, Volume 20, Issue 3, pp 387–391 | Cite as

Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register

  • S. Bringman
  • H. Holmberg
  • J. Österberg
Original Article



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.


Swedish Hernia Register Lichtenstein TEP Recurrences 



We acknowledge all participating centers in the SHR [5]. 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.

Informed consent

The patients who are included in the SHR have given informed consent to participate in the register.


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Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  1. 1.Department of SurgerySödertälje HospitalSödertäljeSweden
  2. 2.Department of Clinical Science, Intervention and TechnologyKarolinska InstitutetStockholmSweden
  3. 3.Department of StatisticsUmeå UniversityUmeåSweden
  4. 4.Department of Public Health and Clinical MedicineUmeå UniversityUmeåSweden
  5. 5.Department of SurgeryMora HospitalMoraSweden

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