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首页> 外文期刊>Surgical Endoscopy >Laparoscopic repair is superior to open techniques when treating primary groin hernias in women: a nationwide register-based cohort study
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Laparoscopic repair is superior to open techniques when treating primary groin hernias in women: a nationwide register-based cohort study

机译：腹腔镜修复优于妇女初级腹股沟疝的开放技术：基于全国的寄存器的队列研究

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BackgroundFew studies have described recurrence rates after groin hernia repair in women. Our aim was to investigate if laparoscopic repair of primary groin hernias in women results in a lower reoperation rate for recurrence compared with open repairs. Furthermore, we wished to compare hernia subtypes at primary repair and reoperation.MethodsThis nationwide cohort study was reported according to the RECORD statement. We used prospectively collected data from the Danish Hernia Database to generate a cohort of females operated for a primary groin hernia from 1998 to 2017. Our primary outcome was reoperation for recurrence. The secondary outcome was subtype of hernia at primary repair and reoperation. All females had at least 6-month follow-up.ResultsWe included 13,945 primary groin hernia operations in women, of whom 649 had undergone a reoperation for recurrence. Median follow-up time was 8.8years. The cumulative reoperation rates were lower after laparoscopic repair compared with the open techniques, for both inguinal hernias (1.8 vs. 6.3%, p0.001) and femoral hernias (2.2 vs. 5.5%, p=0.005). After laparoscopic repair, 25% of inguinal hernias recurred as femoral, compared with 47% after Lichtenstein (p0.001). Direct inguinal hernias and femoral hernias had higher risk of reoperation for recurrence after open repair compared with indirect inguinal hernias. For laparoscopic procedures, hernia subtypes at the primary groin hernia repair had similar reoperation rates.ConclusionLaparoscopic repair of primary groin hernia in women had lower reoperation rates and fewer femoral recurrences than open repair techniques.
机译：BackgroundFew研究女性腹股沟疝修补术后所描述的复发率。我们的目的是如果在一个较低的再手术率复发女性原发性结果腹股沟疝腹腔镜修补开放修理比较研究。此外，我们希望疝亚型初级维修和reoperation.MethodsThis全国队列研究根据记录声明报道比较。我们使用前瞻性收集来自丹麦疝数据库的数据以产生由1998年的主要腹股沟疝到2017年我们的主要工作成果的女性队列为再次手术复发。次要结果是在初级修复和再手术疝的亚型。所有的女性至少有6个月的后续up.ResultsWe包括妇女13945个初级腹股沟疝操作，其中经历了复发再手术649。平均随访时间为8.8年。与开放的技术相比腹腔镜修补后的累积再次手术率较低，为两个腹股沟疝（1.8对6.3％中，P; 0.001）和股疝（2.2对5.5％，p值= 0.005）。腹腔镜修补后，腹股沟疝的25％复发为股骨，用列支敦士登后47％相比（P＆LT; 0.001）。间接腹股沟疝比较开放修复后直接腹股沟疝和股疝有再次手术复发的风险较高。对于腹腔镜手术，在主腹股沟疝修补疝亚型有女性原发性腹股沟疝的再手术相似修rates.ConclusionLaparoscopic降低了再手术率和复发股比开放修复技术更少。

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