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E. Thurston Thieme, MD

AMA Arch Surg. 1971;103(2):238-241.

Abstract
Statistical information relative to age, time of recurrence, duration of recurrence, and type of recurrence is available for patients reoperated upon for 226 recurrent inguinal hernias. Recurrence after a femoral herniorrhaphy is not included. The type of recurrence found at reoperation and the type of repair done are correlated. The average follow-up of 166 repairs was nine years with an overall recurrence rate of 33.1%. A patient profile that will predict a recurrence was not found. The follow-up study indicates that a recurrence localized to the pubic tubercle is best treated by repair of the defect only, a recurrence through the floor by use of Cooper's ligament, and a recurrence at the internal ring is poorly treated by repair of the ring only.

Author Affiliations
Ann Arbor, Mich

From the Department of Surgery, St. Joseph Mercy Hospital Ann Arbor, Mich.

Footnotes
Accepted for publication April 7, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 5, 1971.

Reprint requests to St. Joseph Mercy Hospital, Ann Arbor, Mich 48104 (Dr. Thieme).

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