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Open hernia repair and risk factors of recurrence at hospitals in Aceh, Indonesia


Link of Video Abstract:


Background: Hernia is a condition involving bulging a whole or part of an organ due to defect on the abdominal wall. Inguinal hernia is one of the most common types of abdominal wall hernia. There are approximately 20 million cases of hernia repair surgery done annually. Hernia repair is deemed successful if there is no recurrence and complications at a relatively affordable cost, and patients can return to daily routine immediately.  The incidence of recurrence is affected by many factors, such as, the knowledge and skills of surgeons, surgical procedures and type of mesh used, mesh fixation techniques, management of lateral and medial hernia sacs, sliding hernia, lipoma in inguinal canal, surgery time, type of anesthesia, post-surgery complications, and factors coming from patients. This study was done to assess the prevalence of inguinal hernia and its recurrence, surgical procedures, and the risk factors related to the recurrence.

Methods: This cohort retrospective study used a total sampling technique in inguinal hernia patients who had received surgery.

Result: There were a total of 1457 patients from 2018 – 2022 from 10 public and private hospitals in North Aceh Regency and Lhokseumawe city. The study found that most hernia patients were male under 60 years of age. The highest risk factors of inguinal hernia were seen in patients with history of vigorous physical activity, chronic cough, and constipation.

Conclusion: Open hernia repair with mesh graft was the most used surgical procedure and most inguinal hernia patients did not have recurrence.


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How to Cite

Sayuti, M., Akbar, M. K. ., Simanjuntak, A. D. R. ., & Aprilita, R. . (2024). Open hernia repair and risk factors of recurrence at hospitals in Aceh, Indonesia. Bali Medical Journal, 13(1), 802–805.




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Muhammad Sayuti
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Muhammad Khalilul Akbar
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Ami Dhania Rovi Simanjuntak
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Rani Aprilita
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