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Outcomes After Spigelian Hernia Repair: A Nationwide Database Study.
Lise Lode1, Kristian K Jensen2, Frederik Helgstrand3
1Department of Gastrointestinal Surgery, Hvidovre Hospital, Kettegård Alle 30, 2650, Hvidovre, Denmark. lise_lode@hotmail.com.
World Journal of Surgery
|February 7, 2023
Summary
Spigelian hernia repair outcomes show no significant difference between open and laparoscopic surgery, or between elective and emergency procedures. Both approaches offer comparable results for readmission, reoperation, and recurrence rates.
Area of Science:
- Abdominal wall surgery
- Hernia repair techniques
- Surgical outcomes research
Background:
- Spigelian hernia is a rare abdominal wall defect with no standardized surgical repair recommendation.
- Lack of evidence necessitates comparative studies on surgical techniques for Spigelian hernias.
Purpose of the Study:
- To evaluate and compare outcomes of open versus laparoscopic Spigelian hernia repairs.
- To assess differences between elective and emergency surgical repair of Spigelian hernias on a national scale.
Main Methods:
- Analysis of nationwide data from Danish registries (2007-2018) for 365 Spigelian hernia repairs.
- Evaluation of 90-day readmission, 90-day reoperation, and long-term recurrence rates.
- Comparison of outcomes based on surgical approach (open vs. laparoscopic) and urgency (elective vs. emergency).
Main Results:
- Laparoscopic repair was used in 80.5% of cases, open repair in 19.5%.
- Elective surgery comprised 83.6%, while 16.4% were emergency repairs.
- No significant differences in readmission, reoperation, or recurrence rates were observed between open/laparoscopic or elective/emergency repairs.
Conclusions:
- Open and laparoscopic approaches demonstrate comparable efficacy for Spigelian hernia repair.
- Emergency Spigelian hernia repairs show similar outcomes to elective procedures regarding early complications and recurrence.
