2026-04-17T16:13:44Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/102692025-10-24T10:18:12Zcom_2072_378070com_2072_378040col_2072_378092

Elective Recurrent Inguinal Hernia Repair: Value of an Abdominal Wall Surgery Unit Gonçalves, Rodrigues Martínez-López, M. Martínez-López, P. VERDAGUER TREMOLOSA, MIREIA LOPEZ-CANO, MANUEL Paret abdominal - Cirurgia - Complicacions Hèrnia inguinal ANATOMY::Body Regions::Torso::Abdomen::Abdominal Wall Other subheadings::Other subheadings::Other subheadings::/surgery DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications DISEASES::Pathological Conditions, Signs and Symptoms::Pathological Conditions, Anatomical::Hernia::Hernia, Abdominal::Hernia, Inguinal ANATOMÍA::regiones corporales::tronco::abdomen::pared abdominal Otros calificadores::Otros calificadores::Otros calificadores::/cirugía ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias ENFERMEDADES::afecciones patológicas, signos y síntomas::afecciones patológicas anatómicas::hernia::hernia abdominal::hernia inguinal Inguinal hernia; Abdominal wall surgery Hernia inguinal; Cirugía de la pared abdominal Hèrnia inguinal; Cirurgia de la paret abdominal Background The aim of this study was to analyze the impact of an abdominal wall surgery unit on postoperative complications (within 90 days postoperatively), hernia recurrence and chronic postoperative inguinal pain after elective recurrent inguinal hernia repair. Methods We conducted a retrospective cohort study of all adult patients who underwent elective recurrent inguinal hernia repair between January 2010 and October 2021. Short- and long-term outcomes were compared between the group of patients operated on in the abdominal wall surgery unit and the group of patients operated on by other units not specialized in abdominal wall surgery. A logistic regression model was performed for hernia recurrence. Results A total of 250 patients underwent elective surgery for recurrent inguinal hernia during the study period. The patients in the abdominal wall surgery group were younger (P ≤ 0.001) and had fewer comorbidities (P ≤ 0.001). There were no differences between the groups in terms of complications. The patients in the abdominal wall surgery group presented fewer recurrences (15% vs. 3%; P = 0.001). Surgery performed by the abdominal wall surgery unit was related to fewer recurrences in the multivariate analysis (HR = 0.123; 95% CI = 0.21–0.725; P = 0.021). Conclusions Specialization in abdominal wall surgery seems to have a positive impact in terms of recurrence in recurrent inguinal hernia repair. The influence of comorbidities or type of surgery (i.e., outpatient surgery) require further study. Open Access Funding provided by Universitat Autonoma de Barcelona. This work did not receive external funding from any source other than the authors’ institution. 2025-10-24T10:18:12Z 2025-10-24T10:18:12Z 2025-10-24T10:18:12Z 2023-09-12T11:41:34Z 2023-09-12T11:41:34Z 2023-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/10269 World Journal of Surgery;47(10) https://doi.org/10.1007/s00268-023-07080-8 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess Springer Scientia