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 .
Reoperation as surrogate endpoint in hernia surgery. A three year follow-up of 1565 herniorrhaphies.
OBJECTIVE Analysis of reoperation and recurrence rates three years after repair of groin hernias . DESIGN Prospect i ve audit by question naire and selective follow-up . SETTING Eight Swedish hospitals . SUBJECTS All groin hernia operations done during 1992 on patients between the ages of 15 and 80 years . MAIN OUTCOME MEASURES Postoperative complications , reoperation for recurrence , and recurrence . RESULTS During 1992 , 1565 hernia operations were done . The postoperative complication rate was 8 % ( 125/1565 ) . At 36 months postoperatively 108 recurrences had already been reoperated on , six patients with recurrences were on the waiting list for reoperation and a further 36 recurrences had been detected at follow-up . The interhospital variation in recurrence rate ranged from 3 % to 20 % . Postoperative complications , recurrent hernia , direct hernia and hospital catchment area over 100000 inhabitants were all factors associated with an increased relative risk of recurrence . CONCLUSIONS The recurrence rate exceeded the reoperation rate for recurrence by almost 40 % which should be taken into account if the reoperation rate is used as the endpoint after repairs of groin hernia . An audit scheme , based on prospect i ve recording , reoperation rate , and ( periodic ) calculation of the recurrence rate may be used to identify risk factors for recurrence and areas in need of improvement
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 .