Higher rates of recurrence and worse quality of life in obese patients undergoing inguinal hernia repair
- 04.09.2024
- Original Article
Erschienen in:
- Verfasst von
- Mikhail Attaar
- Beau Forester
- Kristine Kuchta
- Michael B. Ujiki
- John Linn
- Woody Denham
- H. Mason Hedberg
- Stephen Haggerty
- Erschienen in
- Hernia | Ausgabe 6/2024
Abstract
Purpose
Prior investigations regarding the effect of obesity on inguinal hernia repair have been mixed. The aim of our study was to retrospectively compare perioperative outcomes, recurrence rate, and quality of life between obese and non-obese patients undergoing inguinal hernia repair.
Methods
Patients who underwent inguinal hernia repair by any approach at a single institution were identified from a prospectively maintained quality database. Patients with a body mass index (BMI) greater than or equal to 30 kg/m2 were considered obese. Quality of life was measured with the Surgical Outcomes Measurement System (SOMS) and Carolinas Comfort Scale (CSS) surveys. Differences between obese and non-obese patients were assessed using independent samples t-tests, Wilcoxon rank-sum, and chi-square tests.
Results
Between 2010 and 2021, a total of 5575 patients underwent inguinal hernia repair. Fifteen percent of patients were identified as obese (835 patients, mean BMI 33.2 ± 3.3 kg/m2). A significantly higher percentage of obese patients were diabetic, and operative time and estimated blood loss were higher in the obese group (all p < 0.001). Rates of hernia recurrence in obese patients was significantly more likely than in non-obese patients (4.2% vs 2.0%, p < 0.001). Up to 2 years postoperatively, a greater percentage of obese patients reported worse quality of life on the SOMS and more bothersome symptoms on the CCS.
Conclusions
Inguinal hernia repair in obese patients is a more technically challenging operation. Long-term follow-up revealed a greater risk of hernia recurrence and worse quality of life up to 2 years postoperatively in this patient population.
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- Titel
- Higher rates of recurrence and worse quality of life in obese patients undergoing inguinal hernia repair
- Verfasst von
-
Mikhail Attaar
Beau Forester
Kristine Kuchta
Michael B. Ujiki
John Linn
Woody Denham
H. Mason Hedberg
Stephen Haggerty
- Publikationsdatum
- 04.09.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 6/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03154-1
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