Bilaterality of Inguinal Hernia in Adult Patients: Synchronous Bilateral and Metachronous Contralateral Hernia.
10.4174/jkss.2009.77.1.54
- Author:
Sun Hyoung SHIN
1
;
Chan Yong PARK
;
Jung Chul KIM
;
Soo Jin CHOI
;
Shin Kon KIM
Author Information
1. Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. wkafyddl@hanmail.net
- Publication Type:Original Article
- Keywords:
Accordance rate;
Hernia type;
Synchronous bilateral hernia;
Metachronous contralateral;
Inguinal hernia
- MeSH:
Adult;
Female;
Hernia;
Hernia, Inguinal;
Herniorrhaphy;
Humans;
Incidence;
Male;
Medical Records;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2009;77(1):54-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We are to describe the incidence and accordance rate of hernia type in synchronous bilateral and metachronous contralateral inguinal hernia. METHODS: We retrospectively reviewed the medical records of 625 adult patients who underwent inguinal hernia repair by a single surgeon at our institute between November 2001 and October 2008. We divided the patients into 3 groups; Synchronous bilateral inguinal hernia group (SH), Metachronous contralateral inguinal hernia group (MH) and Unilateral inguinal hernia group (UH) and analyzed patients' general clinical features and outcomes. RESULTS: Male patients numbered 578 (92.5%) and female patients numbered 47 (7.5%), so the male to female ratio was 12.3:1. Each number of SH and MH were 49 (7.8%) and 59 (9.4%). In MH, the mean interval of counterlateral hernia development following ipsilateral hernia repair was 8.9 years and 20 (33.9%) were developed in a 3-year period. And the incidence of right hernia development after repair of left hernia predominated over left hernia development after repair of right hernia by a ratio of 1.27:1. Accordance rate of hernia type in both sides was 83.8% in SH and 91.2% in MH. CONCLUSION: The incidence of SH and MH were each 7.8% and 9.4% and accordance rate of hernia type is very high in SH and MH. In MH, many patients (33.9%) developed in 3 years after ipsilateral hernia repair. In this study, patients have high accordance rate of hernia type in both sides and indirect type is dominant, especially in MH.
