Ambulatory inguinal hernia repair in Portugal - a multicenter prospective cohort study

Ambulatory surgery is the recommended approach for elective inguinal hernia repair for most people. However, the relative use of this procedure in Portugal and its related outcomes are unknown. We aimed to assess complication rates in patients undergoing ambulatory and inpatient surgery. Prospective multicentric cohort study included consecutive patients undergoing elective inguinal hernia repair in mainland Portugal (October-December 2019). The primary outcome was the post-operative complication rate (any Clavien-Dindo grade) among patients undergoing ambulatory and inpatient surgery. A logistic regression analysis was performed to adjust for patient and disease-related co-variables. Eight hundred twenty-eight patients (89.1% of males) were included from thirty-three hospitals, of which seven hundred sixteen (86.4%) had unilateral hernias. Four hundred thirty-three (52.2%) were operated on as day cases and three hundred ninety-five (47.7%) with overnight stays. There were no significant differences in post-operative complication rate between patients undergoing ambulatory and overnight stay surgery, both in unadjusted (9.9% vs. 11.1%; p = 0.650) and adjusted (odds ratio: 1.08 [95% CI 0.66-1.76]) analyses. Ambulatory surgery was only performed in half of the patients, although this procedure is not associated with an increased risk of complications. These results should promote the expanded use of ambulatory surgery in patients eligible for elective inguinal hernia repair.

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Publication Details

Journal
Updates in Surgery
Published
2025-03-25
DOI
https://doi.org/10.1007/s13304-025-02084-6
Primary Topic
Hernia repair and management
Type
article
Field-Weighted Citation Impact
0.00

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article

Ambulatory inguinal hernia repair in Portugal - a multicenter prospective cohort study

Rita Lima, Rita Monteiro, Inês Nunes, Paulo Sousa et al.
Updates in Surgery
Hernia repair and management
article

Ambulatory inguinal hernia repair in Portugal - a multicenter prospective cohort study

