TY - JOUR
T1 - Outcomes After Emergency Versus Elective Ventral Hernia Repair
T2 - A Prospective Nationwide Study
AU - Helgstrand, Frederik
AU - Rosenberg, Jacob
AU - Kehlet, Henrik
AU - Bisgaard, Thue
PY - 2013/6/12
Y1 - 2013/6/12
N2 - BACKGROUND: Early surgical results after emergency repairs for the most frequent ventral hernias (epigastric, umbilical, and incisional) are not well described. Thus, the aim of present study was to investigate early results and risk factors for poor 30-day outcome after emergency versus elective repair for ventral hernias. METHODS: All patients undergoing epigastric, umbilical, or incisional hernia repair registered in the Danish Hernia Database during the period 1 January 2007 to 31 December 2010 were included in the prospective study. Follow-up was obtained through administrative data from the Danish National Patient Register. RESULTS: In total, 10,041 elective and 935 emergency repairs were included. The risk for 30-day mortality, reoperation, and readmission was significantly higher (by a factor 2-15) after emergency repairs than after elective repairs (p ≤ 0.003). In addition, there were significantly more patients with concomitant bowel resection after emergency repairs than after elective repairs (p 2-7 cm, and repair for a primary hernia (vs recurrent hernia) (all p
AB - BACKGROUND: Early surgical results after emergency repairs for the most frequent ventral hernias (epigastric, umbilical, and incisional) are not well described. Thus, the aim of present study was to investigate early results and risk factors for poor 30-day outcome after emergency versus elective repair for ventral hernias. METHODS: All patients undergoing epigastric, umbilical, or incisional hernia repair registered in the Danish Hernia Database during the period 1 January 2007 to 31 December 2010 were included in the prospective study. Follow-up was obtained through administrative data from the Danish National Patient Register. RESULTS: In total, 10,041 elective and 935 emergency repairs were included. The risk for 30-day mortality, reoperation, and readmission was significantly higher (by a factor 2-15) after emergency repairs than after elective repairs (p ≤ 0.003). In addition, there were significantly more patients with concomitant bowel resection after emergency repairs than after elective repairs (p 2-7 cm, and repair for a primary hernia (vs recurrent hernia) (all p
U2 - 10.1007/s00268-013-2123-5
DO - 10.1007/s00268-013-2123-5
M3 - Journal article
C2 - 23756775
VL - 37
SP - 2273
EP - 2279
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 10
ER -