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Risk of femoral hernia after inguinal herniorrhaphy.
Br J Surg. 2002 Apr; 89(4):486-8.BJ

Abstract

BACKGROUND

Small case series have suggested an increased risk of femoral hernia after previous inguinal herniorrhaphy, but no large-scale data with complete follow-up are available.

METHODS

Data were extracted from the Danish Hernia Database covering the interval from 1 January 1998 to 1 July 2001, and included 34 849 groin hernia repairs.

RESULTS

Of 1297 femoral hernia repairs, 71 patients had previously had an operation for inguinal hernia within the observation period. These 71 femoral hernias represented 7.9 per cent of all reoperations for groin hernia recorded in the database. The median time to reoperation for a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 7 months, compared with 10 months for inguinal recurrences. The risk of developing a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 15 times higher than the rate of femoral hernia repair in the general population.

CONCLUSION

This study of 34 849 groin hernia repairs demonstrated a 15-fold greater incidence of femoral hernia after inguinal herniorrhaphy compared with the spontaneous incidence. These femoral recurrences occurred earlier than inguinal recurrences, suggesting that they were possibly femoral hernias overlooked at the primary operation.

Authors+Show Affiliations

Department of Surgical Gastroenterology 435 and the Danish Hernia Database, Hvidovre University Hospital, Hvidovre, Denmark.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11952593

Citation

Mikkelsen, T, et al. "Risk of Femoral Hernia After Inguinal Herniorrhaphy." The British Journal of Surgery, vol. 89, no. 4, 2002, pp. 486-8.
Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg. 2002;89(4):486-8.
Mikkelsen, T., Bay-Nielsen, M., & Kehlet, H. (2002). Risk of femoral hernia after inguinal herniorrhaphy. The British Journal of Surgery, 89(4), 486-8.
Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of Femoral Hernia After Inguinal Herniorrhaphy. Br J Surg. 2002;89(4):486-8. PubMed PMID: 11952593.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk of femoral hernia after inguinal herniorrhaphy. AU - Mikkelsen,T, AU - Bay-Nielsen,M, AU - Kehlet,H, PY - 2002/4/16/pubmed PY - 2002/5/25/medline PY - 2002/4/16/entrez SP - 486 EP - 8 JF - The British journal of surgery JO - Br J Surg VL - 89 IS - 4 N2 - BACKGROUND: Small case series have suggested an increased risk of femoral hernia after previous inguinal herniorrhaphy, but no large-scale data with complete follow-up are available. METHODS: Data were extracted from the Danish Hernia Database covering the interval from 1 January 1998 to 1 July 2001, and included 34 849 groin hernia repairs. RESULTS: Of 1297 femoral hernia repairs, 71 patients had previously had an operation for inguinal hernia within the observation period. These 71 femoral hernias represented 7.9 per cent of all reoperations for groin hernia recorded in the database. The median time to reoperation for a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 7 months, compared with 10 months for inguinal recurrences. The risk of developing a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 15 times higher than the rate of femoral hernia repair in the general population. CONCLUSION: This study of 34 849 groin hernia repairs demonstrated a 15-fold greater incidence of femoral hernia after inguinal herniorrhaphy compared with the spontaneous incidence. These femoral recurrences occurred earlier than inguinal recurrences, suggesting that they were possibly femoral hernias overlooked at the primary operation. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/11952593/Risk_of_femoral_hernia_after_inguinal_herniorrhaphy_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0007-1323&date=2002&volume=89&issue=4&spage=486 DB - PRIME DP - Unbound Medicine ER -