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Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair.
Spencer Netto, Fernando Ac; Paasch, Christoph; Yilbas, Ayse; Degani, Cassim; Svendrovski, Anton; Szasz, Peter; Mainprize, Marguerite.
Afiliación
  • Spencer Netto FA; Department of Surgery, Shouldice Hospital, 7750 Bayview Ave., Thornhill, ON, L3T 4A3, Canada.
  • Paasch C; Department of Surgery, Shouldice Hospital, 7750 Bayview Ave., Thornhill, ON, L3T 4A3, Canada.
  • Yilbas A; Department of General and Visceral Surgery, University Hospital Brandenburg an der Havel, Brandenburg, Germany.
  • Degani C; Department of Surgery, Shouldice Hospital, 7750 Bayview Ave., Thornhill, ON, L3T 4A3, Canada.
  • Svendrovski A; Department of Surgery, Shouldice Hospital, 7750 Bayview Ave., Thornhill, ON, L3T 4A3, Canada.
  • Szasz P; UZIK Consulting Inc, Toronto, Canada.
  • Mainprize M; Department of Surgery, Queen's University, Kingston Health Sciences Center, Toronto, ON, Canada.
Hernia ; 28(2): 607-614, 2024 04.
Article en En | MEDLINE | ID: mdl-38280050
ABSTRACT

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hernia Inguinal Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Hernia Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hernia Inguinal Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Hernia Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Francia