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Follow-up after inguinal hernia repair. Questionnaire compared with physical examination: a prospective study in 299 patients.

OBJECTIVE
To assess the value of a written questionnaire in the follow-up of patients after inguinal hernia repair.


DESIGN
Prospective study.


SETTING
University and two district hospitals. The Netherlands.


SUBJECTS
314 patients with 362 inguinal hernias.


MAIN OUTCOME MEASURES
Correlation between answers to questionnaire and clinical examination in the diagnosis of recurrent hernias.


RESULTS
13/24 recurrences (54%) after a mean follow-up of 33 months with a follow-up rate of 93% were not diagnosed by the questionnaire.


CONCLUSION
Follow-up after hernia repair must be by physical examination.