Axman Erik, Holmberg Henrik, Nilsson Erik, Österberg Johanna, Dahlstrand Ursula, Montgomery Agneta, Nordin Pär, de la Croix Hanna
Department of Pediatric Surgery, The Queen Silvia Children's Hospital, Behandlingsvägen 7, 416 50, Gothenburg, Sweden.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Hernia. 2025 Jan 9;29(1):65. doi: 10.1007/s10029-025-03257-3.
Surgery for groin hernia is one of the most common operations in the world. Therefore, research concerning the outcomes of groin hernia surgery is extremely important both for the individual patient as well as for those providing the healthcare funding. The aim of this study is to evaluate the outcomes of hernia surgery in Sweden over a 30 year time period, from 1992 to 2021.
All groin hernia repairs in the Swedish Hernia Register between 1992 to 2021 were analyzed with emphasis on the surgical method, reoperation rate for recurrence and date of surgery, specifically 1992-2001, 2002-2011 and 2012-2021. By using personal identification numbers, a cumulative reoperation rate has been deduced for males and females separately.
A total of 368,502 groin hernia operations identified in the Swedish Hernia Register between 1992 to 2021 were eligible for analysis. Since the register was begun, there have been significant changes in the choice of operative techniques, from suture repair in 1992 to open anterior mesh repair around the year 2000, until today, where an increasing proportion of hernias are repaired using laparo-endoscopic techniques. There has been a reduction in the reoperation rate for recurrence in both males and females, with the most pronounced improvement being seen in females. The laparo-endoscopic technique is associated with a reduced incidence of reoperation for recurrence in females.
Groin hernia surgery in Sweden has undergone substantial changes over the past 30 years. Reoperation for recurrence has decreased significantly during recent years, especially in females.
腹股沟疝手术是全球最常见的手术之一。因此，关于腹股沟疝手术结果的研究对个体患者以及提供医疗保健资金的机构都极为重要。本研究的目的是评估1992年至2021年这30年间瑞典疝手术的结果。
对瑞典疝登记处1992年至2021年间所有腹股沟疝修补术进行分析，重点关注手术方法、复发再手术率和手术日期，具体为1992 - 2001年、2002 - 2011年和2012 - 2021年。通过使用个人识别码，分别推算出男性和女性的累积再手术率。
瑞典疝登记处1992年至2021年间共识别出368,502例腹股沟疝手术符合分析条件。自登记处设立以来，手术技术的选择发生了显著变化，从1992年的缝合修补到2000年左右的开放式前路网片修补，直至如今，使用腹腔镜 - 内镜技术修补疝的比例不断增加。男性和女性的复发再手术率均有所降低，女性的改善最为明显。腹腔镜 - 内镜技术与女性复发再手术率的降低相关。
瑞典的腹股沟疝手术在过去30年中发生了重大变化。近年来，复发再手术率显著下降，尤其是女性。
