Chronic complaints after simple sutured repair for umbilical or epigastric hernias may be related to recurrence
Research output: Contribution to journal › Journal article › Research › peer-review
PURPOSE: Umbilical and epigastric hernia repairs are minor, but are commonly conducted surgical procedures. Long-term results have only been sparsely investigated. Our objective was to investigate the risk of chronic complaints after a simple sutured repair for small umbilical and epigastric hernias.
METHODS: A retrospective cohort study with a 5-year questionnaire and clinical follow-up was conducted. Patients undergoing primary elective, open non-mesh umbilical or epigastric sutured hernia repair were included. Patients completed a structured questionnaire regarding chronic complaints during work and leisure activities using a verbal rating scale. The primary outcome was chronic complaints.
RESULTS: A total of 295 patients were included for analysis after a median of 5.0-year (range 2.8-8.0) follow-up period. Follow-up results were achieved from 262 of the included patients (90 % response rate). Up till 5.8 % of the patients reported moderate or severe pain and discomfort. Work and leisure activities were restricted in 8.5 and 10.0 % of patients, respectively. Patients with chronic complaints had a higher incidence of recurrence (clinical and reoperation), than patients with none or mild complaints (78.6 vs. 22.2 % (P < 0.001)). The recurrence rate was significantly higher after a repair with absorbable suture (20.1 %) compared with non-absorbable suture repair (4.2 %) (P < 0.001).
CONCLUSION: We found that chronic complaints after a simple sutured umbilical or epigastric repair was in the level of 5.5 % and could in part be explained by recurrence. Furthermore, absorbable suture should be omitted to reduce risk of recurrence.
Original language | English |
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Journal | Langenbecks Archives of Surgery |
Volume | 399 |
Issue number | 1 |
Pages (from-to) | 65-69 |
Number of pages | 5 |
ISSN | 1435-2443 |
DOIs | |
Publication status | Published - Jan 2014 |
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Hernia, Abdominal, Hernia, Umbilical, Herniorrhaphy, Humans, Male, Middle Aged, Postoperative Complications, Questionnaires, Recurrence, Reoperation, Retrospective Studies, Risk Factors, Suture Techniques, Young Adult
Research areas
ID: 138543108