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Title of Journal: Hernia

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Abbravation: Hernia

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Springer-Verlag

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DOI

10.1016/0014-4886(81)90287-9

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1248-9204

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Groin hernia repair in young males mesh or suture

Authors: T Bisgaard M BayNielsen H Kehlet
Publish Date: 2010/05/09
Volume: 14, Issue: 5, Pages: 467-469
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Abstract

Largescale data for the optimal inguinal hernia repair in younger men with an indirect hernia is not available We analysed nationwide data for risk of reoperation in younger men after a primary repair using a Lichtenstein operation or a conventional nonmesh hernia repairProspective recording of all inguinal hernia repairs from 1 January 1998 to 31 December 2005 in the national Danish Hernia Database using reoperation rate as a proxy for recurrence We included only men between the age of 18 and 30 years with a primary repair of a primary indirect inguinal herniaA primary sutured repair was performed in 1120 men median age 23 years range 18–30 and a Lichtenstein mesh repair in 2061 young men 24 years range 18–30 total 3181 patients The observation time after conventional hernia repair was median 62 months range 0–96 and 41 months range 0–96 after a Lichtenstein repair The cumulative incidence of reoperation at 5 years was 16 Lichtenstein versus 39 sutured repair while overall reoperation rates were almost threefold as high after a sutured repair 39 reoperations overall reoperation rate = 35 compared to a Lichtenstein repair 24 reoperations overall reoperation rate = 12 P = 00003Lichtenstein repair for an indirect inguinal hernia reduces the risk of recurrence in young men between the age of 18 and 30 years compared with a sutured repair The use of a Lichtenstein mesh repair in young males must be balanced against the risk of chronic pain

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  2. Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
  3. A comparison of Progrip ® and Adhesix ® self-adhering hernia meshes in an onlay model in the rat
  4. Comparison of Permacol™ and Strattice™ for the repair of abdominal wall defects
  5. Archaic terms and dogmas impeding care of abdominal and pelvic herniation
  6. Laparoscopic management of urachal cyst associated with umbilical hernia
  7. Inguinal hernia is a common complication in lower midline incision surgery
  8. Incisional hernia in patients at risk: can it be prevented?
  9. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
  10. Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen
  11. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN
  12. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia
  13. De Garengeot’s hernia: the importance of early diagnosis and its complications
  14. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
  15. Genetic analysis of the TBX2 gene promoter in indirect inguinal hernia
  16. Prognostic value of age for chronic postoperative inguinal pain
  17. Operation Hernia to Ghana
  18. Schley’s inguinal hernia repair: a single unit’s experience of a forgotten technique
  19. Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings
  20. Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis
  21. Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair
  22. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data
  23. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP)
  24. An evaluation of hernia education in surgical residency programs
  25. Irreducible inguinal hernia due to crossed testicular ectopia in an infant
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  28. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients
  29. Tissue expanders: early experience of a novel treatment option for perineal herniation
  30. What happens to the rectus abdominus fascia after laparoscopic ventral hernia repair?
  31. Abdominoscrotal hydrocele in a 9-month old infant
  32. Creation of a novel risk score for surgical site infection and occurrence after ventral hernia repair
  33. Are there any predictive factors of metachronous inguinal hernias in children with unilateral inguinal hernia?
  34. Letter to the editor
  35. Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe
  36. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields
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  38. Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?
  39. Evaluation of crosslinked and non-crosslinked biologic prostheses for abdominal hernia repair
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