The Operative Duration of Elective and Emergency Hernia Repair Surgery: A Single Center Experience

Natalia Chistina; Valeska Candrawinata; Christine Nathalia; Ivory Seiko; Ivy Nadia Yuwono

doi:10.15562/bmj.v12i1.4052

The Operative Duration of Elective and Emergency Hernia Repair Surgery: A Single Center Experience

Natalia Maria Christina ,

Valeska Siulinda Candrawinata ,

Christine Nathalia ,

Ivory Seiko ,

Ivy Nadia Yuwono ,

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DOI: https://doi.org/10.15562/bmj.v12i1.4052 |
Published: 2023-02-13

Abstract

Background: This observational study aims to provide hernia repair surgery data in Tangerang, Indonesia, hoping to pioneer a nationwide hernia study. Furthermore, another aim is that the data comparison provided in this study can become the groundwork for more advanced studies.

Methods: We retrospectively reviewed our database at Siloam General Hospital between January 2021 and September 2022. We reviewed the cohort gender, age, type of hernia, type of surgery, and duration of hernia repair surgery.

Results: There was a total of 110 patients, with a predominance in the male gender (91.3%) compared to the female (8.7%). Dividing the patients into certain age groups, we also found that most hernia patients are > 60 years old. One hundred three patients (93.6%) were diagnosed with inguinal hernia, and 7 patients (6.4%) were diagnosed with a non-inguinal hernia. It was found that the duration of emergency surgery in patients with the inguinal hernia was 93.6 minutes, and non-inguinal patients were 118.2 minutes. Compared to the duration of elective surgery in patients with the inguinal hernia was 57.2 minutes, and non-inguinal patients were 67.7 minutes.

Conclusion: We did not find any appreciable differences in the length of the surgical procedure between the elective and emergency trial group. Additional research is encouraged to understand the significance of the operating duration in elective and urgent hernia repair procedures.

References

HerniaSurge Group. International guidelines for groin hernia management. Hernia 2018;22:1–165. https://doi.org/10.1007/s10029-017-1668-x.
Cheng H, Clymer JW, Po-Han Chen B, Sadeghirad B, Ferko NC, Cameron CG, et al. Prolonged operative duration is associated with complications: a systematic review and meta-analysis. J Surg Res 2018;229:134–44. https://doi.org/10.1016/j.jss.2018.03.022.
Van der Linden W, Warg A, Nordin P. National register study of operating time and outcome in hernia repair. Arch Surg 2011;146:1198–203. https://doi.org/10.1001/archsurg.2011.268.
Shakil A, Aparicio K, Barta E, Munez K. Inguinal Hernias: Diagnosis and Management. Am Fam Physician 2020;102:487–92.
Śmietański M, Szczepkowski M, Alexandre JA, Berger D, Bury K, Conze J, et al. European Hernia Society classification of parastomal hernias. Hernia 2014;18:1–6. https://doi.org/10.1007/s10029-013-1162-z.
Le Huu Nho R, Mege D, Ouaïssi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg 2012;149:e3-14. https://doi.org/10.1016/j.jviscsurg.2012.05.004.
Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 2012;16:179–83. https://doi.org/10.1007/s10029-011-0879-9.
Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M, et al. Watchful Waiting vs Repair of Inguinal Hernia in Minimally Symptomatic Men. JAMA 2006;295:285. https://doi.org/10.1001/jama.295.3.285.
Tanaka N, Uchida N, Ogihara H, Sasamoto H, Kato H, Kuwano H. Clinical study of inguinal and femoral incarcerated hernias. Surg Today 2010;40:1144–7. https://doi.org/10.1007/s00595-009-4193-4.
Tschuor C, Metzger J, Clavien P-A, Vonlanthen R, Lehmann K. Inguinal hernia repair in Switzerland. Hernia 2015;19:741–5. https://doi.org/10.1007/s10029-015-1385-2.
Tatar C, Tüzün İS, Karşıdağ T, Kızılkaya MC, Yılmaz E. Prosthetic Mesh Repair for Incarcerated Inguinal Hernia. Balkan Med J 2016;33:434–40. https://doi.org/10.5152/balkanmedj.2016.150137.

[1] HerniaSurge Group. International guidelines for groin hernia management. Hernia 2018;22:1–165. https://doi.org/10.1007/s10029-017-1668-x.

[2] Cheng H, Clymer JW, Po-Han Chen B, Sadeghirad B, Ferko NC, Cameron CG, et al. Prolonged operative duration is associated with complications: a systematic review and meta-analysis. J Surg Res 2018;229:134–44. https://doi.org/10.1016/j.jss.2018.03.022.

[3] Van der Linden W, Warg A, Nordin P. National register study of operating time and outcome in hernia repair. Arch Surg 2011;146:1198–203. https://doi.org/10.1001/archsurg.2011.268.

[4] Shakil A, Aparicio K, Barta E, Munez K. Inguinal Hernias: Diagnosis and Management. Am Fam Physician 2020;102:487–92.

[5] Śmietański M, Szczepkowski M, Alexandre JA, Berger D, Bury K, Conze J, et al. European Hernia Society classification of parastomal hernias. Hernia 2014;18:1–6. https://doi.org/10.1007/s10029-013-1162-z.

[6] Le Huu Nho R, Mege D, Ouaïssi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg 2012;149:e3-14. https://doi.org/10.1016/j.jviscsurg.2012.05.004.

[7] Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 2012;16:179–83. https://doi.org/10.1007/s10029-011-0879-9.

[8] Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M, et al. Watchful Waiting vs Repair of Inguinal Hernia in Minimally Symptomatic Men. JAMA 2006;295:285. https://doi.org/10.1001/jama.295.3.285.

[9] Tanaka N, Uchida N, Ogihara H, Sasamoto H, Kato H, Kuwano H. Clinical study of inguinal and femoral incarcerated hernias. Surg Today 2010;40:1144–7. https://doi.org/10.1007/s00595-009-4193-4.

[10] Tschuor C, Metzger J, Clavien P-A, Vonlanthen R, Lehmann K. Inguinal hernia repair in Switzerland. Hernia 2015;19:741–5. https://doi.org/10.1007/s10029-015-1385-2.

[11] Tatar C, Tüzün İS, Karşıdağ T, Kızılkaya MC, Yılmaz E. Prosthetic Mesh Repair for Incarcerated Inguinal Hernia. Balkan Med J 2016;33:434–40. https://doi.org/10.5152/balkanmedj.2016.150137.

The Operative Duration of Elective and Emergency Hernia Repair Surgery: A Single Center Experience

Abstract

References

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