Previous research has shown that the repair of a recurrent inguinal hernia is subject to a greater risk of additional recurrence. Further, bilateral inguinal hernia is subject to a greater recurrence risk than unilateral inguinal hernia. These increased risks may be due to certain anatomical difficulties that complicate the surgical approach in these types of patients. Some clinicians have suggested that laparoscopic approaches are better suited to recurrent and bilateral hernias, and in we delineate separate comparisons for primary, bilateral, and recurrent hernia.
A two-part study on hernia prevalence was carried out in eastern Uganda. The first was a population-based prevalence study with 900 randomly selected men in a Health and Demographic Surveillance Site. The second was a prospective facility-based study of all surgical procedures performed in the two hospitals providing surgical care in the region.The overall prevalence of groin hernia (current hernia or scar after groin hernia surgery) in men was 9.4 per cent. Less than one-third of men with a hernia had been operated on. More than half had no pain symptoms. The youngest age group had an overall prevalence of 2.4 per cent, which increased to 7.9 per cent in the age range 35-54 years, and to 37 per cent among those aged 55 years and above.