Inguinal Hernia Relapse

For many years recurrence was the only criterion by which the quality of a hernia repair was measured. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. Complications after recurrent hernia surgeries are also much more common.

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An indirect inguinal hernia is the most common type.

Inguinal hernia relapse. The single most important factor is the site of the original hernia. The recurrence rates in specialist hernia centers using the shouldice technique then the gold standard were as low as 0 2 2 7 with 100 follow up of over 10 or more years. Reported unacceptably high recurrence rate when the inguinal hernia was operated by unsupervised junior trainees. Whether it s a relatively small inguinal hernia or umbilical hernia recurrence all the way up to large ventral hernias there are increased risks.

Your doctor is likely to recommend surgery to fix an inguinal hernia that s painful or enlarging. Obviously there becomes an increasing amount of prior scar tissue which makes the surgery more difficult. An inguinal hernia isn t necessarily dangerous. Inguinal hernia recurrence is still too frequent in the large published series 1 2 whatever the surgical technique used its incidence is often inaccurately recorded because of inadequate follow up in terms of methodology used its duration or proportion of patients followed up as compared to the operated again patients the rate of recurrence appears to be between 0 2 and 10.

Surg laparosc endosc percutan tech. The risk of a hernia coming back after surgical repair varies from 1 in 200 0 5 to 1 in 7 15. Inguinal hernias have the lowest recurrence rates compared to incisional and femoral hernias which have the highest risk of recurrence. It doesn t improve on its own however and can lead to life threatening complications.

Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. Inguinal hernias can be indirect or direct incarcerated or strangulated. It often occurs in premature births. The most frequent surgery in pediatric practice is inguinal hernia 1 2 inguinal hernia is observed in 3 5 5 of full term neonates 3 inguinal hernia occurs predominantly in male patients 4 the recurrence was reported to be 0 68 4 in different studies 5 8.

Recurrence rates of over 15 for primary repair were accepted before the mesh techniques were introduced. Elective surgery is offered to most patients. Inguinal hernia repair is one of the most frequently performed elective operations today. 8 robson aj et al.

Although the trend of laparoscopy in the treatment of inguinal hernia is increasing 9 10 because of some. Staerkle rf buchli c villiger p. Inguinal hernia repair is a common surgical procedure. Patient satisfaction hernia recurrence rate and chronic pain 10 years after endoscopic total extraperitoneal inguinal hernia repair.