Rita Lima, Rita Monteiro, Inês Nunes, Paulo Sousa, João Guimarães, Brigitta Cismasiu, Catarina dos Santos Rodrigues, Ana Gomes, M Claro, Catarina Moura, Constança Azevedo, Joana Gomes da Silva, Cristina Monteiro, Margarida Ferreira, M Peralta Ferreira, Joana Ferreira, Manuel Mega, D Melo Pinto, Telma Rodrigues Brito, José Guilherme Nobre, Lígia Freire, João Miguel Carvas, Xavier de Sousa, Jorge Nogueiro, Sara Rodrigues Silva, Ester S.B. Ferreira, Catarina Antão, Diana Carina Lima Gomes, Mariana Canelas‐Pais, Catarina Quintela, Miguel Semião, Maria João Amaral, Francisco Girão de Caires, Inês Neri, Cristina Velez, Cláudia Figueiredo, Joana Seabra, R Parreira, Antônio Hilário Alves Freitas, Sónia Martins, Inês Barros, Edgar Amorim, Maria Durães, David Ferra de Sousa, Rui Sousa, Ana Rita Martins, Luís Castro, André Pacheco, Carlos M. S. Figueiredo, Fábio Gomes, Ana Torre, César Carvalho, Estanislau Mateia, J Ribeiro, Isabela Gil, Inês Guerreiro, Artur Rebelo, Cristina Mendes de Oliveira, F Mendes, Márcia Carvalho, Francisco Marrana, Hugo Gameiro, Isabel P. Martins, Carlota Ramos, Manuel Neuparth, Sofia Leandro, Aldara Faria, Nádia Félix Felipe da Silva, Diogo Pinto, Mariana Silva Leite, Bárbara Gama, Marta Reia, Inês Mónica, Jorge Cristo, Renato Barradas, Nuno Rombo, Hugo da Costa Ribeiro, Lúcia Carvalho, Antonio Rivero, Sara Rodrigues, Inês Carvalho, Filipe Guerra, Bárbara Vieira, Sara Ramtula, Valter Paixão, M. Ferreira, Pedro Botelho, Manuela Romano, Anaísa Silva, Joana Bolota, José Pedro Gonçalves, Sofia Fonseca, Ana Rita de Sousa Marinho Falcão, Marta Fragoso, Ana Sofia Boligo, Raquel Prata Saraiva, Joana Frazão, André Amaro, Bruno Ribeiro da Silva, Alexandra Soares, Beatriz Dias, Ricardo Manuel Branco Souto, Coral Aguero, João Paulo Gomes, Tamiris Mogne, Bárbara Castro, Maria de Jesus Oliveira, Pedro Valente, David Salvador, R Martins, Filipa Rocha, Ana M. Cabral, Sofia Pina, Inês Miguel, Sofia Dias da Silva, Evgeniya Sitchikhina, Sara Moráis, Leonor Matos, Pedro Santos, Tatiana Queirós, Miguel Brito, Alberto Abreu da Silva, Vítor Devezas, Susana Henriques, António Pereira-Neves, Filipa Policarpo, Guilherme Fialho, Ana Margarida Cinza, Cristina Costa, Carlos Pires, Ana Rita Monte, Joaquina Dominguez, André Pereira, André Ribeiro da Silva, Rafael Nobre, Oriana Nogueira, Miguel Rocha Melo, Ana Cláudia Soares, Mónica Guerrero, Pedro Miranda, Alice Pimentel, Liliana Sequeira, Rita Matias, Miguel Angel Castro Fernández, Rita Marques de Sá Carmarneiro, Ana Luísa Rodrigues, Andreia Guimarães, Inês Teixeira, Inês Rita Capunge, Mário Pereira, Simone Helena dos Santos Oliveira, Marta Rodrigues da Silva, Nisalda Carla Melo Rosa, Vasco Cardoso, Eva Santos, Andreia Ferreira, Maria João Jervis, Diogo Galvão, Beatriz Mourato, Catarina Lopes, Filipe Borges, Joana Peliteiro, Joana Mafalda Monteiro, Hugo Capote, Carina Baldino, Telma Fonseca, Regina Silva, Ana Luísa Pinto Frutuoso, Cristina Silva, Joana Oliveira, Ana Maria de Almeida, Paula Teixeira, Ana Cláudia da Silva Andrade, S Frade, Sara Marques, Miguel Almeida, Mafalda Sampaio-Alves, Teresa Santos, Alexandra Ferreira, Francisco Baeta, Rui Cunha, Alexandra Campos da Silva, Carolina Matos, Juan Rachadell, Joana Romano, Filipe Almeida, Joana Marantes Pimenta, Diogo Cardoso, Inês Lima, Diogo Veiga, Vanessa Santos, Daniela Pais, Daniel Costa Santos, V. Armond Pedro, Ana Faustino, Filipe André Ramalho de Almeida, Ana Rita, Diogo Marinho, Ana Couceiro, Sara Silveira, Vanessa Praxedes, Fernando Resende, Vera Baptista, João Melo, Ana Lúcia Preto Barreira, Tatiana Marques, Narcisa Guimarães, Fabiola Amado, Maria Luiza Almeida Silva, Adalberto Cardoso, Cátia Cunha, Ana Beatriz Tozzo Martins, Natacha Teresa Queiroz Alves, David Aparício, GABRIEL RAHAL COSTA, João Mendes, Andreia Branco, Ana Cláudia Deus, Carla Menezes, G Pires, Ana M. G. Guerreiro, Diogo Araújo de Sousa, Rui Lacerda Cunha
article en

Abstract

Ambulatory surgery is the recommended approach for elective inguinal hernia repair for most people. However, the relative use of this procedure in Portugal and its related outcomes are unknown. We aimed to assess complication rates in patients undergoing ambulatory and inpatient surgery. Prospective multicentric cohort study included consecutive patients undergoing elective inguinal hernia repair in mainland Portugal (October-December 2019). The primary outcome was the post-operative complication rate (any Clavien-Dindo grade) among patients undergoing ambulatory and inpatient surgery. A logistic regression analysis was performed to adjust for patient and disease-related co-variables. Eight hundred twenty-eight patients (89.1% of males) were included from thirty-three hospitals, of which seven hundred sixteen (86.4%) had unilateral hernias. Four hundred thirty-three (52.2%) were operated on as day cases and three hundred ninety-five (47.7%) with overnight stays. There were no significant differences in post-operative complication rate between patients undergoing ambulatory and overnight stay surgery, both in unadjusted (9.9% vs. 11.1%; p = 0.650) and adjusted (odds ratio: 1.08 [95% CI 0.66-1.76]) analyses. Ambulatory surgery was only performed in half of the patients, although this procedure is not associated with an increased risk of complications. These results should promote the expanded use of ambulatory surgery in patients eligible for elective inguinal hernia repair.

Updates in SurgeryVol. 77(8)
Universidade de Lisboa
Good health and well-being
Openalex Percentile: Top 90%
Hernia repair and management
DOIOpen Access PDFOpenAlex
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