ArticleHernia : the journal of hernias and abdominal wall surgery2017
Factors associated with hernia recurrence after laparoscopic total extraperitoneal repair for inguinal hernia: a 2-year prospective cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Laparoscopic totally extraperitoneal (TEP) versus laparoscopic transabdominal preperitoneal (TAPP) for bilateral inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Meta‑analysis of single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair.Updates in surgery · 2023Pooled it
- A systematic review and meta-analysis of hernia sac management in laparoscopic groin hernia mesh repair: reduction or transection?BMC surgery · 2023Pooled it
- Primary inguinal hernia: systematic review and Bayesian network meta-analysis comparing open, laparoscopic transabdominal preperitoneal, totally extraperitoneal, and robotic preperitoneal repair.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Beyond acronyms: a domain-based structural analysis of abdominal wall hernia repair techniques in the contemporary literature.Surgical endoscopy · 2026Article
- Longitudinal assessment of recurrence after open versus laparoscopic versus robotic inguinal hernia repair in 272,475 patients.Surgical endoscopy · 2026Article
- Clinical outcomes of open partial preperitoneal tension-free repair for inguinal hernia following radical prostatectomy: a single-center retrospective study.BMC surgery · 2026Article
- How Reproducible Are Abdominal Wall Surgical Techniques? A Methodological Assessment of Technical Reporting in the Contemporary Literature.Journal of abdominal wall surgery : JAWS · 2026Article
- Risk factors associated with inguinal hernia recurrence after single-incision laparoscopic totally extraperitoneal repair.Surgical endoscopy · 2025Article
- Higher rates of recurrence and worse quality of life in obese patients undergoing inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- High ligation with posterior wall repair for inguinal hernia repair in young adults: a nationwide cohort study.Annals of surgical treatment and research · 2024Article
- Muscular groin hernias: an anatomical variation as a cause of recurrence.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Robotic versus laparoscopic transabdominal preperitoneal (TAPP) approaches to bilateral hernia repair: a multicenter retrospective study using propensity score matching analysis.Surgical endoscopy · 2023Article
- Comparison of BMI on operative time and complications of robotic inguinal hernia repair at a VA medical center.Surgical endoscopy · 2022Article
- Mesh size may not affect recurrence in laparoscopic totally extraperitoneal repair of inguinal hernias.Medicine · 2022Article
- Differences in the outcomes of scrotal vs. lateral vs. medial inguinal hernias: a multivariable analysis of registry data.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Surgical outcomes of totally extraperitoneal repair for inguinal hernia: A retrospective multicenter propensity score-matched study.Annals of gastroenterological surgery · 2021Article
- Article
- Return to outdoor walking, car driving, and sexual activity following elective inguinal hernia repair: surgeons' perspective versus patients' reality.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic total extraperitoneal repair (TEP) of inguinal hernia has been associated with higher rates of recurrence compared to open methods. The aim of the present study was to determine independent risk factors for recurrence within 2 years after TEP.
methodsThis was a single-centre prospective cohort study with consecutive inclusion of patients undergoing inguinal hernia repair from 2010 to 2014. Systematic follow-up was conducted 6 months and 2 years postoperatively. Risk factors for recurrence after 2 years were analysed in univariate and multivariate analyses.
resultsA total of 1194 patients underwent TEP for inguinal or femoral hernia in the study period, of which 1047 were eligible for analyses. After 2 years, 56 (5.3%) patients had presented with recurrence. The following factors were associated with recurrence in univariate analyses: body mass index (BMI) >30 (HR 3.64; p = 0.011), medial vs. lateral hernia (HR 2.37; p = 0.004), repair of recurrent hernia vs. primary repair (HR 2.12; p = 0.049), and length of stay >1 day (HR 1.77; p = 0.043). In multivariate analyses, factors independently associated with recurrence after 2 years were BMI >30 (HR 3.74; p = 0.026) and medial vs. lateral hernia (HR 2.39; p = 0.004).
conclusionThe recurrence rate after TEP is higher than reported after open hernia repair. Attempts to decrease the rate should be persuaded. Good surgical technique with precise dissection and correct placement of the mesh, especially in medial hernias and obese patients, may be key points to improve outcomes after TEP.
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