Long term results of repair of the internal ring for primary inguinal hernia

• Published in: The European journal of surgery 1999-08, Vol.165 (8), p.748-750
• Main Authors: Jess, Per, Hauge, Christina, Hansen, Claus R.
• Format: Article
• Language: English
• Subjects: Abdomen; Adolescent; Adult; Aged; Aged, 80 and over; Biological and medical sciences; Female; Follow-Up Studies; Gastroenterology. Liver. Pancreas. Abdomen; Hernia, Inguinal - surgery; Humans; Male; Medical sciences; Middle Aged; Other diseases. Semiology; Recurrence; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Suture Techniques; Time Factors
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/11024159950189519

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. Copyright © 1999 Taylor and Francis Ltd.