High prevalence of abdominal aortic aneurysm in patients with inguinal hernia

Megalopoulos, Angelos; Ioannidis, Orestis; Varnalidis, Ioannis; Ntoumpara, Maria; Tsigriki, Lina; Alexandris, Konstantinos; Anastasiadou, Christiana; Styliani, Parpoudi; Paraskevas, George; Mantzoros, Ioannis

doi:10.5507/bp.2018.077

Cited by 2 publications

(2 citation statements)

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“…A recent study investigated the prevalence of AAA in patients with inguinal hernias and demonstrated a 27.7% prevalence of AAA among the study group. 22 The prevalence of incisional hernias has been reported in 19 studies, 12 of which presented a comparison between AAA and control groups (►Table 2). Only 7 of 12 studies found a significant difference in the prevalence of incisional hernias between AAA (range: 10-37%) and control (range: 3-26%) groups (►Table 2).…”

Section: Discussionmentioning

confidence: 99%

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Do Hernias Contribute to Increased Severity of Aneurysmal Disease among Abdominal Aortic Aneurysm Patients?

et al. 2021

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Background Connective tissue disorders could contribute to the pathogenesis of both abdominal aortic aneurysms (AAA) and hernias. We tested the hypothesis that hernias in AAA patients contribute to increased severity of the aneurysmal disease. Methods A questionnaire was used to collect information from 195 AAA patients divided into four groups: (1) survivors (n = 22) of ruptured AAA, (2) patients (n = 90) after elective open repair, (3) patients (n = 43) after elective endovascular repair (EVAR), and (4) patients (n = 40) under surveillance of AAA. The control group consisted of 100 patients without AAA whose abdominal computed tomography (CT) scans were examined for the presence of hernias. Mann–Whitney U-test, Chi-squared (χ 2) test, or Fisher's exact test (as appropriate) were used for statistical analyses. Multivariate logistic regression was used to control for potential confounding variables such as sex and age. Results The prevalence of inguinal hernias was significantly higher in the AAA than the control group (25 vs. 9%, p = 0.001) and did not differ between the AAA subgroups (9, 24, 35, and 23% in subgroups 1 through 4, respectively, p = 0.15) based on univariate analysis. The prevalence of inguinal hernias did not differ (p = 0.15) between the two open surgery groups (groups 1 and 2), or when comparing all three operative procedures as a combined group to group 4 (p = 0.73). The prevalences of incisional hernias were 18 and 24% for groups 1 and 2, respectively, with no significant difference (p = 0.39). Inguinal hernia demonstrated a significant association with AAA on multivariate analysis (p = 0.006; odds ratio [OR] = 4.00; 95% confidence interval [CI] = 1.49–10.66). Conclusions Our study confirms previous observations that patients with AAA have a high prevalence of hernias. Our results suggest that hernias do not contribute to increased severity of the aneurysmal disease.

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Section: Discussionmentioning

confidence: 99%

“…A recent study investigated the prevalence of AAA in patients with inguinal hernias and demonstrated a 27.7% prevalence of AAA among the study group. 22 …”

Section: Discussionmentioning

confidence: 99%

Do Hernias Contribute to Increased Severity of Aneurysmal Disease among Abdominal Aortic Aneurysm Patients?

et al. 2021

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Abdominal aortic aneurysms and abdominal wall hernias – a systematic review and meta-analysis

Kontogeorgi

Sagris

Kokkinidis

et al. 2021

Vasa

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Summary: Background: Abdominal wall hernias (AWHs) share common epidemiological characteristics with abdominal aortic aneurysms (AAAs), typically presenting in male population and older ages. Prior reports have associated those two disease entities. Our objective was to perform a systematic review and meta-analysis and examine whether AAA rates are higher among patients with AWH vs controls and whether the incidence of AWH was higher among patients with AAA vs patients without AAA. Methods: We performed a systematic review and meta-analysis according to the PRISMA guidelines. The Medline database was searched up to July 31, 2020. A random effects meta-analysis was performed. Results: In total, 17 articles and 738,972 participants were included in the systematic review, while 107,578 patients were eligible for the meta-analysis. Among four studies investigating the incidence of AAA in patients with hernias, AAA was more common in patients with hernias, compared to patients without hernias. [OR: 2.53, 95% CI: 1.24–5.16, I2=81.6%]. Among thirteen studies that compared patients with known AAA vs no AAA, the incidence of hernias was higher in patients with AAA, compared with patients without AAA [OR: 2.27, 95% CI: 1.66–3.09, I2=84.6%]. Conclusions: Our study findings indicate that a strong association between AWH and AAA exists. AWHs could therefore be used as an additional selection criterion for screening patients for AAA, apart from age, gender, family history and smoking.

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High prevalence of abdominal aortic aneurysm in patients with inguinal hernia

Cited by 2 publications

References 40 publications

Do Hernias Contribute to Increased Severity of Aneurysmal Disease among Abdominal Aortic Aneurysm Patients?

Do Hernias Contribute to Increased Severity of Aneurysmal Disease among Abdominal Aortic Aneurysm Patients?

Abdominal aortic aneurysms and abdominal wall hernias – a systematic review and meta-analysis

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