- Hospital de Clínicas de Porto Alegre, General Surgery Service - Porto Alegre - RS - Brasil.
- Universidade Federal de Pelotas, Public Health Department - Pelotas - RS - Brasil.
Rev Col Bras Cir. 2022 Sep 2;49:e20223238. doi: 10.1590/0100-6991e-20223238-en. eCollection 2022.
recurrence rates for primary hernia repair range from 0.5 to 15 percent depending upon the hernia site, type of repair, and clinical circumstances. Many risk factors are known and they must be considered before the procedure. In developing countries, follow up and maintenance of databases are critical to understand the real numbers.
a retrospective cohort study analyzed adult patients who have undergone inguinal hernia repair at Hospital de Clínicas de Porto Alegre, a tertiary care government public hospital, between 2013 and 2015. Medical records, telephone, and letter contact have been reviewed in order to complete the minimum period of 5 years of follow-up. The analyzed data focused on the surgeon's experience and the recurrence rate in 5 years of follow-up.
a total of 1094 medical records were selected and a complete five years follow-up were possible in 454 patients - 538 inguinal hernia repairs due to bilateral approach in 84 patients. These 454 patients answered, in a validated questionnaire about symptoms of recurrence. The total recurrence rate was 9.29%. For the patients who had Nyhus IV, recurrence rate was 24.1% against 9.9% after primary hernia repair, with a 2.4 higher risk. There was no difference in recurrence between surgeons and training surgeons.
our data reveal an acceptable recurrence rate in a tertiary care hospital with residents, and to our knowledge is the first Brazilian report with long term follow up. An increased re-recurrent hernia was found when compared with primary hernia repair.
根据疝部位、修复类型和临床情况，原发性疝修复的复发率在 0.5%至 15%之间。许多风险因素是已知的，在手术前必须考虑这些因素。在发展中国家，随访和数据库维护对于了解真实数据至关重要。
一项回顾性队列研究分析了 2013 年至 2015 年在三级保健政府公立医院阿雷格里港临床医院接受腹股沟疝修复的成年患者。为了完成至少 5 年的随访期，对病历、电话和信件进行了回顾。分析的数据集中在外科医生的经验和 5 年随访期间的复发率上。
共选择了 1094 份病历，在 454 名患者中完成了完整的 5 年随访 - 84 名患者因双侧入路而进行了 538 次腹股沟疝修复。这 454 名患者回答了关于复发症状的验证问卷。总复发率为 9.29%。对于 Nyhus IV 患者，复发率为 24.1%，而原发性疝修复后为 9.9%，风险增加了 2.4 倍。外科医生和培训外科医生之间的复发率没有差异。
我们的数据显示，在一家拥有住院医师的三级保健医院中，复发率是可以接受的，据我们所知，这是巴西首例长期随访的报告。与原发性疝修复相比，发现复发性疝的复发率增加。
