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 .
National register study of operating time and outcome in hernia repair.
OBJECTIVES To examine the relationship between operating time and reoperation for recurrence and other complications in groin hernia repairs . DESIGN Observational population -based register study . SETTING Data from the nationwide Swedish Hernia Register , which prospect ively collects data from almost all groin hernia repairs performed in Sweden . PATIENTS There were 123,917 primary groin hernia repairs recorded in the Swedish Hernia Register from January 1 , 1998 , through December 31 , 2007 . MAIN OUTCOME MEASURES Relative risk of reoperation for recurrence and odds ratios for postoperative complications in 4 operating time groups . RESULTS The relative risk of reoperation for recurrence of all patients operated on in less than 36 minutes was 26 % higher than that of all patients with an operating time of more than 66 minutes ( 1.26 ; 95 % CI , 1.11 - 1.43 ) . Because the Lichtenstein procedure is the st and ard procedure in Sweden today , its results were also analyzed separately . In this homogeneous group , the difference was even more striking with an increased relative risk of 45 % ( 1.45 ; 95 % CI , 1.21 - 1.75 ) . The odds ratio for infection and other postoperative complications increased with increasing operating time . CONCLUSION A significant decrease in reoperation for recurrence with increasing operating time exhorts the hernia surgeon to avoid speed and to maintain thoroughness throughout the procedure
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 .