ArticleSurgical endoscopy2017
Laparo-endoscopic versus open recurrent inguinal hernia repair: should we follow the guidelines?
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 54 citations in OpenAlex.
- ReTAPP for recurrent inguinal hernia after laparoscopic repair: extended experience and comparative analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Redo TEP in recurrent inguinal hernia After TEP/TAPP: Outcomes and feasibility.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- [Operative treatment of recurrent inguinal hernias after endoscopic pre-operation using the TEP technique (RE-TEP)].Chirurgie (Heidelberg, Germany) · 2026Article
- Clinical outcomes and risk prediction in inguinal and femoral hernia repair: a 12-year retrospective cohort study from a Colombian tertiary center.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Hybrid Laparoscopic-Open-Laparoscopic Repair for a Large Recurrent Inguinoscrotal Hernia: A Case Report.Clinical medicine insights. Case reports · 2026Article
- Article
- Is there consensus on diagnostics and treatment in colonic diverticulitis? Results of international survey.Surgical endoscopy · 2025Article
- Chronic postoperative inguinal pain: prevention is better than 'cure'.Frontiers in surgery · 2025Article
- A new groin hernia classification with clinical relevance.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study.Annals of surgical treatment and research · 2024Article
- Elective Recurrent Inguinal Hernia Repair: Value of an Abdominal Wall Surgery Unit.World journal of surgery · 2023Article
- Trend of minimally invasive and open surgery experience of general surgery residents: Accreditation Council for Graduate Medical Education general surgery case log in Thailand.Journal of minimally invasive surgery · 2023Article
- Article
- Pre-operative factors associated with short- and long-term outcomes in the patient with inguinal hernia: What does the current evidence say?Annals of medicine and surgery (2012) · 2022Review
- Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Inguinal hernia repair in Spain. A population-based study of 263,283 patients: factors associated with the choice of laparoscopic approach.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Laparoscopic treatment (reTAPP) for recurrence after laparoscopic inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- A multi-center study on recurrent inguinal hernias: assessment of surgeons' compliance to guideline-based repair and evaluation of short-term outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- What is the outcome of re-recurrent vs recurrent inguinal hernia repairs? An analysis of 16,206 patients from the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOn the basis of six meta-analyses, the guidelines of the European Hernia Society (EHS) recommend laparo-endoscopic recurrent repair following previous open inguinal hernia operation and, likewise, open repair following previous laparo-endoscopic operation. So far no data are available on implementation of the guidelines or for comparison of outcomes. Besides, there are no studies for comparison of outcomes for compliance versus non-compliance with the guidelines. PATIENTS AND
methodsIn total, 4812 patients with elective unilateral recurrent inguinal hernia repair in men were enrolled between September 1, 2009, and September 17, 2014, in the Herniamed Registry. Only patients with 1-year follow-up were included.
resultsOut of the 2482 laparo-endoscopic recurrent repair operations 90.5% of patients, and out of the 2330 open recurrent repair procedures only 38.5% of patients, were operated on in accordance with the guidelines of the EHS. Besides, on compliance with the guidelines multivariable analysis demonstrated for laparo-endoscopic recurrent repair a significantly lower risk of pain at rest (OR 0.643 [0.476; 0.868]; p = 0.004) and pain on exertion (OR 0.679 [0.537; 0.857]; p = 0.001). Comparison of laparo-endoscopic and open recurrent repair in settings of compliance versus non-compliance with the guidelines showed a higher incidence of perioperative complications and re-recurrences for recurrent repairs that did not comply with the guidelines.
conclusionThe EHS guidelines for recurrent inguinal hernia repair are not yet being observed to the extent required. Non-compliance with the guidelines is associated with higher perioperative complication rates and higher risk of re-recurrence. Even on compliance with the guidelines, the risk of pain at rest and pain on exertion is higher after open recurrent repair than after laparo-endoscopic repair.
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