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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Technical details and findings during a second Lichtenstein repair or a second laparoscopic repair in the same groin: a study based on medical records

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  2. Intraoperative handling of spermatic cord lipomas during inguinal hernia repair: a nationwide survey

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Trends in the use of patient-reported outcome measures for inguinal hernia repair: a quantitative systematic review

    Research output: Contribution to journalReviewResearchpeer-review

  4. Watchful waiting vs repair for asymptomatic or minimally symptomatic inguinal hernia in men: a systematic review

    Research output: Contribution to journalReviewResearchpeer-review

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PURPOSE: There are cases where surgeons repair a recurrent inguinal hernia using a second Lichtenstein repair (Lichtenstein-Lichtenstein) or a second laparoscopic repair (Laparoscopy-Laparoscopy) in the same groin even though this contradicts current guideline recommendations. The aim of this study was to provide an overview of surgical modifications and findings during these reoperations.

METHODS: Patients in this observational study were identified in the nationwide Danish Hernia Database during a 6-year period. Outcomes were identified in medical records. The primary outcome was the prevalence of tailored reoperations and standard reoperations for Lichtenstein-Lichtenstein and Laparoscopy-Laparoscopy, respectively. The secondary outcomes were findings during the reoperation such as inguinal hernia type and size, fibrosis, and difficulty to identify anatomical landmarks.

RESULTS: Of the 102 Lichtenstein reoperations, 43 (42%) were tailored repairs and 59 (58%) were standard repairs. The most common modifications were posterior wall reinforcement with permanent sutures, dividing a structure to enable sufficient hernioplasty, and a modification of the new mesh size and/or shape. There were no differences in the findings during tailored- and standard Lichtenstein reoperations. Of the 58 laparoscopic reoperations, 35 (60%) were tailored repairs and 23 (40%) were standard repairs. The most common modifications were necessitation of a coated mesh due to insufficient peritoneal coverage and use of unusual mesh sizes and/or shapes. Fibrosis was more commonly described during the tailored laparoscopic reoperations.

CONCLUSIONS: A substantial part of the Lichtenstein- and the laparoscopic reoperations was tailored approaches, and various modifications were used. Fibrosis was more commonly described during tailored laparoscopic reoperations.

Original languageEnglish
JournalHernia : the journal of hernias and abdominal wall surgery
Volume25
Issue number1
Pages (from-to)149-157
Number of pages9
ISSN1265-4906
DOIs
Publication statusPublished - Feb 2021

    Research areas

  • Findings, Lichtenstein reoperation, Modifications, Tailored repair, TAPP reoperation

ID: 62071257