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 After Recurrent Groin Hernia Repair
Objective To analyze reoperation rates for recurrent and primary groin hernia repair documented in the Swedish Hernia Register from 1996 to 1998 , and to study variables associated with increased or decreased relative risks for reoperation after recurrent hernia . Methods Data were retrieved for all groin hernia repairs prospect ively recorded in the Swedish Hernia register from 1996 to 1998 . Actuarial analysis adjusted for patients ’ death was used for calculating the cumulative incidence of reoperation . Relative risk for reoperation was estimated using the Cox proportional hazards model . Results From 1996 to 1998 , 17,985 groin hernia operations were recorded in the Swedish Hernia Register , 15 % for recurrent hernia and 85 % for primary hernia . At 24 months the risk for having had a reoperation was 4.6 % after recurrent hernia repair and 1.7 % after primary hernia repair . The relative risk for reoperation was significantly lower for laparoscopic methods and for anterior tension-free repair than for other techniques . Postoperative complications and direct hernia were associated with an increased relative risk for reoperation . Day-case surgery and local infiltration anesthesia were used less frequently for recurrent hernia than for primary hernia . Conclusions Recurrent groin hernia still constitutes a significant quantitative problem for the surgical community . This study supports the use of mesh by laparoscopy or anterior tension-free repair for recurrent hernia operations
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 .