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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Updated: Jun 1, 2026

Technical Considerations and Approach to Redo Foregut Surgery
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Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Recurrent groin hernia surgery.

D Sevonius1, U Gunnarsson, P Nordin

  • 1Department of Surgery, Lund University Hospital, Lund, Sweden. dan.sevonius@telia.com

The British Journal of Surgery
|May 28, 2011
PubMed
Summary
This summary is machine-generated.

Recurrent groin hernia reoperation rates are high. Laparoscopic and open preperitoneal mesh repairs show the lowest reoperation risk, making them preferred for redo hernia surgery.

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Published on: September 11, 2021

Area of Science:

  • Surgery
  • Hernia Repair
  • Public Health

Background:

  • Reoperation rates for recurrent groin hernias are significantly higher than for primary repairs.
  • Analyzing outcomes of redo hernia surgery is crucial for improving patient care.

Purpose of the Study:

  • To evaluate the outcomes of various surgical techniques for recurrent groin hernia repair.
  • To identify the most effective methods for reducing reoperation rates in a large population-based cohort.

Main Methods:

  • Analysis of all recurrent groin hernia operations registered in the Swedish Hernia Register (1992-2008).
  • Multivariable analysis with stratification based on the type of preceding repair.
  • Comparison of reoperation hazard ratios across different surgical techniques.

Main Results:

  • Laparoscopic repair (HR 2.55) and plug repair (HR 2.31) showed higher recurrence risks compared to laparoscopic repair as reference.
  • Open preperitoneal mesh repair (HR 1.36) had a lower reoperation risk than sutured repair (HR 2.55) and other methods (HR 3.08).
  • Laparoscopic and open preperitoneal repairs reduced reoperation risk after preceding open repair, but not after preperitoneal repair.

Conclusions:

  • Laparoscopic and open preperitoneal mesh repairs are associated with the lowest reoperation risk for recurrent groin hernias.
  • These techniques are recommended as preferred methods for recurrent groin hernia surgery.
  • Considering the previous repair method is important when selecting the optimal surgical technique.