464 Incidence of recurrent inguinal hernias and their repairs at a large DGH

Abstract In the UK 100,000 hernia operations are performed annually – this includes umbilical/epigastric/incisional etc. Options of inguinal repair either open or laparoscopic (TAPP vs TEP). Recurrence rates for Liechtenstein repairs quoted as 5.6%. Median recurrence TAPP 2.3% and TEP 0.6%. However, several meta-analyses comparing TEP/TAPP to found no significant difference in rates. At our trust, 331 were between August 2021- 2022 (post-COVID). The aim project was look at incidence recurrent hernias their initial trust. We obtained a list all trust (across sites) 2022. looked number patients that underwent an operation whether patient’s primary done laparoscopically open. 76% total open, compared 24% (72% repairs). About 10% hernias. 56% those had 44% repair. 75% second 25% repeat study with more data (i.e. looking pre-COVID years) encourage surgeons into own practice.