Table 4.
Influence of multimorbidity
| Multimorbidity | p-value | ||
|---|---|---|---|
| No (n = 361) | Yes (n = 555) | ||
| Gender | |||
| Male | 333 (92.2%) | 498 (89.7%) | 0.244 |
| Female | 28 (7.8%) | 57 (10.3%) | |
| Age [years] | 46.1 ± 16.3 | 60.1 ± 15.0 | < 0.001 |
| Hernia side | |||
| Right | 184 (51.0%) | 295 (53.2%) | 0.785 |
| Left | 140 (38.8%) | 203 (36.6%) | |
| Bilateral | 37 (10.2%) | 57 (10.3%) | |
| Recurrent Hernia [yes] | 48 (13.3%) | 70 (12.6%) | 0.783 |
| Emergency/incarceration [yes] | 6 (1.7%) | 38 (6.8%) | < 0.001 |
| PCCL | |||
| 0 | 357 (98.9%) | 331 (59.6%) | < 0.001 |
| 1 | 2 (0.6%) | 53 (9.5%) | |
| 2 | 1 (0.3%) | 56 (10.1%) | |
| 3 | – | 73 (13.2%) | |
| 4 | – | 37 (6.7%) | |
| 5 | – | 5 (0.9%) | |
| Operative procedure | |||
| Open Mesh (Lichtenstein) | 121 (33.5%) | 262 (47.2%) | < 0.001 |
| Open Suture (Shouldice) | 5 (1.4%) | 3 (0.5%) | |
| Laparoscopic (TAPP) | 235 (65.1%) | 290 (52.3%) | |
| Operative time [minutes] | 86.8 ± 31.6 | 95.6 ± 40.7 | 0.001 |
| Postoperative Complications [yes] | |||
| Overall | 4 (1.1%) | 34 (6.1%) | < 0.001 |
| Hematoma/bleeding | 3 (0.8%) | 17 (3.1%) | |
| Electrolyte disorders/dialysis | – | 3 (0.5%) | |
| Wound healing disorders | – | 2 (0.4%) | |
| Early recurrence | – | 2 (0.4%) | |
| Paresthesia | – | 2 (0.4%) | |
| Ileus | – | 2 (0.4%) | |
| Other | 1 (0.3%) | 6 (1.1%) | |
| Length of hospital stay [days] | 1.9 ± 0.9 | 3.1 ± 2.8 | < 0.001 |
| Overall cost [€] | 2898.1 ± 754.8 | 3624.7 ± 1921.5 | < 0.001 |
| Hospital reimbursement [€] | 2473.3 ± 716.9 | 3087.0 ± 1772.5 | < 0.001 |
| Reimbursement—cost [€] | − 404.4 ± 869.3 | − 515.0 ± 1545.1 | 0.450 |
Values as numbers and percentage or in means ± standard deviation
TAPP transabdominal preperitoneal, PCCL patient clinical complexity level