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 .
Synchronous femoral hernias diagnosed during endoscopic inguinal hernia repair
Background During totally extraperitoneal ( TEP ) endoscopic repair of inguinal hernias , it is possible to see the internal opening of the femoral canal . The aim of our study was to determine the incidence of synchronous femoral hernias found in patients undergoing TEP endoscopic inguinal hernia repair .  Method This was a retrospective review of prospect ively collected data on 362 consecutive patients who underwent 484 TEP endoscopic inguinal hernia repairs during a 5-year period , May 2005 to May 2010 . During surgery , both inguinal and femoral canal orifices were routinely inspected . The presence of unilateral or bilateral inguinal and femoral hernias was recorded and repaired accordingly . Results There were a total of 362 patients . More males ( 343 , 95 % ) underwent a TEP hernia repair than females ( 19 , 5 % ) . There were more cases of unilateral ( 240/362 , 66 % ) than bilateral ( 122/362 , 34 % ) inguinal hernias . A total of 18 cases of synchronous femoral hernias were found during operation . There was a higher incidence of femoral hernia in females ( 7/19 , 37 % ) compared to males ( 11/343 , 3 % ) ( P < 0.001 ) . None of the femoral hernias were clinical ly detectable preoperatively . Conclusion Females undergoing elective inguinal hernia repair are more likely to have a synchronous femoral hernia than males . We suggest that all women presenting with an inguinal hernia also have a formal assessment of the femoral canal . TEP endoscopic inguinal hernia repair is an ideal approach as both inguinal and femoral orifices can be assessed and hernias repaired simultaneously during surgery
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 .