UNASSIGNED: @entity1118 and @entity717 are well-known problems after primary groin hernia surgery, but the outcome after recurrent hernia surgery is much less known. PURPOSE: To study the impact of anterior mesh repair (AMR) and posterior mesh repair (PMR) on @entity1118 and disability after first recurrent groin hernia surgery in a population-based cohort derived from the Swedish @entity547 Register. METHODS: Consecutive unilateral, first and second recurrent hernia repairs, registered between 1998 and 2007, were included. Follow-up was performed in 2009 based on the Inguinal @entity158 Questionnaire (IPQ) and selective clinical examination, comparing prevalence of @entity158 between AMR, endoscopic ( @entity50462 ) and open posterior mesh repairs (O-PMR) after first recurrent repair. @entity1118 after a second recurrent repair was analysed. RESULTS: Altogether 671 first recurrent repairs were analysed: 329 AMRs, 161 E-PMRs and 181 O-PMRs. IPQ response rate was 70.6  %. If the index repair was anterior, the @entity50462 was associated with a lower risk of @entity1118 and disability compared to AMR [OR 0.54 (CI 0.30-0.97), p  =  0.039]. The risk of @entity1118 increased after a second recurrent repair. A surgeon's annual volume >5 O-PMRs was related to a lower risk compared to  <=5 [OR 0.42 (CI 0.19-0.94), p  =  0.034]. CONCLUSION: Endoscopic repair for first recurrent groin hernia surgery, after an index anterior repair, was associated with less @entity1118 , discomfort and disability compared to anterior approach. @entity1118 increased after a second recurrent repair. A high surgeon's volume reduced the risk of @entity1118 after open posterior mesh repair.

Chronic groin XXXX , discomfort and @entity717 after recurrent groin hernia repair: impact of anterior and posterior mesh repair.

@entity717 :: ('MESH:D009069', 'Disease') :: ['physical disability'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Hernia'] @entity50462 :: ('2055', 'Gene') :: ['E-PMR'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['Chronic pain', 'chronic pain']
@entity158 :: (MESH:D010146,Disease) :: ['pain']
