We found that female sex , direct inguinal hernias at the primary procedure , operation for a recurrent inguinal hernia , and smoking were significant risk factors for recurrence after inguinal hernia surgery .
Background .
Several factors influence the risk of recurrence after inguinal hernia surgery ; however , a systematic review and meta- analysis of patient-related risk factors for recurrence after inguinal hernia surgery has not been performed earlier .
Proficiency of Surgeons in Inguinal Hernia Repair: Effect of Experience and Age
Objectives : We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair .  Summary Background Data : In a multicenter , r and omized trial comparing  open and laparoscopic herniorrhaphies  , conducted in Veterans Administration hospitals ( CSP 456 ) , we reported significant differences in recurrence rates ( RR ) for the laparoscopic procedure as a result of surgeons ’ experience . We have also reported significant differences in RR for the open procedure related to resident postgraduate year ( PGY ) level . Methods : We analyzed data from unilateral laparoscopic and open herniorrhaphies from CSP 456 ( n = 1629 ) . Surgeon 's experience ( experienced ≥250 procedures ; inexperienced < 250 ) , surgeon 's age , median PGY level of the participating resident , operation time , and hospital observed-to-expected ( O/E ) ratios for mortality were potential independent predictors of RR . Results : Age was dichotomized into older ( ≥45 years ) and younger ( < 45 years ) . Surgeon 's inexperience and older age were significant predictors of recurrence in laparoscopic herniorrhaphy . The odds of recurrence for an inexperienced surgeon aged 45 years or older was 1.72 times that of a younger inexperienced surgeon . For open repairs , although surgeon 's age and operation time appeared to be related to recurrence , only median PGY level of <3 was a significant independent predictor . Conclusion : This analysis demonstrates that surgeon 's age of 45 years and older , when combined with inexperience in laparoscopic inguinal herniorrhaphies , increases risk of recurrence . For open repairs , only a median PGY level of <3 was a significant risk factor
We found that female sex , direct inguinal hernias at the primary procedure , operation for a recurrent inguinal hernia , and smoking were significant risk factors for recurrence after inguinal hernia surgery .
Background .
Several factors influence the risk of recurrence after inguinal hernia surgery ; however , a systematic review and meta- analysis of patient-related risk factors for recurrence after inguinal hernia surgery has not been performed earlier .