Pereira-Rodríguez J A, Hernández-Granados P, Olona-Casa C, López-Cano M
Servicio de Cirugía General, Hospital Universitari del Mar, Barcelona, Spain; Departament de Medicina i Ciéncies de la Vida, Universitat Pompeu Fabra, Barcelona, Spain.
Hospital Universitario Fundación Alcorcón, Madrid, Spain.
Cir Esp (Engl Ed). 2024 May;102(5):275-280. doi: 10.1016/j.cireng.2023.11.021. Epub 2024 Feb 1.
The aim of this study was to assess the utility of the EVEREG registry in evaluating the evolution of surgical treatment for incisional hernia and its outcomes in Spain by comparing data from 2 study periods.
A retrospective comparative analysis of hernia surgeries performed between 2011 and 2015 (first period) and between 2017 and 2022 (second period) was conducted using data collected from the EVEREG registry.
Statistically significant differences were observed in the second cohort, including: a decrease in minimally invasive procedures (11.7% vs 8.2%; P < .001), an increase in emergency surgeries for males (31.7% vs 41.2%; P = .017), an increase in trocar hernia repairs (16% vs 26.2%; P < .0001), a reduction in suture repairs (2.8% vs 1.5%; P < .0001), and an increase in retromuscular techniques (36.4% vs 52.4%; P < .001) in open surgery with mesh. In elective surgery, there was a decrease in the average length of stay (4.9 vs 3.8 days; P < .0001), the percentage of complications (27.9% vs 24.0%; P < .0001), reoperations (3.5% vs 1.4%; P < .0001), and mortality (0.6% vs 0.2%; P = .002). Long-term outcomes included a decrease in recurrences after 12 months (20.7% vs 14.5%; P < .0001) and in chronic pain (13.7% vs 2.5%; P < .0001) and chronic infections (9.1% vs 14.5%; P < .0001) after 6 months.
In recent years, there has been a significant improvement in the outcomes of incisional hernia treatment. The registry serves as a fundamental tool for assessing the evolution of hernia treatment and enables the identification of key areas for improvement and the evaluation of treatment outcomes.
本研究的目的是通过比较两个研究阶段的数据，评估EVEREG注册中心在评估西班牙切口疝手术治疗的演变及其结果方面的效用。
使用从EVEREG注册中心收集的数据，对2011年至2015年（第一阶段）和2017年至2022年（第二阶段）期间进行的疝手术进行回顾性比较分析。
在第二组中观察到统计学上的显著差异，包括：微创手术减少（11.7%对8.2%；P < .001），男性急诊手术增加（31.7%对41.2%；P = .017），套管针疝修补术增加（16%对26.2%；P < .0001），缝合修补术减少（2.8%对1.5%；P < .0001），以及开放网片修补术中肌后技术增加（36.4%对52.4%；P < .001）。在择期手术中，平均住院时间减少（4.9天对3.8天；P < .0001），并发症百分比减少（27.9%对24.0%；P < .0001），再次手术减少（3.5%对1.4%；P < .0001），死亡率降低（0.6%对0.2%；P = .002）。长期结果包括12个月后复发率降低（20.7%对14.5%；P < .0001），6个月后慢性疼痛降低（13.7%对2.5%；P < .0001）和慢性感染降低（9.1%对14.5%；P < .0001）。
近年来，切口疝治疗的结果有了显著改善。该注册中心是评估疝治疗演变的重要工具，能够确定关键的改进领域并评估治疗结果。
