Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SSORG - Scandinavian Surgical Outcomes Research Group, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Sweden.
Am J Surg. 2018 Aug;216(2):274-279. doi: 10.1016/j.amjsurg.2017.07.027. Epub 2017 Jul 25.
The aim of this study was to investigate reoperation for recurrence in men and women with respect to method of repair, hernia anatomy and year of operation.
Since 1992, groin hernia repairs performed in Sweden are prospectively registered in the Swedish Hernia Register, (SHR). Reoperations are noted, regardless of where the reoperation is performed. Risk of reoperation for recurrence is calculated for men and women with respect of method of repair, hernia anatomy and year of operation.
Out of 221 108 eligible operations registered between 1992-2013, 17 545 (8%) were performed on women. The risk of being operated for recurrence after laparoscopic surgery was lowered in women, RR 0,4(95%CI 0.3-0.7) and increased in men, RR 2.3(95% CI 2.0-2.7), compared to the Lichtenstein technique.
The reoperation for recurrence rate differed significantly between men and women. As regards the technique used for primary repair, laparoscopic groin hernia repair lowered the risk of reoperation for recurrence in women whereas it doubled the risk in men.
本研究旨在探讨男性和女性患者在修复方法、疝解剖和手术年份方面复发后再次手术的情况。
自 1992 年以来，在瑞典进行的腹股沟疝修补术在瑞典疝登记处（SHR）中进行前瞻性登记。无论再次手术在哪里进行，都会记录再次手术的情况。根据修复方法、疝解剖和手术年份，计算男性和女性患者再次手术复发的风险。
在 1992 年至 2013 年间登记的 221108 例合格手术中，有 17545 例（8%）在女性中进行。与 Lichtenstein 技术相比，女性腹腔镜手术后复发再次手术的风险降低，RR 0.4（95%CI 0.3-0.7），而男性则增加，RR 2.3（95%CI 2.0-2.7）。
男性和女性的复发再次手术率存在显著差异。就初次修复所使用的技术而言，女性腹腔镜腹股沟疝修补术降低了复发再次手术的风险，而男性则增加了两倍。
