Impact Of Comorbidities On Outcomes And Healthcare Costs Of Open Inguinal Hernia Repair In Patients With Diabetes Mellitus.

IF 0.8 Q4 SURGERY Chirurgia Pub Date : 2024-04-01 DOI:10.21614/chirurgia.2024.v.119.i.2.p.227

Marian Madalin Racareanu, Silviu Daniel Preda, Ștefan Patrascu, Adina Turcu-Stiolica, Sandu Ramboiu, Dragoş Nicolae Margaritescu, Dan Cartu, Petru Radu, Styliani Laskou, Konstantinos Sapalidis, Valeriu Surlin

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Abstract

Introduction: Inguinal hernia management in patients with diabetes mellitus (DM) and comorbidities presents challenges due to potential impacts on wound healing and infection risk. This study evaluates the influence of additional comorbidities on outcomes following open inguinal hernia repair in DM patients.

Material and methods: A retrospective cohort study was conducted at Craiova Emergency Clinical County Hospital from 2015 to 2020. Patients with documented DM undergoing hernia repair were categorized into two groups based on comorbidity status. Data on presentation mode, hernia type, comorbidities, hospitalization, operative details, postoperative outcomes, and costs were collected and analyzed statistically.

Results: Among 38 DM patients undergoing hernia repair, 16 were in Group A (DM alone) and 22 in Group B (DM with comorbidities). Group B patients were older (p = 0.0002) and more likely to present emergently (OR: 13.81, p=0.0148) with incarcerated (OR: 22.733, p=0.0339) or strangulated hernias (OR: 9.4545, p=0.0390). Group B had longer hospitalizations (p=0.00132) and higher hospitalization costs (p = 0.00262).

Conclusions: DM patients with comorbidities are at higher risk for complex hernias and prolonged hospitalizations. Pulmonary fibrosis emerges as a significant comorbidity requiring specific perioperative strategies. Tailored preoperative assessments and care plans can optimize outcomes.

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合并症对糖尿病患者开放性腹股沟疝修补术疗效和医疗成本的影响

简介：糖尿病（DM）患者和合并症患者腹股沟疝的治疗因其对伤口愈合和感染风险的潜在影响而面临挑战。本研究评估了其他合并症对糖尿病患者腹股沟疝开放性修复术后效果的影响：2015 年至 2020 年，克拉约瓦县临床急诊医院开展了一项回顾性队列研究。根据合并症状况将接受疝修补术的DM患者分为两组。收集并统计分析了发病方式、疝气类型、合并症、住院情况、手术细节、术后结果和费用等数据：结果：在接受疝修补术的 38 名糖尿病患者中，A 组（单纯糖尿病）16 人，B 组（有合并症的糖尿病）22 人。B 组患者年龄更大（p = 0.0002），更有可能急诊就诊（OR：13.81，p=0.0148），并伴有嵌顿（OR：22.733，p=0.0339）或绞窄性疝气（OR：9.4545，p=0.0390）。B组住院时间更长（p=0.00132），住院费用更高（p=0.00262）：结论：有合并症的糖尿病患者发生复杂性疝气和住院时间延长的风险较高。肺纤维化是一种重要的合并症，需要特殊的围手术期策略。量身定制的术前评估和护理计划可优化治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chirurgia Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.