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Article History

Received: 8 December 2022

Accepted: 5 June 2023

First Online: 8 September 2023

Declarations

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: Ethical considerations:The study is approved by the ethics committee in Stockholm. Reference no 2007/1693-31/2 and the amendment no: 2021-00818, 2019-01860, and 2022-05253-02.The patients will get oral and written information and give their written consent.The operations will take place under general anesthesia with careful, standardized routines for sterilization. The pre- and postoperative periods for the two methods are expected to be equivalent. The operation with mesh is expected to take maximum of 30 min longer than the standard procedure. The operation, regardless of method, carries risks of complications, mainly infection and postoperative ileus and in rare cases bleeding and bowel injury. Participation in the study does not increase these risks. The length of stay is expected to be the same with the two methods.CT scans carry a risk of ionizing radiation. We will use the ordinary follow-up routine for cancer patients (1- and 3-year follow-up with CT scan) and supplement examinations with a phase with straining.Adverse event reporting and harms:See page 16.

: Supplement .

: The authors declare that they have no competing interests.