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27-01-2024 | Shouldice | Original Article

Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair

Authors: Fernando AC Spencer Netto, Christoph Paasch, Ayse Yilbas, Cassim Degani, Anton Svendrovski, Peter Szasz, Marguerite Mainprize

Published in: Hernia | Issue 2/2024

Abstract

Purpose

Shouldice Repair for inguinal hernias results in a low recurrence rate; however, little is known about the risk factors for these relapses. In the present study, we reviewed all patient’s undergoing a reoperation for recurrence after a primary Shouldice Repair.

Methods

Patients undergoing recurrent inguinal hernia repair from 2013 to 2017 were identified. The subgroup of patients with the first recurrence after a Shouldice Repair at this institution was selected and included. Data collection from the index and the reoperation surgery were performed, as well as statistical analysis.

Results

A total of 125 patients were included in the analysis. The mean age was 50.8 ± 13.9 (body mass index: 24.6 ± 2.6 kg/m²), 97% were male. The most common interval for a recurrence reoperation was in the first 5 years following the initial surgery (37.6% of patients; mode: 1 year; median: 7 years; mean: 13.7 ± 13.8 years). A temporal median pattern for recurrence reoperation according to age interval was noted (patients < 41 years old: 20 years; patients aged 41–60 years old: 10 years and patients > 61 years: 2 years)).

Conclusion

Patients undergoing reoperations for recurrent inguinal hernias after a primary Shouldice Repair presented a pattern of temporal recurrence according to age. Older patients present with earlier recurrences than younger ones, an important consideration in the assessment of patients postoperatively.

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Title: Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair
Authors: Fernando AC Spencer Netto
Christoph Paasch
Ayse Yilbas
Cassim Degani
Anton Svendrovski
Peter Szasz
Marguerite Mainprize
Publication date: 27-01-2024
Publisher: Springer Paris
Keywords: Shouldice
Shouldice
Inguinal Hernia
Published in: Hernia / Issue 2/2024
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-023-02955-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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