Prognosis
Indirect inguinal hernias recur in about 3% of cases when a recognised operative repair is competently performed. For direct hernias, the figure may be as high as 28%. Risk factors for recurrence include:
- poor operation
- inherently poor musculature
- chronic cough - especially in people with COPD, or people who continue to smoke immediately after the operation
- urinary obstruction
- constipation
- premature return to heavy work
Male patients with recurrent hernias may be required to have their testis and spermatic cord removed to avoid future recurrence.
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