An estimate of hernia prevalence in Nepal from a countrywide community survey

Stewart, Barclay T; Prathak, John; Gupta, Shailvi; Shrestha, Sunil; Groen, Reinou S.; Nwomeh, Benedict C.; Kushner, Adam L.; McIntyre, Thomas

doi:10.1016/s0140-6736(15)60801-7

Cited by 3 publications

(6 citation statements)

References 27 publications

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“…Moreover, to the best of our knowledge, no previous studies have investigated the incidence of inguinal hernia in healthy Japanese adults, although the hernia is common in healthy individuals. On the other hand, a previous study reported that the incidences of groin hernias in Nepalese (South Asian) men and women were 1.5 and 0.6 %, respectively [12]. In our study, the incidence in HD patients (0.7 %) is similar to that in healthy Western adults and Nepalese, in whom the reported incidence is 1-2 % [12][13][14].…”

Section: Discussionsupporting

confidence: 76%

Inguinal hernia in hemodialysis versus peritoneal dialysis patients: a case-control study

et al. 2016

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Background: Inguinal hernia is common in dialysis patients, especially peritoneal dialysis (PD) patients; however, no previous reports have assessed the incidence, type, treatments, and risk factors of inguinal hernia in hemodialysis (HD) patients. We retrospectively evaluated the differences in these factors between HD and PD patients. Methods: A total of 2287 HD and 410 PD patients treated between March 2006 and December 2013 were enrolled. The incidence, type (indirect, direct, or combined), and hernioplasty of inguinal hernia as well as demographic characteristics of HD and PD patients were compared. Results: The incidence of inguinal hernia was lower in HD (0.7 %) than in PD patients (5.9 %) (P < 0.001), and these incidences were higher among men (P = 0.007 and P < 0.001, respectively). Of the 16 HD and 24 PD patients with inguinal hernia, 14 and 21 (both 88 %) underwent hernioplasty. Among them, PD patients demonstrated a higher proportion of indirect hernia (91 %) than HD (47 %) patients (P = 0.003). No recurrence was observed in either group. In a multivariate logistic regression model, PD and male sex were risk factors for inguinal hernia (both P < 0.001). Conclusions: In this study, indirect inguinal hernia was more frequent in PD patients than in HD patients. Male sex and PD are risk factors for inguinal hernia in dialysis patients. Tension-free hernioplasty for inguinal hernia was effective in both HD and PD patients. Our findings can help inform clinicians when selecting the dialysis modality (HD or PD) prior to the initiation of dialysis therapy and guide clinical management practices for inguinal hernias in dialysis patients.

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Section: Discussionsupporting

confidence: 76%

Inguinal hernia in hemodialysis versus peritoneal dialysis patients: a case-control study

et al. 2016

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“…9 The age-standardized rate for inguinal hernia in men ranged from 1144 per 100,000 persons between ages 5 and 49 years and 2941 per 100,000 persons aged 50 years. 4 There are still people who were not able to have surgery due to a lack of surgical services, fear or mistrust of the surgical system and inability to afford care in Nepal. 4 A study done in the Department of Defense Military Health System Data Repository of the US among the paediatric population aged less than or equal to 17 years showed that Inguinal hernia repairs were the most common, comprising 63% of all repairs, followed by umbilical (30%), ventral (7%), and femoral (<1%) repairs.…”

Section: Discussionmentioning

confidence: 99%

“…4 There are still people who were not able to have surgery due to a lack of surgical services, fear or mistrust of the surgical system and inability to afford care in Nepal. 4 A study done in the Department of Defense Military Health System Data Repository of the US among the paediatric population aged less than or equal to 17 years showed that Inguinal hernia repairs were the most common, comprising 63% of all repairs, followed by umbilical (30%), ventral (7%), and femoral (<1%) repairs. 10 Our study showed that 14 (93.33%) cases were of inguinal hernia repair among the paediatric population.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Nearly 40% of people with hernia reported disability. 4 So, the burden of a hernia should be evaluated to improve the quality of life of people living with a hernia and increase the quality of life of the affected patients.…”

Section: Introductionmentioning

confidence: 99%

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Hernia among Patients Admitted to the Department of Surgery of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Deo¹,

Shrestha²,

GC³

et al. 2023

J Nepal Med Assoc

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Introduction: Hernia is one of the most common surgery-requiring conditions. Despite this, hernia still needs to be studied in more detail. The main objective of the study was to find out the prevalence of hernia among patients admitted to the Department of Surgery of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients admitted to the Department of Surgery of a tertiary care centre from 1 July 2021 to 31 December 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 202/2079/80). The patient admitted to the Department of Surgery during the study period was included and those with incomplete data were excluded. A convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 3236 patients, the prevalence of hernia was 749 (23.14%) (21.69-24.59, 95% Confidence Interval). The inguinal hernia was the most common type found in 574 (77.25%), followed by an umbilical hernia in 64 (8.61%). A total of 79 (10.55%) had comorbidity among patients with hernia. Conclusions: The prevalence of hernia in our study was found to be higher than in other studies done in similar setting. Easily accessible health facilities, competent primary surgical care and health education should be taken into account by the policymakers to reduce the morbidity and mortality of this condition.

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Establishment of Single-Port, Laparoscopic, Pediatric Hernia Repair in a Developing Country

Rajbhandari

Karki

Guglielmetti

et al. 2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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An estimate of hernia prevalence in Nepal from a countrywide community survey

Cited by 3 publications

References 27 publications

Inguinal hernia in hemodialysis versus peritoneal dialysis patients: a case-control study

Inguinal hernia in hemodialysis versus peritoneal dialysis patients: a case-control study

Hernia among Patients Admitted to the Department of Surgery of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Establishment of Single-Port, Laparoscopic, Pediatric Hernia Repair in a Developing Country

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