{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:12:12Z","timestamp":1785726732444,"version":"3.56.0"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.surg.2025.109766","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T20:39:51Z","timestamp":1759351191000},"page":"109766","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Mesh removal in groin hernia surgery: A long-term nationwide population-based register study"],"prefix":"10.1016","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2161-2888","authenticated-orcid":false,"given":"Maria","family":"Melkemichel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"De la Croix","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4r","family":"Nordin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2025.109766_bib1","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/S0140-6736(16)31678-6","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the global burden of disease study 2015","volume":"388","author":"Disease","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.surg.2025.109766_bib3","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1046\/j.1365-2168.2000.01539.x","article-title":"Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials","volume":"87","year":"2000","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib4","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/0002-9610(89)90526-6","article-title":"The tension-free hernioplasty","volume":"157","author":"Lichtenstein","year":"1989","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib5","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s10029-009-0529-7","article-title":"European Hernia Society guidelines on the treatment of inguinal hernia in adult patients","volume":"13","author":"Simons","year":"2009","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib6","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10029-025-03257-3","article-title":"Improved outcomes after groin hernia surgery in Sweden between 1992 and 2021: Swedish hernia register","volume":"29","author":"Axman","year":"2025","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib7","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1080\/11024159950189726","article-title":"Foreign body reaction to meshes used for the repair of abdominal wall hernias","volume":"165","author":"Klinge","year":"1999","journal-title":"Eur J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib8","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.smim.2007.11.004","article-title":"Foreign body reaction to biomaterials","volume":"20","author":"Anderson","year":"2008","journal-title":"Semin Immunol"},{"key":"10.1016\/j.surg.2025.109766_bib9","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1586\/17434440.2.1.103","article-title":"The lightweight and large porous mesh concept for hernia repair","volume":"2","author":"Klosterhalfen","year":"2005","journal-title":"Expert Rev Med Devices"},{"key":"10.1016\/j.surg.2025.109766_bib10","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1080\/00015458.2019.1689648","article-title":"Different etiopathogeneses in early-onset and late-onset inguinal hernia mesh infections in a prospectively evaluated cohort","volume":"121","author":"Gachabayov","year":"2021","journal-title":"Acta Chir Belg"},{"key":"10.1016\/j.surg.2025.109766_bib11","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s10029-021-02512-7","article-title":"Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?","volume":"26","author":"Christou","year":"2022","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib12","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1469-0691.2004.01014.x","article-title":"Mesh-related infections after hernia repair surgery","volume":"11","author":"Falagas","year":"2005","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.surg.2025.109766_bib13","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s10029-019-01986-w","article-title":"Study of mesh infection management following inguinal hernioplasty with an analysis of risk factors: a 10-year experience","volume":"24","author":"Yang","year":"2020","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib14","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s13304-021-01032-4","article-title":"Meta-analysis of mesh-plug repair and lichtenstein repair in the treatment of primary inguinal hernia","volume":"73","author":"Yu","year":"2021","journal-title":"Updates Surg"},{"key":"10.1016\/j.surg.2025.109766_bib15","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s10029-022-02684-w","article-title":"What is the outcome of late-onset infected mesh removal after open tension-free inguinal hernioplasty: 3-year follow-up","volume":"27","author":"Zhi","year":"2023","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib16","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1007\/s10029-018-1785-1","article-title":"Comparison of complete versus partial mesh removal for the treatment of chronic mesh infection after abdominal wall hernia repair","volume":"22","author":"Levy","year":"2018","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib17","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J Anaesth"},{"key":"10.1016\/j.surg.2025.109766_bib18","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.2147\/CLEP.S335765","article-title":"Assessing the validity and cover rate of the national Swedish hernia register","volume":"13","author":"Axman","year":"2021","journal-title":"Clin Epidemiol"},{"key":"10.1016\/j.surg.2025.109766_bib19","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.jamcollsurg.2020.12.064","article-title":"Incidence and risk factors for long-term mesh explantation due to infection in more than 100,000 hernia operation patients","volume":"232","author":"Dipp Ramos","year":"2021","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.surg.2025.109766_bib20","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.amjsurg.2013.10.024","article-title":"Abdominal reoperation and mesh explantation following open ventral hernia repair with mesh","volume":"208","author":"Liang","year":"2014","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib21","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.amjsurg.2010.10.011","article-title":"Predictors of mesh explantation after incisional hernia