@entity1 profiles and outcomes following repair of irreducible and reducible XXXX .

@entity1 @entity532 @entity281 @entity1321 @entity547 @entity4037
PURPOSE: The belief that irreducible @entity547 are repaired less successfully and with higher morbidity drives @entity1 to seek elective repair. The aims of this study were threefold. First, this study sought  to compare characteristics of @entity1 undergoing irreducible and @entity4037 repair. Second, to compare morbidity rates. Third, to determine which factors, including irreducibility, might be associated with recurrence. METHODS: This observational study was a retrospective review of 252 consecutive @entity4037 @entity1 divided into two cohorts: 101 @entity1 who underwent repair of an @entity4037 , and 152 @entity1 underwent repair of a @entity4037 . The mean follow-up time was approximately 4  years in both groups. RESULTS: @entity1 undergoing repair of irreducible @entity547 had higher median BMI (31 vs. 27  kg/m(2), p  =  0.005), had their @entity547 longer (median 34  months compared to 12  months, p  =  0.043), had more defects on average (mean 1.8 vs. 1.4, p  <  0.001), and were more likely to be symptomatic (83 vs 55  %, p  =  0.002). Interestingly, neither @entity547 size (p  =  0.821), nor the location of @entity547 (p  =  0.261) differed significantly between the two groups. Morbidity rates, including rates of @entity281 , obstruction, and recurrence, did not differ significantly; nor did recurrence-free survival (RFS) distributions. Risk factors for @entity547 recurrence on multivariate analysis included the repaired @entity547 being itself recurrent (HR  =  2.06, 95  % CI  =  1.07-3.99, p  =  0.031), the occurrence of post-operative @entity281 (HR  =  5.10, 95  % CI  =  2.18-11.91, p  <  0.001), and the occurrence of post-operative @entity1321 (HR  =  5.18, 95  % CI  =  1.82-14.75, p  =  0.002). Irreducibility was not a significant predictor of recurrence (p  =  0.152). CONCLUSION: Despite differing profiles, @entity1 with these two types of @entity547 did not have statistically significant differences in morbidity. Recurrence was not observed to be associated with irreducibility but was found to be associated with other @entity532 .
