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Long-term results of repair of the internal ring for primary inguinal hernia
1Department of Surgical Gastroenterology, Herlev University Hospital, Copenhagen, Denmark.
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.