Factors influencing recurrence in inguinal herniorrhaphy
Kafkas University Faculty of Medicine Department of General Surgery, Kars, Turkey
Aim: Inguinal herniorrhaphyis one of the operations made primarily in general surgery clinics. Here, factors influencing recurrence for patients on whom Lichtenstein tension free herniorrhaphy (LTFH) was administered in inguinal hernia surgery in our clinic were investigated.
Material and Methods: From file records and operating room reports of patients on whom LTFH was administered with the diagnosis of inguinal hernia between May, 2012 and August, 2015. Age, gender, whether they were operated under emergency/elective conditions or not, body mass index (bmi), primary/recurrence conditions, direct/indirect/ pantaloon hernia typing, length of follow-up, recurrence rates, existence of scrotal component and calibre of internal ring were recorded. They were followed-up from 30 to 60 months. They were divided into two groups as the ones for whom recurrence was observed and not observed.
Results: The recurrence was observed in 16 patients in their 46 (30-60) month- period of follow-up. It was determined that high values of body mass index influenced recurrence risk significantly (p<0.001). In patients operated under emergency/ elective conditions, no difference was determined between recurrence risks (p:0.105). When the common effect of the parameters examined, it was determined that BMI (p<0.001), width of internal ring calibr (p:0.002) and existence of direct hernia (p:0.002) increased risk of recurrence development independently of all other factors.
Conclusion: It was determined that risk of recurrence had increased in patients with wide internal ring caliber and scrotal component, high BMI and who were especially operated because of recurrent inguinal hernia in follow-up periods following 48 months.