Risk factors for recurrence after laparoscopic inguinal hernia repair: a 5-year retrospective cohort study

Main Article Content

María E. Peña
Nicolás H. Dreifuss
Emmanuel E. Sadava

Abstract

Background: The benefits of laparoscopic inguinal hernia repair are multiple; however, the recurrence rate is still controversial and under debate.
Objective: The aim of this study is tu analyze the risk factors associated with long-term recurrence after laparoscopic inguinal hernia repair. Material and methods: The cohort was made up of consecutive patients undergoing transabdomi- nal preperitoneal approach between December 2012 and May 2012, with a minimum follow-up of 6 months. The sample was divided into two groups: G1 (patients with recurrence) and G2 (patients without recurrence). The demographic and clinical variables and the outcomes at 5 years were analyzed.
Results: A total of 717 inguinal hernia repairs were performed in 443 patients. Smoking habits, pre- vious recurrence, mesh size < 12 ×15 cm and surgeries carried out by surgical teams performing < 30 procedures per year were significantly associated with recurrence on univariate analysis (p < 0.05). but only smoking habits and surgeries performed by less experienced surgeons showed statistical sig- nificance on multivariate analysis (p < 0.01). Recurrence rate was 1.5% at years and increased to 2.6% (n = 19) at 5 years.
Conclusion: Extending the follow-up period beyond 2 years after laparoscopic inguinal hernia repair allows a more accurate detection of the recurrence rate. In this series, smoking habits and surgeries performed by less experienced surgeons were significantly associated with recurrences

Downloads

Download data is not yet available.

Article Details

How to Cite
Peña, M. E., Dreifuss, N. H., & Sadava, E. E. (2021). Risk factors for recurrence after laparoscopic inguinal hernia repair: a 5-year retrospective cohort study. Revista Argentina De Cirugía, 110(4), 206–210. Retrieved from https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/137
Section
Original Article