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  • Causes of recurrence in laparoscopic inguinal hernia repair

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    SIDDAIAH-SUBRAMANYAPUB7153.pdf (688.1Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Siddaiah-Subramanya, Manjunath
    Ashrafi, Darius
    Memon, Breda
    Memon, Muhammed Ashraf
    Griffith University Author(s)
    Siddaiah-Subramanya, Manjunath
    Year published
    2018
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    Abstract
    Purpose: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. Methods: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018. The search terms included ‘Laparoscopic ...
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    Purpose: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. Methods: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018. The search terms included ‘Laparoscopic methods’, ‘Inguinal hernia; Mesh repair’, ‘Recurrence’, ‘Causes’, ‘Humans’. Results: The literature revealed several contributing risk factors that were responsible for recurrence following laparoscopic mesh inguinal herniorrhaphy. These included modifiable and non-modifiable risk factors related to patient and surgical techniques. Conclusions: Recurrence can occur at any stage following inguinal hernia surgery. Patients’ risk factors such as higher BMI, smoking, diabetes and postoperative surgical site infections increase the risk of recurrence and can be modified. Amongst the surgical factors, surgeon’s experience, larger mesh with better tissue overlap and careful surgical techniques to reduce the incidence of seroma or hematoma help reduce the recurrence rate. Other factors including type of mesh and fixation of mesh have not shown any difference in the incidence of recurrence. It is hoped that future randomized controlled trials will address some of these issues and initiate preoperative management strategies to modify some of these risk factors to lower the risk of recurrence following laparoscopic inguinal herniorrhaphy.
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    Journal Title
    Hernia
    Volume
    22
    Issue
    6
    DOI
    https://doi.org/10.1007/s10029-018-1817-x
    Copyright Statement
    © 2018 Springer Paris. This is an electronic version of an article published in Hernia, December 2018, Volume 22, Issue 6, pp 975–986. Hernia is available online at: http://link.springer.com/ with the open URL of your article.
    Subject
    Clinical sciences
    Clinical sciences not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/385120
    Collection
    • Journal articles

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