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 .
Simultaneous bilateral laparoscopic inguinal hernia repair: an analysis of 1336 consecutive cases at a single center.
BACKGROUND We compare the use of unilateral and simultaneous bilateral laparoscopic hernioplasty [ transabdominal preperitoneal patch ( TAPP ) ] METHOD We employed a prospect i ve consecutive single-center trial lasting from April 1993 to December 2000 . RESULTS In our study , 5524 consecutive patients underwent 6860 laparoscopic hernia repairs . The median age in group A ( unilateral repair , n = 4188 ) was 58 years ( 16 - 94 years ) , and that in group B ( simultaneous bilateral repair , n = 1336 ) was 60 years ( 19 - 97 years ) in ( simultaneous bilateral repair  , n = 1336 ) . Morbidity in group A was 3.2 % ( 135/4188 ) with a 0.6 % reoperation rate ( 24/4188 ) ; in group B morbidity was 5.0 % ( 67/1336 ) with a 1.4 % reoperation rate . ( 19/1336 ) . Morbidity and reoperation rates showed no statistically significant difference between the two groups in relation to number of repairs in group B. After a median 24-month clinical follow-up period ( 1 - 84 months ) ( follow-up rate 93.1 % ) 38 recurrences were observed in group A ( 0.9 % ) and 17 in group B ( 0.6 % ; 17/2672 ) ( p = 0.2668 ) . Median time off work was 14 days after unilateral ( 2 - 63 days ) and 17 days after bilateral repair ( 3 - 100 days ) ( p = 0.1359 ) . Pain levels ( numerical analogue scale ) and incidence of persistent inguinal and scrotal pain are not higher after bilateral repair . CONCLUSION Compared to unilateral repair , bilateral simultaneous laparoscopic hernia repair ( TAPP ) is safe , comfortable for patients , and cost-effective , without increased morbidity or recurrence risk . Bilateral inguinal hernia is an ideal indication for endoscopic transabdominal repair
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 .