Risk factors for inguinal hernia in adult males: A case-control study

Lau, Hung; Fang, Christian; Yuen, WK; Patil, NG

doi:10.1016/j.surg.2006.04.014

Cited by 112 publications

(111 citation statements)

References 15 publications

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“…Junge K et al also suggested family history as an important predictor for hernia recurrence. 21,22 As the sample size of our study is small, it would be unwise to establish the risk factors associated with inguinal hernia, so only the incidence of possible risk factors in our study is evaluated.…”

Section: Possible Risk Factors/precipitating Factorsmentioning

confidence: 99%

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

Singh¹,

Prakash²,

Singh

2016

Int Surg J

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Background:Hernia may be generally defined as the protrusion of an abdominal viscus outside the abdominal cavity through a natural or acquired defect. Latin meaning of the word “hernia” is tear or rupture. A Clinical study on inguinal hernia is undertaken to assess the incidence of inguinal hernia in relation to age, gender and occupation, the different types and modes of clinical presentation of patients, the management of patients with special consideration to laparoscopic (TAPP) repair, to evaluate the operating time, pre-operative and post-operative complications, duration of hospital stay, time taken for recovery, recurrence rate and limitations with respect to laparoscopic TAPP repair.Methods: This is a prospective study of 54 cases of inguinal hernia admitted and underwent surgery for inguinal hernia in Department of General Surgery in Guwahati Medical College and Hospital during the study period of August 2014 to July 2015.Results:The highest number of cases presenting with inguinal hernia were over 45 years and it was more common in males which constituted 96.3 percent of cases. It is more common on right side and indirect hernia is more common than direct hernia. The major possible risk factors are smoking and strenuous work. The commonest presenting mode was swelling followed by swelling with pain. The mean time taken for TAPP was 91.85±15.85 minutes and the median time was 87.50 minutes. There were no intra operative (neurovascular, visceral) complications in any of the patient and there was no conversion to open surgery. There was no mortality in present study and none of the patient had any testicular complication.Conclusions:Laparoscopic hernia repair is associated with steep learning curve for surgeons and is more costly both to patients and health care system in the present scenario. Laparoscopic TAPP hernia repair is found to have encouraging results which is a safe and viable option for repair of inguinal hernia with less postoperative pain and discomfort, improved cosmesis, less post-operative complications and early return to work.

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Section: Possible Risk Factors/precipitating Factorsmentioning

confidence: 99%

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

Singh¹,

Prakash²,

Singh

2016

Int Surg J

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“…Никак нельзя назвать адекват-ным подход, когда на общую популяцию экстра-полируются результаты исследований, полученные на основе анализа списков страховых карт [26], лиц определенного пола [4,26] или определенной возрастной группы [4,26,31,32]. Точные эпиде-миологические данные можно получить только в популяционных исследованиях, когда в качестве участников выступают все жители того или иного населенного пункта или региона, либо если участ-ников исследования отбирают методом случайной выборки.…”

Section: недостатки и ограничения опубликованных эпидемиологических иunclassified

“…H. Lau и соавт. [31] в 2007 г. в своем исследовании показали, что у мужчин с паховыми грыжами имеется положительная семейная история (р<0,01, отношение шансов 8,73). Также в 2009 г. была опубликована работа, в которой у 44% паци-ентов с паховыми грыжами был выявлен семейный анамнез.…”

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“…Не-ожиданным стал факт, обнаруженный в ряде работ, что для паховой грыжи более высокий индекс массы тела ассоциирован с более низкой частотой заболе-вания [17,31]. Однако следует принять во внима-ние, что пациенты с избыточной массой тела имеют более высокие риски рецидива грыжи и развития послеоперационных осложнений [33].…”

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Epidemiology of abdominal wall hernias

Kirienko¹,

Nikishkov²,

Селиверстов³

et al. 2016

Endosk. khir.

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“…La tasa de recurrencias aumenta con el número de intentos previos a causa de pérdida de tejidos, friabilidad y retracción cicatrizal; (Flum, Horvath & Koepsell, 2003;Bisgaard, Bay-Nielsen, Christensen, & Kehlet, 2007) evidentemente la primera reparación tendrá mayor posibilidad de éxito, y la recidiva es frecuente tras cualquier reparación secundaria de una hernia recurrente. Los factores desencadenantes han sido muy bien estudiados, y uno de los principales es la hiperpresión intraabdominal, originada por tos crónica, prostatismo y estreñimiento; (Lau, Fang, Yuen & Patil, 2007;Jansen, Klinge, Jansen, & Junge, 2009;Rosemar, Angerås, Rosengren, & Nordin, 2010), otros factores asociados constituye un defecto del metabolismo de colágena, debilidad muscular y tensión de la línea de sutura. (Arregui, & Young, 2005).…”

Section: Introduccionunclassified

Factores de riesgo de recurrencia de hernias inguinales

2017

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Analizar factores relacionados con recurrencia de hernias Inguinal en Hospital Humberto Alvarado Vásquez. Pacientes y Método: Estudio de Casos y Controles. Periodo Enero 2003 - Diciembre 2010, se efectuaron 805 hernioplastias; 57 casos recurrieron, controles 114 asignados al azar. Criterios de exclusión: menor de 15 años, cirugía de urgencia. El análisis estadístico aplicado, pruebas de Chi cuadrado, ANOVA, y razón de probabilidades (OR) con intervalos de confianza del 95%. Resultados: Factores asociados a recurrencia hernia: sexo masculino (p=0.03), mayor de 65 años (p=0.007), obesidad (p=0.0006). Según clasificación de Bendavid los tipos de hernias predominantes en casos T1S3D3 y T2S3D3. La técnica quirúrgica más utilizada en casos fue Bassini OR: 2.68 (1.26-5.72; p=0.005). Se evidenció que las técnicas de Shouldice (p=0.007) y hernioplastia con malla (p=0.0001) constituyen un factor protector. Asimismo hubo una relación significativa de casos con uso nylon 2-0 (p=000.2). El promedio tiempo quirúrgico 50.63 (±26.8) en casos y 41.86(±19.5) en controles. La media tiempo de aparición de recurrencia 2 años (±1.02). Conclusiones: Factores de riesgo de recurrencia: masculino, >65 años, obesidad, técnica quirúrgica Bassini y MacVay; factores protectores técnicas de Shouldice y Hernioplastia con malla. Utilizar siempre hilo monofilamento no absorbible

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Risk factors for inguinal hernia in adult males: A case-control study

Cited by 112 publications

References 15 publications

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

Epidemiology of abdominal wall hernias

Factores de riesgo de recurrencia de hernias inguinales

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