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Erschienen in:
06.02.2018 | Original Article
Proportion of femoral hernia repairs performed for recurrence in the United States
Erschienen in: Hernia | Ausgabe 4/2018
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Purpose
Recurrence rates after femoral hernia repair (FHR) have not been reliably established in the USA. We sought to determine this trend over time.
Methods
The proportion of primary and recurrent FHRs was determined for patients age ≥ 18 from: ACS-NSQIP (1/2005–12/2014), Premier (1/2010–09/2015), and institutional (1/2005–12/2014) data. Trends were analyzed using a one-tailed Cochran–Armitage test.
Results
In the NSQIP database, 6649 patients underwent a FHR. In females, the proportion of FHRs performed for recurrence decreased from 14.0% in 2005 to 6.2% in 2014, p = 0.02. In males, there was no change: 16.7–16.1% 2005–2014 (p = 0.18). The Premier database included 4495 FHRs and our institution 315 FHRs. There was no difference for either gender over time in either data source, all p > 0.05.
Conclusions
The proportion of femoral hernia repairs performed for recurrence in the USA remained relatively constant in males in two large national databases between 2005 and 2015. In females, a decrease was seen in one of the large national databases.