Contact Admin. By reviewing the data in the Herniamed Hernia Registry documenting the time interval between the recurrent operation and previous inguinal hernia repair, the present study identifies the temporal course of onset of recurrence. Prospective data were recorded in the Herniamed Registry between 1 September and 4 May on a total of , patients with , inguinal hernia operations. These included 18, operations due to an inguinal hernia recurrence During the same period, prospective data were collected on 24, incisional hernia operations.
The latter cases included 5, patients with a recurrent incisional hernia Some of the remaining The course of onset of recurrence is markedly different for incisional hernia. The data collected can be used to give an approximate estimate with a shorter follow-up. Hernia recurrence can occur immediately, early, or later in the time course following hernia repair 1. Early recurrence is generally related to technical surgeon factors 2. Late recurrences are related to hernia biology, aging, and other patient-related factors 1.
Late recurrences continue to occur, but at a slightly decreased incidence 1. Recurrence seems to develop even after a long period of time, in particular, after non-mesh repair 2. By reviewing the data in the Herniamed Hernia Registry documenting the time interval between the recurrent operation and the previous inguinal hernia repair, the present study identifies the temporal course of onset of recurrence and on that basis calculates the maximum follow-up time needed to track all recurrences occurring after inguinal and incisional hernia repair.
The Herniamed Registry is a multicenter, Internet-based hernia registry 8 , into which participating hospitals and surgeons engaged in private practice Herniamed Study Group had entered data prospectively on their patients who had undergone hernia surgery. If a patient had experienced a recurrence after inguinal or incisional hernia repair, a search was carried out in the Herniamed Registry to identify and record the type of previous operation suture repair, mesh repair, endoscopic procedure.
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