title: Long-term results of repair of the internal ring for primary inguinal hernia.
abstract: OBJECTIVE
  To evaluate the long-term results of repair of the internal ring for primary inguinal hernia.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  University hospital, Denmark.
  
  
  METHODS
  1159 patients with primary unilateral inguinal hernia.
  
  
  METHODS
  Repair of the internal ring--annulorrhaphy.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Repair of the internal ring alone carries an unacceptably high recurrence rate.
authors.affiliation: Department of Surgical Gastroenterology, Herlev University Hospital, Copenhagen, Denmark.
authors.forename: P
authors.initials: P
authors.lastname: Jess
authors.forename: C
authors.initials: C
authors.lastname: Hauge
authors.forename: C R
authors.initials: CR
authors.lastname: Hansen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D013536:Suture Techniques; D013997:Time Factors