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01-08-2018 | Original Article

Proportion of femoral hernia repairs performed for recurrence in the United States

Authors: B. L. Murphy, D. S. Ubl, J. Zhang, E. B. Habermann, D. Farley, K. Paley

Published in: Hernia | Issue 4/2018

Abstract

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.

Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P et al (2001) Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet (London England) 358:1124–1128CrossRef

Glassow F (1985) Femoral hernia. Review of 2105 repairs in a 17 year period. Am J Surg 150:353–356CrossRefPubMed

Hernandez-Richter T, Schardey HM, Rau HG, Schildberg FW, Meyer G (2000) The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP). Surg Endosc 14:736–740CrossRefPubMed

Sandblom G, Gruber G, Kald A, Nilsson E (2000) Audit and recurrence rates after hernia surgery. Eur J Surg Acta Chirurgica 166:154–158CrossRefPubMed

Rutkow IM (2003) Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 83:1045–1051 (v–vi) CrossRefPubMed

Beadles CA, Meagher AD, Charles AG (2015) Trends in emergent hernia repair in the United States. JAMA Surg 150:194–200CrossRefPubMed

Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U (2009) Emergency femoral hernia repair: a study based on a national register. Ann Surg 249:672–676CrossRefPubMed

Humes DJ, Radcliffe RS, Camm C, West J (2013) Population-based study of presentation and adverse outcomes after femoral hernia surgery. Br J Surg 100:1827–1832CrossRefPubMed

Murphy BL, Ubl DS, Zhang J, Habermann EB, Farley DR, Paley K (2017) Trends of inguinal hernia repairs performed for recurrence in the United States. Surgery 163(2):343–350CrossRefPubMed

10.

Andresen K, Bisgaard T, Kehlet H, Wara P, Rosenberg J (2014) Reoperation rates for laparoscopic vs open repair of femoral hernias in Denmark: a nationwide analysis. JAMA Surgery 149:853–857CrossRefPubMed

11.

Alimoglu O, Kaya B, Okan I, Dasiran F, Guzey D, Bas G et al (2006) Femoral hernia: a review of 83 cases. Hernia J Hernias Abdom Wall Surg 10:70–73CrossRef

12.

Pangeni A, Shakya VC, Shrestha AR, Pandit R, Byanjankar B, Rai S (2017) Femoral hernia: reappraisal of low repair with the conical mesh plug. Hernia J Hernias Abdom Wall Surg 21:73–77CrossRef

13.

Cox TC, Huntington CR, Blair LJ, Prasad T, Heniford BT, Augenstein VA (2016) Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage. Hernia J Hernias Abdom Wall Surg 21:79–88CrossRef

14.

Cox TC, Huntington CR, Blair LJ, Prasad T, Heniford BT, Augenstein VA (2017) Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage? Hernia J Hernias Abdom Wall Surg 21:79–88CrossRef

15.

Bendavid R (1989) Femoral hernias: primary versus recurrence. Int Surg 74:99–100PubMed

16.

Thill RH, Hopkins WM (1994) The use of Mersilene mesh in adult inguinal and femoral hernia repairs: a comparison with classic techniques. Am Surg 60:553–556 (discussion 6–7) PubMed

17.

Waltz P, Luciano J, Peitzman A, Zuckerbraun BS (2016) Femoral hernias in patients undergoing total extraperitoneal laparoscopic hernia repair: including routine evaluation of the femoral canal in approaches to inguinal hernia repair. JAMA Surg 151:292–293CrossRefPubMed

18.

Kald A, Nilsson E, Anderberg B, Bragmark M, Engstrom P, Gunnarsson U et al (1998) Reoperation as surrogate endpoint in hernia surgery. A three year follow-up of 1565 herniorrhaphies. Eur J Surg Acta Chirurgica 164:45–50CrossRefPubMed

19.

Song Y, Lu A, Ma D, Wang Y, Wu X, Lei W (2015) Long-term results of femoral hernia repair with ULTRAPRO plug. J Surg Res 194:383–387CrossRefPubMed

20.

Henriksen NA, Thorup J, Jorgensen LN (2012) Unsuspected femoral hernia in patients with a preoperative diagnosis of recurrent inguinal hernia. Hernia J Hernias Abdom Wall Surg 16:381–385CrossRef

21.

Rosemar A, Angeras U, Rosengren A, Nordin P (2010) Effect of body mass index on groin hernia surgery. Ann Surg 252:397–401CrossRefPubMed

22.

Sucandy I, Kolff JW (2012) Incarcerated femoral hernia in men: incidence, diagnosis, and surgical management. North Am J Med Sci 4:617–618CrossRef

23.

Malek S, Torella F, Edwards PR (2004) Emergency repair of groin herniae: outcome and implications for elective surgery waiting times. Int J Clin Pract 58:207–209CrossRefPubMed

Title: Proportion of femoral hernia repairs performed for recurrence in the United States
Authors: B. L. Murphy
D. S. Ubl
J. Zhang
E. B. Habermann
D. Farley
K. Paley
Publication date: 01-08-2018
Publisher: Springer Paris
Published in: Hernia / Issue 4/2018
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-018-1743-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Proportion of femoral hernia repairs performed for recurrence in the United States

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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