Change search
ReferencesLink to record
Permanent link

Direct link
The time profile of groin hernia recurrences
Department of Surgery, Mora Hospital, Mora, Sweden and Department of Surgery, Örebro University Hospital, Södra Grevrosengatan, 703 62, Örebro, Sweden .
Department of Surgery, Mora Hospital, Mora, Sweden .
CLINTEC, Division of Surgery, Karolinska Institutet, Stockholm, Sweden .
Show others and affiliations
2010 (English)In: Hernia, ISSN 1265-4906, E-ISSN 1248-9204, Vol. 14, no 4, 341-344 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: If the pathogeneses of the development of a recurrence varies following the different methods of hernia repair, the time required to develop a recurrence could be expected to vary. The aim of the study was to identify risk factors affecting the time interval between the primary repair and the reoperation.

METHODS: Data from the Swedish Hernia Register were used. Each year of the 5-year follow-up period was treated as a separate subgroup and merged together into one large group. For each risk factor, we performed a Cox proportional hazard analysis, testing for interactions between the year and the risk factor, with reoperation as the endpoint.

RESULTS: Altogether, 142,578 repairs were recorded, of which 7.7% were performed on women. The mean age of the cohort was 59 years. The overall recurrence rate in the 5-year period was 4.3%. Multivariate analysis showed that recurrence following surgery for recurrent hernia occurred relatively early (P < 0.05).Recurrence also appeared early if postoperative complications were registered (P < 0.05). Recurrence after suture repair or laparoscopic repair appeared relatively early compared to recurrence following open mesh repair (P < 0.05). In a separate analysis, a relatively higher risk for early recurrence was seen for all sutured repairs compared to all mesh repairs (P < 0.05).

CONCLUSIONS: The pathogenesis behind the development of recurrence probably differs depending on the technique applied during the hernia repair. The higher proportion of early recurrences following laparoscopic repair, suture repair and recurrent repair may be explained by the high proportion of technical failures.

Place, publisher, year, edition, pages
Springer, 2010. Vol. 14, no 4, 341-344 p.
Keyword [en]
Hernia, Recurrence, Registry, Postoperative complication, Mesh
National Category
Research subject
URN: urn:nbn:se:umu:diva-35769DOI: 10.1007/s10029-010-0648-1ISI: 000280232200001PubMedID: 20340036OAI: diva2:346984
Available from: 2010-09-02 Created: 2010-09-02 Last updated: 2015-12-28Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Nordin, PärGunnarsson, Ulf
In the same journal

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 54 hits
ReferencesLink to record
Permanent link

Direct link