Simultaneous bilateral hernia repair: A case against conventional wisdom

A. R. Miller, J. A. Van Heerden, James M Naessens, P. C. O'Brien

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

The timing of bilateral hernia repair remains controversial. Because of reported high recurrence rates after simultaneous bilateral repair, staged procedures have been suggested. This study determined recurrence and complication rates of unilateral versus simultaneous bilateral repair. Of 659 patients undergoing hernia repair between 1974 and 1980, 333 underwent unilateral repair and 329 had simultaneous bilateral repair. More than 90% of patients were followed until death or a minimum of 60 months (median, 104 months). Perioperative complications were associated with 18% of repairs. More morbidity occurred in the bilateral group. However complication rates for specific events were not significantly different, except for urinary retention, which occurred in 20 patients (6.1%) of the unilateral group and 49 (15%) of the bilateral group (p < 0.001). Overall 25 recurrences occurred in the unilateral group and 31 in the bilateral group. Recurrence rates at 5 and 9 years were, respectively, 4.8% and 8.8% in the unilateral group and 5.0% and 9.1% in the bilateral group (p = 0.861). These data suggest that simultaneous bilateral inguinal herniorrhaphy does not result in increased rates of most postoperative complications or recurrence when compared with unilateral repair.

Original languageEnglish (US)
Pages (from-to)272-276
Number of pages5
JournalAnnals of Surgery
Volume213
Issue number3
StatePublished - 1991

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Herniorrhaphy
Recurrence
Urinary Retention
Groin
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Miller, A. R., Van Heerden, J. A., Naessens, J. M., & O&apos;Brien, P. C. (1991). Simultaneous bilateral hernia repair: A case against conventional wisdom. Annals of Surgery, 213(3), 272-276.

Simultaneous bilateral hernia repair : A case against conventional wisdom. / Miller, A. R.; Van Heerden, J. A.; Naessens, James M; O&apos;Brien, P. C.

In: Annals of Surgery, Vol. 213, No. 3, 1991, p. 272-276.

Research output: Contribution to journalArticle

Miller, AR, Van Heerden, JA, Naessens, JM & O&apos;Brien, PC 1991, 'Simultaneous bilateral hernia repair: A case against conventional wisdom', Annals of Surgery, vol. 213, no. 3, pp. 272-276.
Miller AR, Van Heerden JA, Naessens JM, O&apos;Brien PC. Simultaneous bilateral hernia repair: A case against conventional wisdom. Annals of Surgery. 1991;213(3):272-276.
Miller, A. R. ; Van Heerden, J. A. ; Naessens, James M ; O&apos;Brien, P. C. / Simultaneous bilateral hernia repair : A case against conventional wisdom. In: Annals of Surgery. 1991 ; Vol. 213, No. 3. pp. 272-276.
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