Manjunath Siddaiah-Subramanya1,2,3, Darius Ashrafi2,4, Breda Memon5, Muhammed Ashraf Memon6,7,8,9,10. 1. Sir Charles Gairdner Hospital, Perth, Australia. 2. Mayne Medical School, University of Queensland, Brisbane, QLD, Australia. 3. School of Medicine, Griffith University, Nathan, QLD, Australia. 4. Department of Surgery, Sunshine Coast University Hospital, Buderim, QLD, Australia. 5. South East Queensland Surgery (SEQS) and Sunnybank Obesity Centre, Sunnybank, QLD, Australia. 6. Mayne Medical School, University of Queensland, Brisbane, QLD, Australia. mmemon@yahoo.com. 7. Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia. mmemon@yahoo.com. 8. School of Agricultural, Computing and Environmental Sciences, International Centre for Applied Climate Science, University of Southern Queensland, Toowoomba, QLD, Australia. mmemon@yahoo.com. 9. Faculty of Health and Social Science, Bolton University, Bolton, Lancashire, UK. mmemon@yahoo.com. 10. South East Queensland Surgery and Sunnybank Obesity Centre, McCullough Centre, Suite 9, 259 McCullough Street, Sunnybank, QLD, 4109, Australia. mmemon@yahoo.com.
Abstract
PURPOSE: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018. The search terms included 'Laparoscopic methods', 'Inguinal hernia; Mesh repair', 'Recurrence', 'Causes', 'Humans'. RESULTS: The literature revealed several contributing risk factors that were responsible for recurrence following laparoscopic mesh inguinal herniorrhaphy. These included modifiable and non-modifiable risk factors related to patient and surgical techniques. CONCLUSIONS: Recurrence can occur at any stage following inguinal hernia surgery. Patients' risk factors such as higher BMI, smoking, diabetes and postoperative surgical site infections increase the risk of recurrence and can be modified. Amongst the surgical factors, surgeon's experience, larger mesh with better tissue overlap and careful surgical techniques to reduce the incidence of seroma or hematoma help reduce the recurrence rate. Other factors including type of mesh and fixation of mesh have not shown any difference in the incidence of recurrence. It is hoped that future randomized controlled trials will address some of these issues and initiate preoperative management strategies to modify some of these risk factors to lower the risk of recurrence following laparoscopic inguinal herniorrhaphy.
PURPOSE: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018. The search terms included 'Laparoscopic methods', 'Inguinal hernia; Mesh repair', 'Recurrence', 'Causes', 'Humans'. RESULTS: The literature revealed several contributing risk factors that were responsible for recurrence following laparoscopic mesh inguinal herniorrhaphy. These included modifiable and non-modifiable risk factors related to patient and surgical techniques. CONCLUSIONS: Recurrence can occur at any stage following inguinal hernia surgery. Patients' risk factors such as higher BMI, smoking, diabetes and postoperative surgical site infections increase the risk of recurrence and can be modified. Amongst the surgical factors, surgeon's experience, larger mesh with better tissue overlap and careful surgical techniques to reduce the incidence of seroma or hematoma help reduce the recurrence rate. Other factors including type of mesh and fixation of mesh have not shown any difference in the incidence of recurrence. It is hoped that future randomized controlled trials will address some of these issues and initiate preoperative management strategies to modify some of these risk factors to lower the risk of recurrence following laparoscopic inguinal herniorrhaphy.
Authors: N Schouten; R K J Simmermacher; T van Dalen; N Smakman; G J Clevers; P H P Davids; E J M M Verleisdonk; J P J Burgmans Journal: Surg Endosc Date: 2012-10-06 Impact factor: 4.584
Authors: Ivan David Lozada-Martinez; Jaime Enrique Covaleda-Vargas; Yuri Alexandra Gallo-Tafur; David Andrés Mejía-Osorio; Andrés Mauricio González-Pinilla; Mayra Alejandra Florez-Fajardo; Fabian Enrique Benavides-Trucco; Julio Cesar Santodomingo-Rojas; Nancy Karol Julieth Bueno-Prato; Alexis Rafael Narvaez-Rojas Journal: Ann Med Surg (Lond) Date: 2022-06-05
Authors: F Köckerling; C Krüger; I Gagarkin; A Kuthe; D Adolf; B Stechemesser; H Niebuhr; D Jacob; H Riediger Journal: Hernia Date: 2020-02-21 Impact factor: 4.739