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Background and aims: Inguinal hernia are a condition that needs to be repaired through surgery in most of the cases. The recurrence of this condition is a problematic issue that highlights the importance of the identification of the factors preventing form the incidence of this condition. Regarding this, the present study was conducted to determine and compare the one-year recurrence rate of direct inguinal hernia operated with Lichtenstein method under general versus spinal anesthesia in Rasoul Akram Hospital, Tehran, Iran, during 2015-2016. Materials and Methods: This observational cohort study was conducted on 80 consecutive patients with direct inguinal hernia operated with Lichtenstein method in Rasoul Akram Hospital in 2015-2016. The patients undergoing inguinal hernia surgery under general and spinal anesthesia were compared in terms of the one-year recurrence rate of this medical condition.Results: According to the results, the recurrence rate of 5% was obtained for each of the two groups. There was no significant difference between the two groups regarding the recurrence rate (P>0.05). In addition, no related factor for inguinal hernia recurrence was observed in the study groups (P>0.05). Conclusion: Based on the findings, it can be concluded that the type of anesthesia (i.e., general versus spinal method) exerted no significant effect on the recurrence rate of direct inguinal hernia.
