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Utilization of laparoscopic and open inguinal hernia repair at a large hernia center in China: a single-center observational study

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Abstract

Background

The utilization of laparoscopic and open inguinal hernia repair in China remains unclear. We aim to investigate the rates of laparoscopic and open inguinal hernia repairs and its associated factors at a large hernia center.

Methods

Data were obtained from the front sheet of medical records of Beijing Chaoyang hospital. Adult inguinal hernia inpatients who underwent hernia repairs between 2013 and 2020 were included. We calculated the overall rates of laparoscopic and open inguinal hernia repairs and compared the rate of laparoscopic repairs between different sex, age groups, types, and sides of inguinal hernias. Multivariable logistic regression was used to examine factors associated with the rate of laparoscopic repairs.

Results

14,481 inpatients with inguinal hernia were included. 91.78% were male, 75.43% were more than 50 years, 75.20% were unilateral inguinal hernia, and 64.57% were indirect inguinal hernia. Overall, 49.47% underwent laparoscopic repairs and 50.53% underwent open repairs. Women had lower rate of laparoscopic repair than men, especially in those with unilateral hernias. Bilateral and direct inguinal hernia had higher rates of laparoscopic repair than unilateral and indirect inguinal hernia. Multivariable logistic regression showed that inpatients who were women, > 70 years, pantaloon inguinal hernia, with obstruction, and more comorbidities were less likely to have laparoscopic repairs.

Conclusion

Around 50% of inguinal hernia patients at a large hernia center underwent laparoscopic repairs, which was more commonly performed in male, young, bilateral inguinal hernia, and inpatients without comorbidities. More efforts were needed to increase the safe and effective laparoscopic utilization among female patients with inguinal hernias.

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Data availability

The data associated with the paper are not publicly available but are available from the corresponding author on reasonable request.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Number 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China

    Qiuyue Ma, Xiaoli Liu, Huiqi Yang & Jie Chen

  2. Department of Medical Record, Beijing Chaoyang Hospital, Capital Medical University, Number 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China

    Le Gu

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  1. Qiuyue Ma
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Contributions

QM designed the study, analyzed the data, interpreted the results, and drafted the manuscript. XL, HY, and LG searched the literature, collected the data, and revised the manuscript. HY and JC conceived the study, designed the study, supervised the study, interpreted the results, and revised the manuscript. All authors contributed to the manuscript and read and approved the final version of the manuscript.

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Correspondence to Huiqi Yang.

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Qiuyue Ma, Xiaoli Liu, Huiqi Yang, Le Gu, and Jie Chen have no conflicts of interest or financial ties to disclose.

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Ma, Q., Liu, X., Yang, H. et al. Utilization of laparoscopic and open inguinal hernia repair at a large hernia center in China: a single-center observational study. Surg Endosc 37, 1140–1148 (2023). https://doi.org/10.1007/s00464-022-09624-w

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  • DOI: https://doi.org/10.1007/s00464-022-09624-w

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