Outcomes of laparoscopic and open inguinal hernia repair in overweight and obese patients.

IF 1.5 4区医学 Q3 SURGERY

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI:10.1111/ans.70055

Rosa Miranda Thais, Michael Talbot

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引用次数: 0

Abstract

Background: Inguinal hernia repair in patients with high body mass index (BMI) ≥25 kg/m² is associated with higher technical difficulties and longer perioperative time. Few studies, however, have compared the outcomes of laparoscopic versus open inguinal hernia repair in patients with high BMI in the Australian population.

Methods: In this retrospective observational study, we analyzed the data from 315 adult patients with a healthy BMI of 18.5-24.9, overweight BMI of 25-29.9, and obese BMI of 30-≥40 and analyzed the operative time and recovery time considering the type of surgery, patient comorbidities, BMI category, and operator expertise.

Results: There is a significant positive relationship between the BMI of the patient and the type of surgery performed (laparoscopic/open) as well as the BMI and recovery time p < 0.001.

Conclusion: Post-operative recovery time was measurably longer in patients with BMI > 25, with an average of 28 extra minutes compared to patients with a normal BMI. Open inguinal hernia repair was mainly offered to morbidly obese patients (obesity class 3) and elderly patients, and laparoscopic surgery was offered to younger patients with lower BMI.

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腹腔镜和开放式腹股沟疝修补在超重和肥胖患者中的效果。

背景：腹股沟疝修补术中体重指数(BMI)≥25kg /m2的患者技术难度较高，围手术期时间较长。然而，很少有研究比较了澳大利亚人群中高BMI患者的腹腔镜和开放式腹股沟疝修复的结果。方法：回顾性观察研究315例健康BMI为18.5 ~ 24.9，超重BMI为25 ~ 29.9，肥胖BMI为30 ~≥40的成人患者，结合手术类型、患者合并症、BMI分类、术者专业知识等因素，分析手术时间和恢复时间。结果：患者的BMI与手术类型（腹腔镜/开放式）以及BMI和恢复时间之间存在显著正相关。结论：BMI为bbbb25的患者术后恢复时间明显长于BMI正常的患者，平均比正常患者多28分钟。开放式腹股沟疝修补主要针对病态肥胖患者（肥胖3级）和老年患者，腹腔镜手术主要针对BMI较低的年轻患者。

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

ANZ Journal of Surgery 医学-外科

CiteScore

2.50

自引率

11.80%

发文量

720

审稿时长

2 months

期刊介绍： ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.