Observational studyHernia : the journal of hernias and abdominal wall surgery2022
Emergency hernia repair in the elderly: multivariate analysis of morbidity and mortality from an Italian registry.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05226221 (Mortality and Morbidity in Emergency Gastrointestinal Surgery), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Mortality and Morbidity in Emergency Gastrointestinal Surgery: Comparison of Different Incidence of Interventions According to the ICD-9-CM Classification in Relation to the Age Groups
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- The impact of non-invasive manual and ultrasonographic reduction for incarcerated obturator hernia: a retrospective cohort study and systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Mortality after emergency versus elective groin hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2022Pooled it
- Emergency repair of incarcerated groin hernias in older adults: a retrospective cohort study of outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Emergency vs. elective inguinal hernia repairs: early differences with similar long-term outcomes.Updates in surgery · 2026Article
- Evaluation of usefulness of manual reduction in the management of adult acute irreducible abdominal wall hernia: a study from a community-based teaching hospital.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Article
- Comparative Analysis of Early Complications and Length of Hospital Stay After Laparoscopic and Open Inguinal Hernia Repair.Life (Basel, Switzerland) · 2026Article
- Retrospective analysis of open preperitoneal hernioplasty in emergency settings: clinical outcomes and challenges.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Comparative efficacy and safety of surgical techniques for inguinal hernia repair in elderly patients: a network meta-analysis.Frontiers in surgery · 2026Review
- Neglected Inguinal Hernia Progressing to Strangulation: Surgical Implications and the Importance of Early Repair.Cureus · 2025Article
- Article
- Geriatric nutritional risk index as a predictor of major postoperative complications in emergency femoral hernia patients.BMC surgery · 2024Article
- Prospective comparison of two surgical approaches for incarcerated and strangulated inguinal hernia: preperitoneal hernioplasty through the lower abdominal median incision and laparoscope (TAPP).Updates in surgery · 2024Article
- Suture repair versus mesh repair in elderly populations with incarcerated or strangulated groin hernia.Updates in surgery · 2024Article
- Relationship between Survival Days, Cancer Cachexia, and Activities of Daily Living in Palliative Cancer Patients Undergoing Rehabilitation.Progress in rehabilitation medicine · 2024Article
- Risk Factors of In-Hospital Venous Thromboembolism and Prognosis After Emergent Ventral Hernia Repair.Emergency medicine international · 2024Article
- Construction and validation of a predictive model for the risk of bowel resection in adults with incarcerated groin hernia.BMC surgery · 2023Article
- Evaluating the Natural History of Groin Hernia from an "Unplanned" Watchful Waiting Strategy.Journal of clinical medicine · 2023Article
- Open preperitoneal vs. open anterior repair for the treatment of emergency femoral hernia: a bicentric retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Outcomes of Emergency Groin Hernia Repair in the Elderly: A Systematic Review.Journal of abdominal wall surgery : JAWS · 2023Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe incidence of inguinal hernia is higher in elderly because of aging-related diseases like prostatism, bronchitis, collagen laxity. A conservative management is common in elderly to reduce surgery-related risks, however watchful waiting can expose to obstruction and strangulation. The aim of the present study was to assess the impact of emergency surgery in a large series of elderly with complicated groin hernia and to identify the independent risk factors for postoperative morbidity and mortality. The predictive performance of prognostic risk scores has been also assessed.
methodsThis is a prospective observational study carried out between January 2017 and June 2018 in elderly patients who underwent emergency surgery for complicated hernia in 38 Italian hospitals. Pre-operative, surgical and postoperative data were recorded for each patient. ASA score, Charlson's comorbidity index, P-POSSUM and CR-POSSUM were assessed.
results259 patients were recruited, mean age was 80 years. A direct repair without mesh was performed in 62 (23.9%) patients. Explorative laparotomy was performed in 56 (21.6%) patients and bowel resection was necessary in 44 (17%). Mortality occurred in seven (2.8%) patients. Fifty-five (21.2%) patients developed complications, 12 of whom had a major one. At univariate and multivariate analyses, Charlson's comorbidity index ≥ 6, altered mental status, and need for laparotomy were associated with major complications and mortality
conclusionEmergency surgery for complicated hernia is burdened by high morbidity and mortality in elderly patients. Preoperative comorbidity played a pivotal role in predicting complications and mortality and therefore Charlson's comorbidity index could be adopted to select patients for elective operation.
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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.