Duration of Groin Hernias and Accompanied Symptoms Before Beginning of Treatment of Hernias

Abstract

the aim of the study was determination of character and duration of the complaints before operation compared with size and type of a hernia determined during the surgery. Material and methods. 200 patients (181 males and 19 females) with 298 hernias were surveyed for the duration of the ailment and its type. Hernias of the II and III size grade (acc. to Schumpelick) constituted 73.48% of cases and recurrent hernias constituted 8.4%. results. 179 times patients reported thickening as a complaint. In 120 cases thinking in the groin was combined with a sensation of pressure or burning/pain. Pressure or pain appeared 62 times as a spontaneous complaint. 57 hernias (19.12%) were not discovered by the patients. The patients were divided into age groups: <45, 46-65 and >65 years. Mean duration of a thickening was 12.05 and 15.65 months in the groups <45 and 46-65, respectively, and 21.01 months in the group >65 (p<0.01). The patients were divided into professional groups: blue collars, white collars, sportsmen, pensioners blue collars and pensioners white collars. Blue collars and sportsmen reported for treatment earlier than the other groups (p<0.01). Recurrent inguinal hernias were observed by the patients for a longer period of time, than in case of other hernias (p<0.01. Earlier than in a year after onset of symptoms 78.21% of the patients reported for treatment because of a thickening, 76.56% because of the sensation of urgency and 89.24% because of burning sensation/pain. Duration of pressure and/or pain depend not on the type of hernia. Duration of hernia symptoms does not influence the number of cases with pressure and pain. conclusions. The most frequent complaint is a thickening in the groin. Duration of symptoms does not influence the number of patients with pain complaints. Blue collars and sportsmen report for therapy earlier and pain tolerance does not depend on a patient's age. One fifth of hernias treated surgically were discovered neither by a patient nor by a referring physician. Key words: groin hernias, recurrence hernias, preoperative symptomatic, detectability of hernias through patients, detectability of hernias through physicians Operations of inguinal hernia are one of the most common procedures performed in surgery wards. Despite this there is insufficient information on natural development of hernias, their duration and symptoms they manifest themselves before a patient reports for therapy.Aim of the study was determination of character and duration of the complaints before operation compared with size and type of a hernia determined during the surgery. MATERIAL AND METHODSIn 2006-2007 during a preliminary examination two hundred subsequent patients qualified for surgical treatment of inguinal hernia were surveyed for kind of complaints and their duration. There were 181 males and 19 females. The patients were divided into three age groups: below 45 years, 46-65 years and over 65 years (tab. 1).Symptoms of the disease reported by the patients were divided into three categories:

Worst Case Scenarios! Complications Related to Hernial Disease

“…The risk of incarceration and subsequent strangulation tend to be higher in the first few months to years and decrease with time. Gallegos et al [9] estimated the probability of incarceration to be around 2.8% at 3 months and 4.8% at 2 years, which might be partially due to weakening of the abdominal wall and decreased pressure on the sac and its contents [9,10]. Some of the risk factors for incarceration and subsequent strangulation include advanced age at the time of presentation, femoral hernia, and recurrent hernia [8].…”