Lower recurrence rate with heavyweight mesh compared to lightweight mesh in laparoscopic totally extra-peritoneal (TEP) repair of groin hernia: a nationwide population-based register study

Hernia : the Journal of Hernias and Abdominal Wall Surgery
M MelkemichelB Widhe

Abstract

Lightweight meshes (LWM) have shown benefits compared to heavyweight meshes (HWM) in terms of less postoperative pain and stiffness in open inguinal hernia repair. It appears to have similar advantages also in TEP, but concerns exist if it may be associated with higher recurrence rates. The aim of the study was to compare reoperation rate for recurrence of LWM to HWM in laparoscopic totally extra-peritoneal (TEP) repair. All groin hernias operated on with TEP between 1 January 2005 and 31 December 2013 at surgical units participating in The Swedish Hernia Register were eligible. Data included clinically important hernia variables. Primary endpoint was reoperation for recurrence. Median follow-up time was 6.1 years (0-11.5) with minimum 2.5 years postoperatively. In total, 13,839 repairs were included for statistical analysis and 491 were re-operated for recurrence. Multivariate analysis demonstrated significantly increased risk of reoperation for recurrence in LWM 4.0% (HR 1.56, P < 0.001) compared to HWM 3.2%. This was most evident in direct hernias (HR 1.75, P < 0.001) and in hernia repairs with a defect > 3 cm (HR 1.54, P < 0.021). The risk of recurrence with use of LWM in indirect hernias and in hernia repairs with a defect...Continue Reading

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Citations

Sep 23, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K PetersenV Iakovlev
Aug 1, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J Li
May 8, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F Köckerling
May 25, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·W J BakkerJ P J Burgmans
Jan 19, 2021·Annals of Surgical Treatment and Research·Yoo Jung LeeHyung Jin Kim

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