Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register
- 280 Downloads
To investigate which type of hernia that has the highest risk of a recurrence after a primary Lichtenstein repair.
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.
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.
Recurrent hernias after Lichtenstein are more common on the same location as the primary one, compared to changing the location.
KeywordsSwedish Hernia Register Lichtenstein TEP Recurrences
We acknowledge all participating centers in the SHR . The SHR is financially supported by the National Board of Health and Welfare and by the Swedish Association of Local Authorities and Regions and by the participating surgical units.
Compliance with ethical standards
Conflict of interest
Statement of human and animal rights
The study was conducted according to the ethical standards of the local ethical research committee.
The patients who are included in the SHR have given informed consent to participate in the register.
- 1.Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia J Hernias Abdom Wall Surg 18(2):151–163CrossRefGoogle Scholar
- 3.Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia J Hernias Abdom Wall Surg 13(4):343–403CrossRefGoogle Scholar
- 5.Swedish Hernia Register (2015) Swedish Hernia Register annual report 2014. http://www.svensktbrackregister.se/images/rapport14_150430.pdf. Accessed 12 Apr 2016
- 10.Nilsson E, Haapaniemi S (2002) Assessing the quality of hernia repair. In: Fitzgibbons RJ Jr, Gerson Greenburg A (eds) Nyhus and Condon’s hernia, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 567–573Google Scholar
- 17.The Swedish Anterior Mesh Repair (2015) http://www.laparoskopi.nu/_uploads/files/momentvidframrenatplastikreviderad130930.pdf. Accessed 12 Apr 2016
- 18.The Swedish Anterior Mesh Repair (2015) Video. http://streamio.com/api/v1/videos/5539d3036f8d8df354000002/public_show?link=true&player_id=50a2103c11581e38a00006b7. Accessed 12 Apr 2016