Is the recurrence rate higher in obese patients undergoing inguinal hernia surgery?

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-02-26 DOI:10.1007/s10029-025-03301-2

Zi-Wei Li, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Xin Zheng

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引用次数: 0

Abstract

Purpose: This study aimed to evaluate whether obese patients undergoing inguinal hernia repair surgery have a higher recurrence rate and compare the clinical outcomes of obese and non-obese patients.

Materials and methods: The databases of PubMed, EMBASE, and Cochrane Library were used to search for eligible studies from inception to November 1, 2024. Mean difference (MD), Odds ratios (OR) and 95% confidence intervals (Cl) were pooled up to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.16.0) software.

Results: A total of nine studies involving 56,833 patients were included in this study. By comparing the baseline information, we found that the obese group had Fewer older (MD=-0.08, I²=62.41%, 95%CI=-0.16 to -0.00, P = 0.04), higher BMI (MD = 2.45, I²=93.67%, 95%CI = 2.08 to 2.81, P < 0.01), more hypertension patients (OR = 1.32, I²=32.96%, 95%CI = 1.02 to 1.67, P = 0.04), more BPH (OR = 0.68, I²=0.00%, 95%CI = 0.49 to 0.94, P = 0.02) and more local anesthesia (OR = 0.82, I²=14.73%, 95%CI = 0.79 to 0.86, P < 0.01) than the none-obese group. In terms of postoperative outcomes, We found that the obese group had higher recurrence rate (OR = 1.27, I²=21.89%, 95%CI = 1.10 to 1.47, P < 0.01), more wound infection (OR = 1.43, I²=0.00%, 95%CI = 1.20 to 1.69, P < 0.01), and more overall complications (OR = 1.12, I²=28.20%, 95%CI = 1.05 to 1.20, P < 0.01).

Conclusion: Compared with the non-obese group, the obese group has a higher recurrence rate, more wound infections, and overall more complications.

查看原文本刊更多论文

腹股沟疝手术的肥胖患者复发率更高吗？

目的：本研究旨在评价肥胖患者行腹股沟疝修补手术是否有较高的复发率，并比较肥胖患者与非肥胖患者的临床结局。材料和方法：检索PubMed、EMBASE和Cochrane Library数据库，检索自成立至2024年11月1日的符合条件的研究。平均差（MD）、优势比（OR）和95%置信区间（Cl）合并分析。纽卡斯尔-渥太华量表（NOS）评分用于评价纳入研究的质量。本研究采用Stata （V.16.0）软件进行。结果：本研究共纳入9项研究，涉及56833例患者。通过对基线资料的比较，我们发现肥胖组的老年人较少（MD=-0.08, I²=62.41%,95%CI=-0.16 ~ -0.00, P = 0.04）， BMI较高（MD= 2.45, I²=93.67%,95%CI= 2.08 ~ 2.81， P）。结论：与非肥胖组相比，肥胖组的复发率较高，伤口感染较多，总体并发症较多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.