This study covered 282 recurrent inguinal hernias, of which 268 were repaired.1 Included were all hernias of this type in patients admitted to the wards of St. Luke's Hospital, New York, from 1926 to 1935 and all repaired between 1916 and 1925 and followed postoperatively for nine months or longer. They comprised 6.4 per cent of all hernias for these two periods and 7.7 per cent of the total inguinal hernias.
Of the 268 hernia repairs, 210 were observed postoperatively for nine months or longer (the average follow-up time was thirty-eight and four-tenths months). Among these were found 39 recurrences, giving an incidence of recurrence of 18.6 per cent. The average postoperative time after which these recurrences were first noted was nineteen and six-tenths months. Only 3 (7.7 per cent) of these recurrences were indirect, and 36 (92.3 per cent) were direct.
Age at Onset (Age at
SHELLEY HJ. RECURRENT INGUINAL HERNIASA STUDY OF TWO HUNDRED AND EIGHTY-TWO HERNIAS AND TWO HUNDRED AND SIXTY-EIGHT REPAIRS. Arch Surg. 1940;41(6):1437-1454. doi:10.1001/archsurg.1940.01210060134012