ObjectiveTo retrospectively analyze the risk factors of recurrent groin hernia. MethodsData came from all hernia repairs recorded in our hospital between 1991 and 2001. A total of 1 082 cases of groin hernia was analyzed through Cox proportional hazard model to determine the relative risks between recurrence and mode of admission, types of groin hernia, repair methods (traditional/tensionfree hernioplasty), and postoperative complications.ResultsFrom 1991 to 2001,1 082 groin hernia operations were performed in our hospital, 88.9% for primary hernia and 11.2% for recurrent hernia. As compared with traditional hernia repair methods, Lichtenstein’s tensionfree hernioplasty technique had less relative risk for recurrent hernia repair than that for primary hernia repair. Postoperative complications and indirect hernia were linked to an increased relative risk for recurrence. ConclusionThere are many factors affecting the recurrence of inguinal hernia, but the use of tensionfree hernia repair may decrease rerecurrence of recurrent hernia.
Citation：
REN Wei,SHI De. Analysis of Risk Factors of Recurrent Inguinal Hernia by Cox Proportional Hazard Regression Model. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(3): 263-265. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 2. Rutkow IM. The recurrence rate in hernia surgery. How important is it？ [J]. Arch Surg， 1995; 130（6）∶575.
- 3. Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair inadults [J]. Lancet, 1994； 344(8919)∶375.
- 4. Collaboration EH. Mesh compared with nonmesh methods of open groin hernia repair: systematic review of randomized controlled trials [J]. Br J Surg， 2000; 87(7)∶854.
- 5. BayNielsen M, Nordin P, Nilsson E, et al. Operative findings in recurrent hernia after a Lichtenstein procedure [J]. Am J Surg, 2001； 182(2)∶134.
- 6. Haapaniemi S, Gunnarsson U, Nordin P, et al. Reoperation after recurent groin hernia repair [J].Ann Surg， 2001; 234(1)∶122.
- 7. Sabiston DC Jr. Textbook of surgery [M]. 15th ed. Beijing： Science Press, 1999∶1232.
