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 .
Groin hernia repair in young males: mesh or sutured repair?
Background Large-scale data for the optimal inguinal hernia repair in younger men with an indirect hernia is not available . We analysed nationwide data for risk of reoperation in younger men after a primary repair using a Lichtenstein operation or a conventional non-mesh hernia repair .  Methods Prospect i ve recording of all inguinal hernia repairs  from 1 January 1998 to 31 December 2005 in the national Danish Hernia Data base , using reoperation rate as a proxy for recurrence . We included only men between the age of 18 and 30 years with a primary repair of a primary indirect inguinal hernia . Results A primary sutured repair was performed in 1,120 men ( median age 23 years , range 18–30 ) and a Lichtenstein mesh repair in 2,061 young men ( 24 years , range 18–30 ) ( total 3,181 patients ) . The observation time after  conventional hernia repair  was median 62 months ( range 0–96 ) and 41 months ( range 0–96 ) after a Lichtenstein repair . The cumulative incidence of reoperation at 5 years was 1.6 % ( Lichtenstein ) versus 3.9 % ( sutured repair ) , while overall reoperation rates were almost three-fold as high after a sutured repair ( 39 reoperations , overall reoperation rate = 3.5 % ) compared to a Lichtenstein repair ( 24 reoperations , overall reoperation rate = 1.2 % ; P = 0.0003 ) . Conclusions Lichtenstein repair for an indirect inguinal hernia reduces the risk of recurrence in young men between the age of 18 and 30 years compared with a sutured repair . The use of a Lichtenstein mesh repair in young males must be balanced against the risk of chronic pain
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 .