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Retrospective study on prevalence of recurrent inguinal hernia: a large-scale multi-institutional study

Annals of Surgical Treatment and Research 2020년 98권 1호 p.51 ~ 55
 ( Lee Chul-Seung ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery

김지훈 ( Kim Ji-Hoon ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Surgery
최병조 ( Choi Byung-Jo ) - Catholic University College of Medicine Daejeon St. Mary’s Hospital Department of Surgery
이재임 ( Lee Jae-Im ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Surgery
이상철 ( Lee Sang-Chul ) - Catholic University College of Medicine Daejeon St. Mary’s Hospital Department of Surgery
이윤석 ( Lee Yoon-Suk ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
오성택 ( Oh Seong-Taek ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Surgery
김형진 ( Kim Hyung-Jin ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Surgery

Abstract


Purpose: We conducted a multi-institutional analysis to establish the epidemiological characteristics of recurrent inguinal hernia following hernia repair in patients across 4 institutions in Korea.

Methods: The retrospectively reviewed data included patient characteristics, hernia location, year of primary operation, type of hernia, timing of recurrence, primary operation type, and whether a mesh was used.

Results: Among 4,604 patients who underwent hernia repair surgery, 255 patients (5.5%; 13 females and 242 males; mean age, 63 years) were found to have recurrent hernia from January 2010 to April 2017. Recurrent indirect inguinal and direct hernias were observed in 47.1% and 49.4% of the patients, respectively. The recurrence of hernias within 1 year of surgery was the highest at 17.25%. Early and late recurrences was observed in 23.5% and 66.5% of the patients, respectively. Among the patients, 81.6% underwent open hernia repair at the time of initial surgery.

Conclusion: Recurrence of hernia is most common in the first year after the initial surgery, and 23.5% of recurrent inguinal hernia was developed within 2 years. Patients underwent surgery after an average of 116 months (median value, 64 months) following the first operation. In patients with recurrent hernia, direct hernia was seen more frequent than indirect hernia whereas indirect hernia occurred more in patients with primary hernia.

키워드

Herniorrhaphy; Inguinal hernia; Recurrence
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