ScholarLens Back to search
2007•Polish Journal of SurgeryRequires access

Tailored Repair in Inguinal Hernia Surgery Using the Head-Score

Christian Peiper, Svenja Schinkel, Dortje Brinkmann, Karsten Junge, U. Klinge, V. Schumpelick

Open publisher page 0 citations

Abstract

The aim of the study. To support a tailored inguinal hernia repair, we developed a score system based on anamnestic risk factors for recurrence. Material and methods. We used the HEAD-Score in a county hospital and suggested mesh repair in scores of 15 or greater. Patients were followed in a prospective study for 2 weeks and 12 months. Results. We used mesh repair in 61.5% of the 281 inguinal hernia repairs. In mesh repair, we observed significantly more seroma formation (48.5% vs 20.4%). We found only two recurrences after Lichtenstein repair. In the Shouldice group, two patients underwent re-operation due to an ilioinguinal entrapment syndrome. Conclusions. Tailored inguinal hernia repair with the help of the HEAD-Score is possible and leads to acceptable complication rates and a low recurrence rate (0.9%) after one year. The risk of mesh-depended complications can be reduced with this approach.

About this research paper

What this paper is about

The aim of the study. To support a tailored inguinal hernia repair, we developed a score system based on anamnestic risk factors for recurrence. Material and methods. We used the HEAD-Score in a county hospital and suggested mesh repair in scores of 15 or greater. Patients were followed in a prospective study for 2 weeks and 12 months. Results. We used mesh repair in 61.5% of the 281 inguinal hernia repairs. In mesh repair, we observed significantly more seroma formation (48.5% vs 20.4%). We found only two recurrences after Lichtenstein repair. In the Shouldice group, two patients underwent re-operation due to an ilioinguinal entrapment syndrome. Conclusions. Tailored inguinal hernia repair with the help of the HEAD-Score is possible and leads to acceptable complication rates and a low recurrence rate (0.9%) after one year. The risk of mesh-depended complications can be reduced with this approach.

Why it matters

A significance statement is not available in the OpenAlex record.

Key contribution

A contribution statement is not available in the OpenAlex record.

Method / approach

Method details are not available in the OpenAlex metadata.

Main findings

Findings are not separately available in the OpenAlex metadata.

Limitations

Limitations are not available in the OpenAlex metadata.

Applications

Application details are not available in the OpenAlex metadata.

Available abstract

The aim of the study. To support a tailored inguinal hernia repair, we developed a score system based on anamnestic risk factors for recurrence. Material and methods. We used the HEAD-Score in a county hospital and suggested mesh repair in scores of 15 or greater. Patients were followed in a prospective study for 2 weeks and 12 months. Results. We used mesh repair in 61.5% of the 281 inguinal hernia repairs. In mesh repair, we observed significantly more seroma formation (48.5% vs 20.4%). We found only two recurrences after Lichtenstein repair. In the Shouldice group, two patients underwent re-operation due to an ilioinguinal entrapment syndrome. Conclusions. Tailored inguinal hernia repair with the help of the HEAD-Score is possible and leads to acceptable complication rates and a low recurrence rate (0.9%) after one year. The risk of mesh-depended complications can be reduced with this approach.

Key concepts: Medicine, Seroma, Inguinal hernia, Surgery, Hernia, Hernia repair, Complication, Prospective cohort study

Related papers

Related paper 1Related paper 2
Back to paper searchBrowse research topicsOriginal source
Tailored Repair in Inguinal Hernia Surgery Using the Head-Score — Research Paper | ScholarLens