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Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register
Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
2016 (English)In: Hernia, ISSN 1265-4906, E-ISSN 1248-9204, Vol. 20, no 3, 387-391 p.Article in journal (Refereed) PublishedText
Abstract [en]

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.

Place, publisher, year, edition, pages
2016. Vol. 20, no 3, 387-391 p.
Keyword [en]
Swedish Hernia Register, Lichtenstein, TEP, Recurrences
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-123066DOI: 10.1007/s10029-016-1490-xISI: 000376913500006PubMedID: 27094763OAI: oai:DiVA.org:umu-123066DiVA: diva2:944816
Available from: 2016-06-30 Created: 2016-06-27 Last updated: 2016-06-30Bibliographically approved

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Holmberg, Henrik
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StatisticsDepartment of Public Health and Clinical Medicine
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