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Dealing with the round ligament of uterus in laparoscopic groin hernia repair: a nationwide survey among experienced surgeons

Hernia volume 22, pages 849–855 (2018)Cite this article

Abstract

Purpose

Our aim was to investigate how often a national cohort of experienced groin hernia surgeons transected the round ligament of uterus in laparoscopic groin hernia repair. Furthermore, we wished to explore the surgeons’ personal opinions and knowledge on the function and importance of the ligament.

Methods

An electronic questionnaire was sent to all surgeons in Denmark performing laparoscopic groin hernia repair on a regular basis. The questionnaire consisted of demographic details, estimated incidence of transection of the round ligament of uterus, information about transection to the patients, documentation of transection in the medical records, and the surgeons’ personal opinions and knowledge of the importance of the ligament.

Results

A total of 71 surgeons met our eligibility criteria and 61 (86%) provided complete responses. We estimated that the round ligament of uterus was transected in 395 of 813 (49%) herniorrhaphies during the past 12 months. Personal opinions and knowledge on the function of the ligament and the importance of preserving it varied greatly among the surgeons.

Conclusions

Transection of the round ligament of uterus in laparoscopic groin hernia repair is common. The consequences of transecting the round ligament of uterus are not well described, and opinions and knowledge on the issue vary widely among experienced hernia surgeons.

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Authors and Affiliations

  1. Department of Surgery, Center for Perioperative Optimization, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Herlev, Denmark

    L. Schmidt, K. Andresen, S. Öberg & J. Rosenberg

Authors
  1. L. Schmidt
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  2. K. Andresen
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  3. S. Öberg
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  4. J. Rosenberg
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Corresponding author

Correspondence to L. Schmidt.

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Conflict of interest

Schmidt and Öberg declare that they have no conflict of interest. Andresen reports personal fees from Bard outside the submitted work. Rosenberg reports personal fees from Bard and Merck outside the submitted work.

Ethical approval

This study was approved by the Danish Data Protection Agency (Journal No. 2712-58-0004). According to Danish Law, no approval from the ethics committee was required for this type of study.

Human and animal rights

Human and/or animal rights were not violated.

Informed consent

Informed consent was given by the participants when replying the questionnaire.

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Schmidt, L., Andresen, K., Öberg, S. et al. Dealing with the round ligament of uterus in laparoscopic groin hernia repair: a nationwide survey among experienced surgeons. Hernia 22, 849–855 (2018). https://doi.org/10.1007/s10029-018-1802-4

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  • DOI: https://doi.org/10.1007/s10029-018-1802-4

Keywords

  • Groin hernia
  • Ligamentum rotundum
  • Laparoscopy
  • Female
  • Questionnaire