Transversalis fascia-Cooper ligament vs. ileopubic tract repair for medial inguinal hernia.
In a prospective randomized study of 171 patients, transversalis fascia-Cooper ligament (McVay) repair of medial inguinal hernia was compared with transversalis fascia-ileopubic tract (Ottsen) repair. After median follow-up of 5 years, the total recurrence rate was 9% (95% confidence interval 4-17) following McVay repair and 15% (9-25) following the Ottsen operation. The difference was not statistically significant, but the analysis showed that, whereas the recurrence rate associated with McVay herniorrhaphy was almost constant after 2 years, recurrences continued to appear after Ottsen repair.
Pahle
E
E
Department of Surgery D, Glostrup Hospital, University of Copenhagen, Denmark.
Lindorff-Larsen
K
K
Nymark
J
J
halse
C
C
Christiansen
J
J
D000328:Adult; D000368:Aged; D002986:Clinical Trials as Topic; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011446:Prospective Studies; D011897:Random Allocation; D012008:Recurrence