P Jess1, C Hauge, C R Hansen. 1. Department of Surgical Gastroenterology, Herlev University Hospital, Copenhagen, Denmark.
Abstract
OBJECTIVE: To evaluate the long-term results of repair of the internal ring for primary inguinal hernia. DESIGN: Retrospective study. SETTING: University hospital, Denmark. SUBJECTS: 1159 patients with primary unilateral inguinal hernia. INTERVENTIONS: Repair of the internal ring--annulorrhaphy. MAIN OUTCOME MEASURES: Recurrence during the median observation period of 10 years (range 1-17). RESULTS: Eighty-four (7%) were women, and the overall median age was 49 years (range 18-90). The overall recurrence rate calculated by life table analysis was 18%. Twenty-one of the recurrences were indirect hernias (49%), 11 were direct (26%), 8 were combined direct and indirect (19%) and 3 (7%) were femoral hernias. CONCLUSION: Repair of the internal ring alone carries an unacceptably high recurrence rate.
OBJECTIVE: To evaluate the long-term results of repair of the internal ring for primary inguinal hernia. DESIGN: Retrospective study. SETTING: University hospital, Denmark. SUBJECTS: 1159 patients with primary unilateral inguinal hernia. INTERVENTIONS: Repair of the internal ring--annulorrhaphy. MAIN OUTCOME MEASURES: Recurrence during the median observation period of 10 years (range 1-17). RESULTS: Eighty-four (7%) were women, and the overall median age was 49 years (range 18-90). The overall recurrence rate calculated by life table analysis was 18%. Twenty-one of the recurrences were indirect hernias (49%), 11 were direct (26%), 8 were combined direct and indirect (19%) and 3 (7%) were femoral hernias. CONCLUSION: Repair of the internal ring alone carries an unacceptably high recurrence rate.
Authors: Martin Hübner; Markus Schäfer; Hicham Raiss; Nicolas Demartines; Henri Vuilleumier Journal: Langenbecks Arch Surg Date: 2010-07-03 Impact factor: 3.445
Authors: M P Simons; T Aufenacker; M Bay-Nielsen; J L Bouillot; G Campanelli; J Conze; D de Lange; R Fortelny; T Heikkinen; A Kingsnorth; J Kukleta; S Morales-Conde; P Nordin; V Schumpelick; S Smedberg; M Smietanski; G Weber; M Miserez Journal: Hernia Date: 2009-07-28 Impact factor: 4.739