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Recurrence Rates after Primary Femoral Hernia Open Repair a Systematic Review
Lucia Romano1, Fabiana Fiasca2, Antonella Mattei2
1Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Surgical Innovation
|August 3, 2024
Summary
Open repair of primary femoral hernias has a 4% recurrence rate. Mesh techniques and elective surgery significantly reduce recurrence compared to non-mesh methods and emergency procedures.
Area of Science:
- General Surgery
- Hernia Repair
- Surgical Outcomes
Background:
- Femoral hernias are common, particularly in women, necessitating effective surgical repair strategies.
- Current literature lacks recent data on recurrence rates following open femoral hernia repair.
- Establishing consensus on optimal surgical approaches remains a challenge.
Approach:
- Systematic literature review of studies published since 2002 focusing on femoral hernia recurrence after surgery.
- Included 15 eligible articles encompassing 1087 procedures.
- Assessed risk of bias using Cochrane risk of bias tool and Newcastle-Ottawa Scale.
Key Points:
- The overall crude recurrence rate for open primary femoral hernia repair is approximately 4%.
- Mesh repairs demonstrated a significantly lower recurrence rate (1.9%) compared to non-mesh repairs (6.5%).
- Emergency repairs had a higher recurrence rate (3.7%) than elective repairs (0.71%).
- Most recurrences occurred within the first postoperative year.
Conclusions:
- Open repair of primary femoral hernias yields a crude recurrence rate of about 4%.
- Mesh techniques are associated with lower recurrence rates than non-mesh repairs.
- Elective repair and mesh utilization are recommended to minimize recurrence risk.
