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Laparoscopic Ventral Hernia Repair in South Auckland, New Zealand—A Retrospective Review
- Source :
- Journal of Surgical Research. 234:287-293
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Ethnic disparities in surgical care and outcomes have been previously reported in studies for other surgical procedures. In addition, it has been reported that ethnic differences in postoperative analgesia exist. We aimed to determine ethnic disparities in postoperative outcomes, total opioid analgesia use, and complication rates of all patients who underwent a laparoscopic ventral hernia repair (LVHR) at our institution over a 3-y period. Methods A retrospective review of all patients who underwent an LVHR at Counties Manukau Health from January 1, 2013, to December 31, 2015, was performed in line with the Strengthening the Reporting of Observational Studies in Epidemiology statement. Results A total of 267 ventral hernias were repaired in 254 patients at Counties Manukau Health over the study period, of which most were primary umbilical ventral hernias. The majority of patients in our cohort were New Zealand European and male. Major complications, as per the Clavien-Dindo classification grade 3 and above, were observed in six patients with no deaths (2.4%). There were no statistically significant ethnic disparities in length of stay, receipt of opioid analgesia, and rates of complication observed after linear regression modeling after adjustment for confounding factors. Conclusions Our study showed that the majority of patients who had a ventral hernia repaired at our institution were mostly New Zealand European and male. Although significant ethnic disparities in patient characteristics were observed, these were not associated with ethnic disparities in postoperative outcomes after an LVHR.
- Subjects :
- Adult
Male
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander
Ethnic group
Strengthening the reporting of observational studies in epidemiology
White People
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Recurrence
medicine
Humans
Healthcare Disparities
Laparoscopy
Herniorrhaphy
Aged
Retrospective Studies
Retrospective review
medicine.diagnostic_test
Ventral hernia repair
business.industry
General surgery
Confounding
Health Status Disparities
Length of Stay
Middle Aged
Hernia, Ventral
Analgesics, Opioid
Treatment Outcome
030220 oncology & carcinogenesis
Cohort
Linear Models
Female
030211 gastroenterology & hepatology
Surgery
Complication
business
Follow-Up Studies
New Zealand
Subjects
Details
- ISSN :
- 00224804
- Volume :
- 234
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Research
- Accession number :
- edsair.doi.dedup.....c854a31088571b90f0fb3884c800eefd