Bisgaard T, Kehlet H, Bay-Nielsen M B, Iversen M G, Wara P, Rosenberg J, Friis-Andersen H F, Jorgensen L N
Danish Hernia Database, Køge Hospital, Køge, Denmark.
Br J Surg. 2009 Dec;96(12):1452-7. doi: 10.1002/bjs.6728.
There are no nationwide studies on early outcomes after incisional hernia repair.
This study included all patients aged 18 years or more who had surgery for incisional hernia in Denmark between 1 January 2005 and 31 December 2006, and analysed clinical outcomes within 30 days of surgery. Patients having acute operations and those whose hernia repair was secondary to other procedures were excluded.
Of a total of 2896 incisional hernia repairs (1872 open, 1024 laparoscopic), 2754 (95.1 per cent) were for primary hernia and 142 (4.9 per cent) for recurrence. The median hospital stay was 1 (range 0-88) day (open, 1 day; laparoscopic, 2 days); 10.0 per cent stayed for more than 6 days. Some 11.2 per cent of patients were readmitted (open, 10.1 per cent; laparoscopic, 13.1 per cent). Major complications were observed in 3.5 per cent (open, 2.8 per cent; laparoscopic, 4.8 per cent) with a total morbidity rate of 10.7 per cent (open, 10.1 per cent; laparoscopic, 11.8 per cent). The mortality rate was 0.4 per cent (open, 0.2 per cent; laparoscopic, 0.7 per cent). Morbidity and mortality were not related to surgical volume.
Outcomes after incisional hernia repair seem unsatisfactory.
目前尚无关于切口疝修补术后早期结局的全国性研究。
本研究纳入了2005年1月1日至2006年12月31日期间在丹麦接受切口疝手术的所有18岁及以上患者，并分析了手术后30天内的临床结局。排除进行急诊手术的患者以及疝修补术继发于其他手术的患者。
在总共2896例切口疝修补术中（1872例开放手术，1024例腹腔镜手术），2754例（95.1%）为原发性疝修补，142例（4.9%）为复发性疝修补。中位住院时间为1天（范围0 - 88天）（开放手术为1天；腹腔镜手术为2天）；10.0%的患者住院时间超过6天。约11.2%的患者再次入院（开放手术为10.1%；腹腔镜手术为13.1%）。观察到3.5%的患者发生了严重并发症（开放手术为2.8%；腹腔镜手术为4.8%），总发病率为10.7%（开放手术为10.1%；腹腔镜手术为11.8%）。死亡率为0.4%（开放手术为0.2%；腹腔镜手术为0.7%）。发病率和死亡率与手术量无关。
切口疝修补术后的结局似乎并不理想。
