What Effect Does The Duration of An Inguinal Hernia Have on Patient Symptoms?

Hair, Alan; Paterson, Caron; Wright, David M.; Baxter, J. N.; O’Dwyer, P. J.

doi:10.1016/s1072-7515(01)00983-8

Cited by 94 publications

(60 citation statements)

References 6 publications

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“…The presenting symptom of a groin hernia in two-thirds of all patients is either discomfort or pain in the groin [15]. One-third of all patients is asymptomatic at presentation and presents with the sign of a non-tender bulge in the groin.…”

Section: Incidencementioning

confidence: 99%

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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Purpose Groin herniorrhaphy is the most common operation performed by general surgeons. Annually, more than 20 million groin hernias are repaired worldwide. The general approach towards groin hernias is surgical repair regardless of the presence of symptoms. The rationale to recommend surgery for asymptomatic groin hernias is prevention of visceral strangulation. The goal of this review is to evaluate the appropriateness of surgery in patients with asymptomatic groin hernias. Methods The review was based on an extensive literature search of Pubmed, Medline and the Cochrane Library. Results The risk of incarceration is approximately 4 per 1,000 patients with a groin hernia per year. Risk factors for incarceration are age above 60 years, femoral hernia site and duration of signs less than 3 months. Morbidity and mortality rates of emergency groin hernia repair are higher in patients who are older than 49 years, have a delay between onset of symptoms and surgery of more than 12 h, have a femoral hernia, have nonviable bowel and have an ASA-class of 3 or 4. The recurrence rate after tension-free mesh repair in the management of emergency groin hernias is comparable to that of elective repair. There is no diVerence in pain and quality of life after elective repair compared to watchful waiting. There is no advantage in cost-eVectiveness of elective repair compared to watchful waiting. ConclusionWatchful waiting for asymptomatic groin hernias is a safe and cost-eVective modality in patients who are under 50 years old, have an ASA class of 1 or 2, an inguinal hernia, and a duration of signs of more than 3 months.

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Section: Incidencementioning

confidence: 99%

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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“…Literature mentions a term of "asymptomatic inguinal hernia". The term is used for description of physically detected hernias (thickening) without any pain complaints or symptoms of incarceration (5). That is where reasons for differences in frequency of performed surgeries are sought.…”

Section: Discussionmentioning

confidence: 99%

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

Scierski¹

2008

Polish Journal of Surgery

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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:

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“…Este hecho fue evidenciado por nuestros pacientes quienes al ser interrogados sobre sus síntomas se refirieron al dolor en la zona inguinal o a las dificultades causadas por su hernia. Es curioso notar que el dolor inguinal preoperatorio se reporta habitualmente en 30% a 66% de los pacientes con hernia inguinal 26 , en la presente cohorte este fue el síntoma más frecuentemente referido por los pacientes (81% de los casos).…”

Section: Discussionunclassified

Resultados a corto plazo de la hernioplastia inguinal: Seguimiento prospectivo de 112 pacientes

Beltran¹,

Marcelo²

2008

Rev Chil Cir

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TRABAJO DE INGRESO RESUMENIntroducción: Creemos que eventualmente los resultados de la hernioplastía de Lichtenstein sufrirán cambios objetivos y subjetivos según la percepción de cada paciente. El objetivo fue evaluar mediante el Instrumento de medición Cualitativo y Cuantitativo (ICCRHL) los resultados de la hernioplastía de Lichtenstein en una cohorte específica de pacientes y analizar los cambios que en estos podrían ocurrir. Pacientes y método: Los pacientes masculinos mayores de 15 años electivamente operados por hernia inguinal entre Enero y Diciembre del 2004 fueron seguidos prospectivamente mediante entrevista, examen físico y llenado de una forma pre-impresa del ICCRHL un mes después de la cirugía, a los 6 meses, 1 año y 2 años. Resultados: El 70,5% de los pacientes obtuvieron resultados excelentes a los 6 meses los cuales se mantuvieron a los 2 años. Los mejores resultados se obtuvieron en el control del primer año. Los resultados muy malos tuvieron una distribución bimodal, presentándose con mayor frecuencia en el primer control y observándose un importante incremento en el control de los 2 años; la causa fue el desarrollo de inguinodinia. Conclusión: De acuerdo al ICCRHL, los resultados de la hernioplastía de Lichtenstein son diferentes según el momento del tiempo en el cual son medidos. Este hecho demuestra que los resultados de una cirugía funcional como ésta, son dinámicos, varían según el momento en el cual son evaluados y sufren cambios importantes con el tiempo.PALABRAS CLAVE: Hernioplastía de Lichtenstein, calidad de vida, complicaciones quirúrgicas. ABSTRACTBackground: Eventually the outcomes of Lichtenstein hernioplasty will experience objective and subjective changes according to the perception of every individual patient. Aim: To evaluate the outcomes of Lichtenstein hernioplasty using the Quantitative and Qualitative Measurement Instrument (QQMI), in a specific cohort of patients and to analyze the changes that may occur. Patients and methods: One hundred and twelve male patients, aged 17 to 92 years, electively operated for inguinal hernia from January to December 2004, were enrolled in a prospective protocol and subjected to assessments that included an

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What Effect Does The Duration of An Inguinal Hernia Have on Patient Symptoms?

Cited by 94 publications

References 6 publications

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Is surgical repair of an asymptomatic groin hernia appropriate? A review

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

Resultados a corto plazo de la hernioplastia inguinal: Seguimiento prospectivo de 112 pacientes

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