Publications by authors named "Sevonius D"

Purpose: The purpose of the present study was to explore the risk for complications and reoperations following open repairs for sliding groin hernias.

Method: All primary indirect inguinal hernia repairs registered in the Swedish Hernia Register 1998-2011 were identified. Repeated and bilateral procedures were excluded.

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Article Synopsis
  • The study evaluated the effectiveness of the Simball Box, a video box trainer with 4D motion analysis, for teaching laparoscopic skills to surgical residents.
  • Residents underwent training by performing laparoscopic surgical knots, with metrics indicating significant improvements in task completion time and instrument motion analysis throughout the course.
  • The results suggest that the Simball Box is a reliable tool for both training and assessing the development of laparoscopic skills in surgeons.
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Unlabelled: Chronic pain and physical disability 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 chronic pain and disability after first recurrent groin hernia surgery in a population-based cohort derived from the Swedish Hernia Register.

Methods: Consecutive unilateral, first and second recurrent hernia repairs, registered between 1998 and 2007, were included.

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Background: Chronic groin postherniorrhaphy pain (CGPP) is common and sometimes so severe that surgical treatment is necessary. The aim of this study was to identify risk factors for being reoperated due to CGPP.

Methods: All 195,707 repairs registered in the Swedish Hernia Register between 1999 and 2011 were included in the study.

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Introduction: The Basic Surgical Skills course uses an assessment score interval of 0-3. An extended score interval, 1-6, was proposed by the Swedish steering committee of the course. The aim of this study was to analyze the trainee scores in the current 0-3 scored version compared to a proposed 1-6 scored version.

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Background: According to the Swedish Hernia Register (SHR), the reoperation rate is more than doubled after recurrent groin hernia repair compared with primary repair. The aim was to study the impact of type of mesh repair used in recurrent groin hernia surgery on a 2nd recurrence in a population-based cohort derived from the SHR.

Material And Method: All 1st recurrent hernia repairs in the south-west region of Sweden, registered in SHR between 1998 up to 2007 were included.

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Objective: : The aim of the trial was to compare laparoscopic technique with open technique regarding short-term pain, quality of life (QoL), recovery, and complications.

Background: : Laparoscopic and open techniques for incisional hernia repair are recognized treatment options with pros and cons.

Methods: : Patients from 7 centers with a midline incisional hernia of a maximum width of 10 cm were randomized to either laparoscopic (LR) or open sublay (OR) mesh repair.

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Background: The reoperation rate after recurrent groin hernia surgery is more than twice that recorded for primary groin hernia procedures. The aim was to define the outcome from routine redo hernia surgery by analysing a large population-based cohort from a national hernia register.

Methods: All recurrent groin hernia operations registered in the Swedish Hernia Register from 1992 to 2008 were analysed using multivariable analysis with stratification for preceding repair.

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Purpose: The aim of this study was to assess the impact of the degree of difficulty and quality of hernia repair, as perceived by the surgeon, and operative time on the reoperation rate.

Methods: All hernia repairs performed during the period 1994–1995 at the Department of Surgery, University Hospital of Lund, Sweden, were recorded prospectively. The degree of difficulty and the degree of difficulty in relation to the preoperative expectation of the surgeon were graded on a three-degree scale, the final outcome graded as optimal or suboptimal, and the time required to perform the hernia repair was recorded.

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Objective: To describe the characteristics of patients undergoing multiple groin hernia repairs and to identify strategies that prevent further recurrence.

Summary Background Data: Although relatively infrequent, recurrent groin hernias where several repairs have previously been undertaken constitutes a major problem in hernia surgery. Low numbers and heterogeneity have made it difficult to perform large prospective studies on this group.

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Objective: To audit the effect of changes in treatment of inguinal hernias on recurrence rate.

Design: Retrospective analysis of consecutive patients operated on in 1990 and prospective analysis of consecutive patients operated on in 1996. Follow up with questionnaire followed by selective clinical examination.

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