Open AccessLong term results of repair of the internal ring for primary inguinal hernia
Author(s) -
Jess Per,
Hauge Christina,
Hansen Claus R.
Publication year - 1999
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/11024159950189519
Subject(s) - medicine , surgery , inguinal hernia , hernia , retrospective cohort study
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.