Transversalis fascia-Cooper ligament vs. ileopubic tract repair for medial inguinal hernia
Pahle, E.; Lindorff-Larsen, K.; Nymark, J.; halse, C.; Christiansen, J.
Acta Chirurgica Scandinavica 155(4-5): 267-268
1989
ISSN/ISBN: 0001-5482 PMID: 2678857 Document Number: 338537
In a prospective randomized study of 171 patients, transversalis fascia-Cooper ligament (McVay) repair of medial inguinal hernia was compared with transversalis fascia-ileopubic tract (Ottsen) repair. After median follow-up of 5 years, the total recurrence rate was 9% (95% confidence interval 4-17) following McVay repair and 15% (9-25) following the Ottsen operation. The difference was not statistically significant, but the analysis showed that, whereas the recurrence rate associated with McVay herniorrhaphy was almost constant after 2 years, recurrences continued to appear after Ottsen repair.