Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature..

PURPOSE: Shouldice Repair for inguinal hernias results in a low recurrence rate; however, little is known about the risk factors for these relapses. In the present study, we reviewed all patient's undergoing a reoperation for recurrence after a primary Shouldice Repair.

METHODS: Patients undergoing recurrent inguinal hernia repair from 2013 to 2017 were identified. The subgroup of patients with the first recurrence after a Shouldice Repair at this institution was selected and included. Data collection from the index and the reoperation surgery were performed, as well as statistical analysis.

RESULTS: A total of 125 patients were included in the analysis. The mean age was 50.8 ± 13.9 (body mass index: 24.6 ± 2.6 kg/m2), 97% were male. The most common interval for a recurrence reoperation was in the first 5 years following the initial surgery (37.6% of patients; mode: 1 year; median: 7 years; mean: 13.7 ± 13.8 years). A temporal median pattern for recurrence reoperation according to age interval was noted (patients < 41 years old: 20 years; patients aged 41-60 years old: 10 years and patients > 61 years: 2 years)).

CONCLUSION: Patients undergoing reoperations for recurrent inguinal hernias after a primary Shouldice Repair presented a pattern of temporal recurrence according to age. Older patients present with earlier recurrences than younger ones, an important consideration in the assessment of patients postoperatively.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Hernia : the journal of hernias and abdominal wall surgery - 28(2024), 2 vom: 27. Apr., Seite 607-614

Sprache:

Englisch

Beteiligte Personen:

Spencer Netto, Fernando Ac [VerfasserIn]
Paasch, Christoph [VerfasserIn]
Yilbas, Ayse [VerfasserIn]
Degani, Cassim [VerfasserIn]
Svendrovski, Anton [VerfasserIn]
Szasz, Peter [VerfasserIn]
Mainprize, Marguerite [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Recurrence
Relapse
Reoperation
Review
Shouldice repair
Temporal pattern

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10029-023-02955-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367704617