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Effect of the SARS-CoV-2 pandemic on planned and emergency hernia repair in Sweden : a register-based study

Ali, Fathalla, 1963- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Faculty of Medicine and Health, Department of Surgery, Örebro University, Örebro, Sweden; Department of Surgery, Karlskoga Hospital, 69144, Karlskoga, Sweden
Sandblom, Gabriel (author)
Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm, Sweden
Fathalla, Blend (author)
Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm, Sweden; Emergency Department, Södersjukhuset, Stockholm, Sweden
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Wallin, Göran, 1952- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery
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 (creator_code:org_t)
Springer, 2023
2023
English.
In: Hernia. - : Springer. - 1265-4906 .- 1248-9204. ; 27:5, s. 1103-1108
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • PURPOSE: The COVID-19 has had a profound impact on the health care delivery in Sweden, including deprioritization of benign surgeries during the COVID-19 pandemic. The aim of this study was to assess the effect of COVID-19 pandemic on emergency and planned hernia repair in Sweden.METHODS: Data on hernia repairs from January 2016 to December 2021 were retrieved from the Swedish Patient Register using procedural codes. Two groups were formed: COVID-19 group (January 2020-December 2021) and control group (January 2016-December 2019). Demographic data on mean age, gender, and type of hernia were collected.RESULTS: This study showed a weak negative correlation between the number of elective hernia repairs performed each month during the pandemic and the number of emergency repairs carried out during the following 3 months for inguinal hernia repair (p = 0.114) and incisional hernia repair (p = 0.193), whereas there was no correlation for femoral or umbilical hernia repairs.CONCLUSION: The COVID-19 pandemic had a great impact on planned hernia surgeries in Sweden, but our hypothesis that postponing planned repairs would increase the risk of emergency events was not supported.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Acute hernia repair
COVID-19 pandemic
Delayed hernia repair
Delayed surgery
Planned hernia repair
Postponed hernia repair

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ref (subject category)
art (subject category)

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Hernia
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Örebro University
Karolinska Institutet

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