Recurrence and mesh material

Abstract

A meta-analysis of the EU Hernia Trialist Collaboration of all available prospective randomized trials could prove a significant lower recurrence rates for techniques with the use of mesh after primary repair of groin hernias ( Table 29.1) [1, 2]. There was no statistical difference between the open and the endoscopic techniques in the recurrence rate after primary repair when a mesh was used. In the nationwide Danish hernia database as large prospective observational study of 26,304 herniorrhaphies the re-operation rates 30 months after anterior mesh repair and laparoscopic repair were significantly lower than after sutured posterior wall repairs in primary inguinal hernia (2.2 and 2.6% vs. 4.4%; p < 0.0001). Re-operation rates were also lower with anterior mesh repair (6.1%; p < 0.0001) and laparoscopic repair (3.4%) after recurrent hernia ( Table 29.2) [3]. © 2007 Springer-Verlag Berlin Heidelberg.