The fact that so many different types of operation are employed for the repair of inguinal and femoral hernias can possibly be interpreted as an indication that good results are not easily obtained and that there is still a need for important methods.
In contrast to what one tends to assume, such factors as heavy work, obesity, and advanced age do not influence the recurrence rate to any great extent according to Borgström1 and Ryan.2 On the other hand Marsden3 and Jernberger and Liljedahl4 found an increase in the frequency of recurrence with advancing age. Recurrence is uncommon following hernia operations in children, while in adults, direct hernias recur more often than indirect ones. Ryan2 stated in his analysis of 369 recurrent hernias that direct hernias were 2½ times as common as in a large series of primary hernias. Large hernias recur more often than small
Lindholm Å, Nilsson O, Tholin B. Inguinal and Femoral Hernias: Results Following 238 Preperitoneal Radical Operations. Arch Surg. 1969;98(1):19–23. doi:10.1001/archsurg.1969.01340070037004
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