Anatomical predisposition has long been considered a contributing factor in inguinal hernia development, but its role in postoperative recurrence remains uncertain. In this matched case–control analysis of 203 men , pelvic morphometric parameters measured on standardized pelvic radiographs were compared among patients with recurrent inguinal hernia, primary hernia, and healthy controls. Pelvic dimensions, particularly the length of Ami’s line, were significantly greater in hernia patients than in controls, with Ami’s line emerging as a strong independent predictor of hernia presence.
However, no pelvic measurement reliably differentiated recurrent from primary hernia cases, despite a nonsignificant trend toward higher Radioievitch angles in recurrent hernias. Importantly, a history of heavy labor showed a significant association with recurrence, underscoring the dominant influence of…
