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World Journal of Surgery

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01-02-2015 | Original Scientific Report

The Impact of Type of Mesh Repair on 2nd Recurrence After Recurrent Groin Hernia Surgery

Authors: D. Sevonius, G. Sandblom, E. Agger, S. Smedberg, A. Montgomery

Published in: World Journal of Surgery | Issue 2/2015

Abstract

Background

According to the Swedish Hernia Register (SHR), the reoperation rate is more than doubled after recurrent groin hernia repair compared with primary repair. The aim was to study the impact of type of mesh repair used in recurrent groin hernia surgery on a 2nd recurrence in a population-based cohort derived from the SHR.

Material and method

All 1st recurrent hernia repairs in the south-west region of Sweden, registered in SHR between 1998 up to 2007 were included. A questionnaire was sent in 2009. Patients stating a new lump or persisting problems were examined. A 2nd recurrence was identified as a 2nd reoperation or at physical examination. The incidence was analysed comparing anterior mesh repair (AMR) and posterior mesh repairs (PMR) (endoscopic and open).

Results

Eight hundred and fifteen recurrent operations in 767 patents were analysed, 401 AMRs and 414 PMRs. PMR had a lower 2nd recurrence rate compared with AMR (5.6 vs. 11.0 %) (p = 0.025). An increased risk [3.21 (CI 1.33–7.44) (p = 0.009)] of a subsequent 2nd recurrence was seen after anterior index repair followed by AMR and a decreased risk [0.08 (CI 0.01–0.94) (p = 0.045)] after posterior index repair followed by AMR.

Conclusion

PMR in recurrent groin hernia surgery was associated with a lower 2nd recurrence rate compared to anterior. A posterior approach for 1st recurrent operation is recommended after an anterior index repair and an anterior approach after a posterior index operation.

SHR (Swedish Hernia Register) web site, www.svensktbrackregister.se/index.php?lang=en. Accessed Nov 2014

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Title: The Impact of Type of Mesh Repair on 2nd Recurrence After Recurrent Groin Hernia Surgery
Authors: D. Sevonius
G. Sandblom
E. Agger
S. Smedberg
A. Montgomery
Publication date: 01-02-2015
Publisher: Springer US
Published in: World Journal of Surgery / Issue 2/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-014-2921-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Impact of Type of Mesh Repair on 2nd Recurrence After Recurrent Groin Hernia Surgery

Abstract

Background

Material and method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Material and method

Results

Conclusion

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