2024Observational
- Factors associated with conversion from day-case to in-patient elective inguinal hernia repair surgery across England: an observational study using administrative data.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Unplanned readmissions after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Day-case and in-patient elective inguinal hernia repair surgery across England: an observational study of variation and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2023Observational
- Implementing an outpatient surgical management in moderated-high risk patients with groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Inguinal hernia treatment in Switzerland: inpatient vs. outpatient setting - HerStAmb Study (prospective observational two-centre comparative study).Langenbeck's archives of surgery · 2023Observational
- Outpatient inguinal hernia repair in Spain: a population-based study of 1,163,039 patients-clinical and socioeconomic factors associated with the choice of day surgery.Updates in surgery · 2023Article
- What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Ambulatory hernia repair: a study of 1294 patients in a single institution.The Pan African medical journal · 2022Article
- Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry.World journal of surgery · 2020Article
- Patient's satisfaction at 2 years after groin hernia repair: any difference according to the technique?Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGroin hernia repair (GHR) is one of the most frequent surgical interventions practiced worldwide. Outpatient surgery for GHR is known to be safe and effective.
aimTo assess the outpatient practice for GHR in France and identify predictive factors of failure.
methodForty one surgeons of the French "Club Hernie" prospectively gathered data concerning successive GHR over a period of 4 years within a multicenter database.
resultsA total of 9330 patients were operated on during the period of the study. Mean age was 61.8 (1-100) years old and 8245 patients (88.4%) were males. 6974 GHR (74.7%) were performed as outpatient procedures. In 262 patients (3.6%), the outpatient setting, previously selected, did not succeed. Upon multivariate analysis, predictive factors of ambulatory failure were ASA grade ≥ III (OR 0.42, p < 0.001), bilateral GHR (OR 0.47, p < 0.001), emergency surgery for incarcerated hernia (OR 0.10, p < 0.001), spinal anesthesia (OR 0.27, p < 0.001) and occurrence of an early post-operative complication (OR 0.07, p < 0.001). The more frequent complications were acute urinary retention and surgical site collections. 2094 patients (21.5%) were not selected preoperatively for 1-day surgery.
conclusionMore than 74% of the patients benefited from outpatient surgery for GHR with a poor failure rate. Predictive factors of outpatient GHR failure were ASA grade ≥ III, bilateral GHR, emergency surgery for incarcerated hernia, spinal anesthesia and occurrence of an early post-operative complication. Ambulatory failures were often related to social issues or medical complications. Outpatient surgery criteria could become less restrictive in the future.
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