Recurrent Inguinal Hernia

The Inguinal Darn

“…11,14 This total lack of agreement is because no two series of the many reported analyses are alike. 19 The wide discrepancy between the excellent results of personal series and those obtained by impersonal reviews is the main reason for the problem of inguinal hernia repairs.21 Part of the problem is the lack of a set of standards for reporting results of hernia repair.22 So far, only the British surgeons have taken a scientific approach to the problem. 9,19,22 Our results with the nylon darn repair compare favorably with other reported series.9,1214 Although the overall recur¬ rence rate at 62 months is 5.7%, one must keep in mind that we limited this repair to patients who were at high risk for recurrence no matter which surgical technique would be selected.…”

“…19 The wide discrepancy between the excellent results of personal series and those obtained by impersonal reviews is the main reason for the problem of inguinal hernia repairs.21 Part of the problem is the lack of a set of standards for reporting results of hernia repair.22 So far, only the British surgeons have taken a scientific approach to the problem. 9,19,22 Our results with the nylon darn repair compare favorably with other reported series.9,1214 Although the overall recur¬ rence rate at 62 months is 5.7%, one must keep in mind that we limited this repair to patients who were at high risk for recurrence no matter which surgical technique would be selected. Therefore, the 3.5% recurrence in the primary repair group compares favorably with the reported 2.3% by Leacock and Rowley13 and the 5.0% by Shuttleworth and Davies.12 The 8.3% recurrence rate in the secondary repair group is a marked improvement over the reported 30% recurrence associated with multiple repairs.14,23 The ex¬ pected recurrence rate at 25 years can be calculated by multiplying the actual recurrence at five years by a factor of I.5.24 Sixty percent of recurrences appear within the first five years after repair.…”

Prospective studies on clinical outcomes of Lichtenstein’s tension free inguinal hernioplasty under local anaesthesia

“…The same technique can safely be applied to all inguinal hernias, indirect and direct, as well as recurrent hernias. 14,15 There were no significant late complications (>1 week), the only minor complication was neuralgia in 5 cases (8.33%) and scar tenderness in 2 cases (3.33%).…”

Inguinal Hernia in Saudi Arabia: 10 Years’ Experience

“…In series from clinics that specialize in herniorrhaphy, recurrence rates as low as 0.7% to 2.0% after primary inguinal hernia repair in adults have been achieved during the last 20 to 30 years. Such reports have come from Glassow, 15 Halverson and McVay, 10 Madden and colleagues, 16 Palumbo and Sharpe, 6 Rutledge, 17 and Zimmerman 18 These results represent the optimal condition. A second group includes general surgical departments in which hernia recurrence rates from 10% to 30% are common after 10 to 15 years: Shuttleworth and Davies, 19 Hansen and coworkers, 20 and Nielsen et al 21 This startling difference presumably reflects technical errors or missed hernias.…”