Holzheimer listed a number of patient-related factors affecting the outcome following surgery for an inguinal hernia. The author is from Munich, Germany.


Factors associated with a worse outcome following surgery on an inguinal hernia:

(1) obesity

(2) age > 65 years

(3) diabetes mellitus

(4) constipation

(5) ASA classification III or higher

(6) cigarette smoking


Hernia-related factors impacting the surgical repair:

(1) severe adhesions

(2) extent of damage to the surrounding tissues of the inguinal canal

(3) presence of entrapped intestine and its status


Additional factors impacting outcome that need to be considered:

(1) malnutrition

(2) drugs or conditions associated with poor wound healing

(3) surgical site infection

(4) quality of postoperative care


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