repair","volume":"202","author":"Hawn","year":"2011","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib22","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1007\/s00268-010-0543-z","article-title":"Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations","volume":"34","author":"Stremitzer","year":"2010","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib23","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1001\/jama.2016.15217","article-title":"Long-term recurrence and complications associated with elective incisional Hernia repair","volume":"316","author":"Kokotovic","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.surg.2025.109766_bib24","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1002\/jbm.b.32958","article-title":"Retrieval study at 623 human mesh explants made of polypropylene--impact of mesh class and indication for mesh removal on tissue reaction","volume":"101","author":"Klosterhalfen","year":"2013","journal-title":"J Biomed Mater Res B Appl Biomater"},{"key":"10.1016\/j.surg.2025.109766_bib25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","article-title":"International guidelines for groin hernia management","volume":"22","author":"HerniaSurge","year":"2018","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib26","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jamcollsurg.2009.12.038","article-title":"Long-term follow-up of technical outcomes for incisional hernia repair","volume":"210","author":"Hawn","year":"2010","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.surg.2025.109766_bib27","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s10029-012-0913-6","article-title":"Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes","volume":"16","author":"Klinge","year":"2012","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib28","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrad080","article-title":"Update of the international HerniaSurge guidelines for groin hernia management","volume":"7","author":"Stabilini","year":"2023","journal-title":"BJS Open"},{"key":"10.1016\/j.surg.2025.109766_bib29","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1111\/ans.19158","article-title":"Initial experience of minimally invasive mesh explantation for inguinodynia","volume":"94","author":"Wiener","year":"2024","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s10029-022-02712-9","article-title":"Laparoscopic mesh removal for chronic postoperative inguinal pain following endoscopic hernia repair: a cohort study on the effect on pain","volume":"27","author":"Slooter","year":"2023","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib31","doi-asserted-by":"crossref","first-page":"943","DOI":"10.2147\/JPR.S384973","article-title":"Somatosensory outcomes following Re-Surgery in persistent severe pain after Groin hernia repair: a prospective observational study","volume":"16","author":"Jensen","year":"2023","journal-title":"J Pain Res"},{"key":"10.1016\/j.surg.2025.109766_bib32","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/SLA.0b013e31818eec49","article-title":"The effect of mesh removal and selective neurectomy on persistent postherniotomy pain","volume":"249","author":"Aasvang","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109766_bib33","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s10029-008-0443-4","article-title":"Prolene hernia system, lichtenstein mesh and plug-and-patch for primary inguinal hernia repair: 3-year outcome of a prospective randomised controlled trial. The BOOP study: bi-layer and connector, on-lay, and on-lay with plug for inguinal hernia repair","volume":"13","author":"Dalenback","year":"2009","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib34","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1002\/bjs.4702","article-title":"Randomized trial comparing the prolene hernia system, mesh plug repair and lichtenstein method for open inguinal hernia repair","volume":"92","author":"Nienhuijs","year":"2005","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib35","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00000658-200301000-00020","article-title":"Tension-free inguinal hernia repair: TEP versus mesh-plug versus lichtenstein: a prospective randomized controlled trial","volume":"237","author":"Bringman","year":"2003","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109766_bib36","first-page":"247","article-title":"Heavy-weight versus low-weight polypropylene meshes for open sublay mesh repair of incisional hernia","volume":"10","author":"Schmidbauer","year":"2005","journal-title":"Eur J Med Res"},{"key":"10.1016\/j.surg.2025.109766_bib37","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1007\/s100290100017","article-title":"Functional impairment and complaints following incisional hernia repair with different polypropylene meshes","volume":"5","author":"Welty","year":"2001","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109766_bib38","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s00464-008-0188-2","article-title":"Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results","volume":"23","author":"Agarwal","year":"2009","journal-title":"Surg Endosc"},{"key":"10.1016\/j.surg.2025.109766_bib39","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1007\/s00268-002-6444-z","article-title":"Functional and morphologic properties of a modified mesh for inguinal hernia repair","volume":"26","author":"Junge","year":"2002","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2025.109766_bib40","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000003791","article-title":"Immunological reaction and oxidative stress after light or heavy polypropylene mesh implantation in inguinal hernioplasty: a CONSORT-prospective, randomized, clinical trial","volume":"95","author":"Donati","year":"2016","journal-title":"Medicine (Baltimore)"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602500618X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602500618X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T16:13:53Z","timestamp":1763655233000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S003960602500618X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":39,"alternative-id":["S003960602500618X"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2025.109766","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mesh removal in groin hernia surgery: A long-term nationwide population-based register study","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2025.109766","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"109766"}}