World Journal of Surgery

, Volume 37, Issue 2, pp 306–311 | Cite as

Direct and Recurrent Inguinal Hernias are Associated with Ventral Hernia Repair: A Database Study

  • Nadia A. HenriksenEmail author
  • Lars T. Sorensen
  • Morten Bay-Nielsen
  • Lars N. Jorgensen



A systemically altered connective tissue metabolism has been demonstrated in patients with abdominal wall hernias. The most pronounced connective tissue changes are found in patients with direct or recurrent inguinal hernias as opposed to patients with indirect inguinal hernias. The aim of the present study was to assess whether direct or recurrent inguinal hernias are associated with an elevated rate of ventral hernia surgery.


In the nationwide Danish Hernia Database, a cohort of 92,457 patients operated on for inguinal hernias was recorded from January 1998 until June 2010. Eight-hundred forty-three (0.91 %) of these patients underwent a ventral hernia operation between January 2007 and June 2010. A multivariate logistic regression analysis was applied to assess an association between inguinal and ventral hernia repair.


Direct (Odds Ratio [OR] = 1.28 [95 % CI, 1.08–1.51]) and recurrent (OR = 1.76, [95 % CI, 1.39–2.23]) inguinal hernias were significantly associated with ventral hernia repair after adjustment for age, gender, and surgical approach (open or laparoscopic).


Patients with direct and recurrent inguinal herniation are more prone to ventral hernia repair than patients with indirect inguinal herniation. This is the first study to show that herniogenesis is associated with type of inguinal hernia.


Hernia Repair Inguinal Hernia Inguinal Hernia Repair Ventral Hernia Ventral Hernia Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The study was financially supported by the A. P. Møller and Wife Chastine Mc-Kinney Møller Foundation for Promotion of Medical Science, the Bispebjerg Hospital Foundation for Young Researchers and the Frimodt Foundation.

Conflict of interest



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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Nadia A. Henriksen
    • 1
    Email author
  • Lars T. Sorensen
    • 1
  • Morten Bay-Nielsen
    • 2
  • Lars N. Jorgensen
    • 1
  1. 1.Department of Surgery KUniversity of Copenhagen, Bispebjerg HospitalCopenhagen NVDenmark
  2. 2.Department of Surgical GastroenterologyHvidovre Hospital, University of CopenhagenCopenhagenDenmark

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