Different medical and social conditions have been associated with primary and recurrent hernias.
Possible predictors of recurrence after elective umbilical hernia repair have not been defined clearly.
Dr Massimo Asolati and colleagues from Texas determined factors that predict recurrence in patients after elective repair of umbilical hernias.
The research team performed a 6-year retrospective review of patients with elective umbilical hernia repair at the Dallas VA Medical Center.
The team evaluated clinical and pathologic data by univariate analysis to identify predictive factors for recurrence.
|Recurrences occurred in 5%|
|American Journal of Surgery|
A total of 244 patients underwent elective hernia repair within the study period, of which 96% were male with a mean age of 56 years.
The team reported that 74% were Caucasian, 14% were African American, and 8% were Hispanic.
Because 15 patients were not compliant with follow-up requirements, 229 were eligible for the study.
The researchers noted that 42% underwent suture repair and 57% underwent mesh repair.
The team identified recurrences in 5%.
Most of the recurrences were in the suture repair group.
The team used univariate analysis to highlight patients likely to develop recurrences.
The researchers observed that African American, type II diabetics, patients with hyperlipidemia were most likely to develop recurrences.
Human immunodeficiency virus-positive patients were also more likely to develop recurrences.
Dr Asolati's team concludes, “Smoking, obesity, size of hernia, type of repair, or chronic obstructive pulmonary disease do not seem to predict recurrence of hernias in this veteran population.”
“African Americans, patients with type II diabetes, hyperlipidemia, and positive for human immunodeficiency virus, may have a higher risk for recurrence after elective umbilical hernia repair.”