Long-term results of repair of the internal ring for primary inguinal hernia.
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.
Jess
P
P
Department of Surgical Gastroenterology, Herlev University Hospital, Copenhagen, Denmark.
Hauge
C
C
Hansen
C R
CR
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