Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

MESH-RELATED COMPLICATIONS, CHRONIC PAIN, AND ECONOMIC CLAIM COMPENSATION AFTER UMBILICAL HERNIA REPAIR

Rønnow, Martin Frimand LU orcid ; Hoffner, Mattias LU ; Schulze, Svend ; Helgstrand, Frederik ; Hjalmarsson, Claes LU and Bisgaard, Thue (2021) In British Journal of Surgery 108(Supplement_8). p.13-14
Abstract
Aim
The risk of mesh-related surgical complications after umbilical hernia repair is not known and chronic pain has only sparsely been analysed. Economic claims may represent a surrogate for poor postoperative surgical outcomes. Thus, the present study used mesh-related complications and chronic pain as primary and secondary outcomes, respectively.

Material and Methods
Blinded assessment of Swedish and Danish nationwide consecutive economic claim data from 2007 –2019. The study variables and outcomes were pre-study defined. Major complications were defined as acutely life-threatening complications requiring emergency surgery, clinically important complications were defined as all complications requiring surgical... (More)
Aim
The risk of mesh-related surgical complications after umbilical hernia repair is not known and chronic pain has only sparsely been analysed. Economic claims may represent a surrogate for poor postoperative surgical outcomes. Thus, the present study used mesh-related complications and chronic pain as primary and secondary outcomes, respectively.

Material and Methods
Blinded assessment of Swedish and Danish nationwide consecutive economic claim data from 2007 –2019. The study variables and outcomes were pre-study defined. Major complications were defined as acutely life-threatening complications requiring emergency surgery, clinically important complications were defined as all complications requiring surgical intervention but not emergency surgery.

Results
During the 13-years study period 181 patients were eligible for analysis. There were 96 patients with a surgical complication. In 52 (54%) and 44 (46%) patients the complication was mesh- or non-mesh-related, respectively. In the group of mesh- and non-mesh-related complications, major complications were found in 14 (14,6%) vs 21 (21,9%) patients and clinically important complications were found in 38 (39,5%) vs 23 (23,9%) patients respectively (P < 0.05). Chronic pain was reported in 18%, followed by wound complications (14%) and cosmetic claim reasons (11%). After open repair, claim because of chronic pain was significantly more common after mesh repair (48%) compared with non-mesh repairs (32%), P = 0.05. The economic compensation after a mesh- and non-mesh complication was 3,488€ (291 – 188,186€) and 2,342€ (507€ - 58,437€) (P = 0.55), respectively.

Conclusions
Mesh-repair was related to postoperative complications and chronic pain after umbilical hernia repair (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
108
issue
Supplement_8
article number
047
pages
13 - 14
publisher
Oxford University Press
ISSN
1365-2168
DOI
10.1093/bjs/znab396.046
language
English
LU publication?
yes
id
9cf6fd86-3892-4009-a1a8-cb72ab4a34c4
date added to LUP
2024-05-23 10:36:35
date last changed
2024-05-23 13:57:02
@misc{9cf6fd86-3892-4009-a1a8-cb72ab4a34c4,
  abstract     = {{Aim<br/>The risk of mesh-related surgical complications after umbilical hernia repair is not known and chronic pain has only sparsely been analysed. Economic claims may represent a surrogate for poor postoperative surgical outcomes. Thus, the present study used mesh-related complications and chronic pain as primary and secondary outcomes, respectively.<br/><br/>Material and Methods<br/>Blinded assessment of Swedish and Danish nationwide consecutive economic claim data from 2007 –2019. The study variables and outcomes were pre-study defined. Major complications were defined as acutely life-threatening complications requiring emergency surgery, clinically important complications were defined as all complications requiring surgical intervention but not emergency surgery.<br/><br/>Results<br/>During the 13-years study period 181 patients were eligible for analysis. There were 96 patients with a surgical complication. In 52 (54%) and 44 (46%) patients the complication was mesh- or non-mesh-related, respectively. In the group of mesh- and non-mesh-related complications, major complications were found in 14 (14,6%) vs 21 (21,9%) patients and clinically important complications were found in 38 (39,5%) vs 23 (23,9%) patients respectively (P &lt; 0.05). Chronic pain was reported in 18%, followed by wound complications (14%) and cosmetic claim reasons (11%). After open repair, claim because of chronic pain was significantly more common after mesh repair (48%) compared with non-mesh repairs (32%), P = 0.05. The economic compensation after a mesh- and non-mesh complication was 3,488€ (291 – 188,186€) and 2,342€ (507€ - 58,437€) (P = 0.55), respectively.<br/><br/>Conclusions<br/>Mesh-repair was related to postoperative complications and chronic pain after umbilical hernia repair}},
  author       = {{Rønnow, Martin Frimand and Hoffner, Mattias and Schulze, Svend and Helgstrand, Frederik and Hjalmarsson, Claes and Bisgaard, Thue}},
  issn         = {{1365-2168}},
  language     = {{eng}},
  month        = {{11}},
  note         = {{Conference Abstract}},
  number       = {{Supplement_8}},
  pages        = {{13--14}},
  publisher    = {{Oxford University Press}},
  series       = {{British Journal of Surgery}},
  title        = {{MESH-RELATED COMPLICATIONS, CHRONIC PAIN, AND ECONOMIC CLAIM COMPENSATION AFTER UMBILICAL HERNIA REPAIR}},
  url          = {{http://dx.doi.org/10.1093/bjs/znab396.046}},
  doi          = {{10.1093/bjs/znab396.046}},
  volume       = {{108}},
  year         = {{2021}},
}