Kingsnorth's modified score as predictor of complications in open inguinal hernia repair

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  • dc.contributor.author Bravo-Salva, Alejandro
  • dc.contributor.author Salvá Puigserver, Margarita
  • dc.contributor.author Téllez-Marqués, Clara
  • dc.contributor.author Pérez-Guitart, Marc
  • dc.contributor.author González-Martín, Alba
  • dc.contributor.author Sancho Insenser, Juan
  • dc.contributor.author Pera Roman, Miguel
  • dc.contributor.author Pereira Rodríguez, José Antonio
  • dc.date.accessioned 2023-02-16T07:11:04Z
  • dc.date.available 2023-02-16T07:11:04Z
  • dc.date.issued 2022
  • dc.description.abstract Purpose: This study aims to analyse the postoperative complications (30 days) on unilateral primary inguinal hernia repair and prove their correlation with the preoperative modified scoring system of Kingsnorth (KN). Methods: Prospective study design collecting data from patients who underwent surgery for unilateral primary inguinal hernia in a University Hospital. The data were collected in the National Inguinal Hernia Registry (EVEREG). A statistical analysis to assess the association between the presence of postoperative complications and the preoperative and intraoperative variables was performed. The patients were classified depending on their KN score. Surgical complications and their relationship with the classification were specifically analysed. Study design was performed following STROBE statements. Results: The sample included 403 patients who met the inclusion criteria from which 62 (15.3%) subjects presented postoperative complications. The variables that presented a statistically significant relationship with the appearance of complications were a KN score of 5-8 (OR 2.7; 95% CI 1.07-4.82; P = 0.03) and the involvement of a member of the abdominal wall surgery unit in the procedure (OR 0.28; 95% CI 0.08-0.92; P = 0.03). The KN score correlated with a longer duration of surgery (Pearson's correlation 0.291; P < 0.0001). Conclusion: The KN classification can predict the onset of surgical wound complications on patients who undergo a primary unilateral inguinal hernia surgery. A KN score of 5-8 has a higher probability of wound complications. When surgery is performed by the abdominal wall surgery unit, the chances of postoperative complications decrease.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Bravo-Salva A, Salvá Puigserver M, Téllez-Marqués C, Pérez-Guitart M, González-Martín A, Sancho-Insenser JJ, Pera-Roman M, Pereira-Rodríguez JA. Kingsnorth's modified score as predictor of complications in open inguinal hernia repair. Updates Surg. 2022 Dec;74(6):1985-93. DOI: 10.1007/s13304-022-01341-2
  • dc.identifier.doi http://dx.doi.org/10.1007/s13304-022-01341-2
  • dc.identifier.issn 2038-131X
  • dc.identifier.uri http://hdl.handle.net/10230/55806
  • dc.language.iso eng
  • dc.publisher Springer
  • dc.relation.ispartof Updates Surg. 2022 Dec;74(6):1985-93
  • dc.rights © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Classification
  • dc.subject.keyword Complications
  • dc.subject.keyword Groin hernia repair
  • dc.subject.keyword Hernia registries
  • dc.subject.keyword Unilateral inguinal hernia
  • dc.title Kingsnorth's modified score as predictor of complications in open inguinal hernia repair
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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Articles (Hospital del Mar Research Institute)
Articles (Departament de Medicina i Ciències de la Vida)