S Bringman1,2, H Holmberg3,4, J Österberg5. 1. Department of Surgery, Södertälje Hospital, SE-15286, Södertälje, Sweden. sven.bringman@ki.se. 2. Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. sven.bringman@ki.se. 3. Department of Statistics, Umeå University, Umeå, Sweden. 4. Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden. 5. Department of Surgery, Mora Hospital, Mora, Sweden.
Abstract
PURPOSE: To investigate which type of hernia that has the highest risk of a recurrence after a primary Lichtenstein repair. METHODS: Male patients operated on with a Lichtenstein repair for a primary direct or indirect inguinal hernia and with a TEP for a later recurrence, with both operations recorded in the Swedish Hernia Register (SHR), were included in the study. The study period was 1994-2014. RESULTS: Under the study period, 130,037 male patients with a primary indirect or direct inguinal hernia were operated on with a Lichtenstein repair. A second operation in the SHR was registered in 2236 of these patients (reoperation rate 1.7 %). TEP was the chosen operation in 737 in this latter cohort. The most likely location for a recurrence was the same as the primary location. If the recurrences change location from the primary place, we recognized that direct hernias had a RR of 1.51 to having a recurrent indirect hernia compared to having a direct recurrence after an indirect primary hernia repair. CONCLUSIONS: Recurrent hernias after Lichtenstein are more common on the same location as the primary one, compared to changing the location.
PURPOSE: To investigate which type of hernia that has the highest risk of a recurrence after a primary Lichtenstein repair. METHODS: Male patients operated on with a Lichtenstein repair for a primary direct or indirect inguinal hernia and with a TEP for a later recurrence, with both operations recorded in the Swedish Hernia Register (SHR), were included in the study. The study period was 1994-2014. RESULTS: Under the study period, 130,037 male patients with a primary indirect or direct inguinal hernia were operated on with a Lichtenstein repair. A second operation in the SHR was registered in 2236 of these patients (reoperation rate 1.7 %). TEP was the chosen operation in 737 in this latter cohort. The most likely location for a recurrence was the same as the primary location. If the recurrences change location from the primary place, we recognized that direct hernias had a RR of 1.51 to having a recurrent indirect hernia compared to having a direct recurrence after an indirect primary hernia repair. CONCLUSIONS: Recurrent hernias after Lichtenstein are more common on the same location as the primary one, compared to changing the location.
Entities:
Keywords:
Lichtenstein; Recurrences; Swedish Hernia Register; TEP
Authors: M P Simons; T Aufenacker; M Bay-Nielsen; J L Bouillot; G Campanelli; J Conze; D de Lange; R Fortelny; T Heikkinen; A Kingsnorth; J Kukleta; S Morales-Conde; P Nordin; V Schumpelick; S Smedberg; M Smietanski; G Weber; M Miserez Journal: Hernia Date: 2009-07-28 Impact factor: 4.739
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