| Description: |
Background: Anterior abdominal wall hernias are common worldwide and recurrence remains a significant clinical challenge. This study aimed to identify different risk factors associated with primary hernia occurrence and early recurrence in a tertiary hospital in Jordan. Methods: A retrospective study was conducted for a total of 341 adult patients treated for anterior abdominal wall hernias within the Surgical Department of Al-Hussain New Salt Hospital between January 2022 and November 2023, using the open surgical approach. Collected variables included age, sex, smoking status, comorbidities, constipation, family history, anaemia, hernia type, and repair technique. Descriptive statistics, chi-square tests, and multivariable logistic regression were used, with p < 0.05 considered statistically significant. Results: Among 341 cases, 329 (96.5%) patients presented with primary hernias. Most patients were male (78.4%), and the most common age group was 41–60 years. Inguinal hernias were the most frequently encountered (66.9%). In unadjusted analyses, primary hernia characteristics were significantly associated with sex, age group, smoking, and family history (all p |