Chirurgia (Bucur). 2024 Apr;119(2):227-234. doi: 10.21614/chirurgia.2024.v.119.i.2.p.227.
Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients.
A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.
Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).
DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes.
患有糖尿病（DM）和合并症的腹股沟疝患者的管理具有挑战性，因为这可能会对伤口愈合和感染风险产生影响。本研究评估了其他合并症对 DM 患者行开放式腹股沟疝修补术后结局的影响。
2015 年至 2020 年在克卢日纳波卡紧急临床郡医院进行了一项回顾性队列研究。根据合并症状况将接受疝修补术的有记录的 DM 患者分为两组。收集并统计分析了表现模式、疝类型、合并症、住院情况、手术细节、术后结局和费用的数据。
在 38 例接受疝修补术的 DM 患者中，16 例为 A 组（DM 单独），22 例为 B 组（DM 合并症）。B 组患者年龄较大（p=0.0002），更可能出现紧急情况（OR：13.81，p=0.0148），且疝为嵌顿（OR：22.733，p=0.0339）或绞窄（OR：9.4545，p=0.0390）。B 组患者的住院时间更长（p=0.00132），住院费用更高（p=0.00262）。
患有合并症的 DM 患者更有可能出现复杂疝和住院时间延长。肺纤维化是一种重要的合并症，需要特定的围手术期策略。量身定制的术前评估和护理计划可以优化结局。
