Key result
Ambulatory surgery for elective inguinal hernia repair was not associated with a significant difference in post-operative complications compared to overnight stay (OR 1.08).
Why the study?
Ambulatory surgery is recommended for elective inguinal hernia repair, but its relative use and related outcomes in Portugal were unknown.
Does ambulatory surgery compared to overnight stay affect post-operative complication rates in adult patients undergoing elective inguinal hernia repair?
Population
Eight hundred twenty-eight patients undergoing elective inguinal hernia repair across thirty-three hospitals in mainland Portugal
Comparison
Ambulatory (day case) surgery vs inpatient (overnight stay) surgery
Design
Prospective multicentric cohort study
Authors
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May inform local hernia repair pathways in Portugal; leaves open optimal ambulatory vs inpatient selection.
Cohort (n=828)
Yes
Does ambulatory surgery compared to overnight stay affect post-operative complication rates in adult patients undergoing elective inguinal hernia repair?
Odds Ratio: 1.08 (95% CI 0.66–1.76)
Absolute Event Rate: 9.9% vs 11.1%
p-value: p=0.650
Ambulatory surgery for elective inguinal hernia repair is safe and not associated with an increased risk of complications compared to overnight stay, supporting its expanded use as the standard of care.
Pimentel et al. (2025) conducted a cohort in Elective inguinal hernia (n=828). Ambulatory surgery vs. Inpatient surgery (overnight stay) was evaluated on Post-operative complication rate (any Clavien-Dindo grade I to V) (OR 1.08, 95% CI 0.66-1.76, p=0.650). Ambulatory surgery for elective inguinal hernia repair was not associated with a significant difference in post-operative complications compared to overnight stay (OR 1.08).
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