Open vs laparoscopic umbilical and epigastric hernia repair: Nationwide data on short- and long-term outcomes
Surgical Endoscopy Feb 06, 2021
Henriksen NA, Jorgensen LN, Friis-Andersen H, et al. - Researchers aimed at evaluating the rates of 90-day readmission and reoperation for complication, together with rate of operation for recurrence after either open or laparoscopic mesh repair for primary umbilical or epigastric hernias with defect widths above 1 cm. Merging data between the Danish Hernia Database and the National Patient Registry yielded data of a total of 6,855 patients for inclusion, of whom 4,106 (59.9%) and 2,749 (40.1%) patients had an open or laparoscopic repair, respectively. Findings revealed comparable recurrence rates between open and laparoscopic repair of umbilical and epigastric hernias. They indicated a significantly higher rate of readmission and reoperation due to surgical site infection in correlation with open repair, whereas laparoscopic repair was correlated with a significantly higher rate of reoperation due to a severe complication.
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