Body Mass Index and Groin Hernia

Rosemar, Anders; Angerås, Ulf; Rosengren, Annika

doi:10.1097/sla.0b013e31816b4399

Cited by 87 publications

(59 citation statements)

References 21 publications

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“…In general, IH occurs more frequently among men with low body mass index (BMI), old age, and history of smoking [13, 14]. Anatomically, the internal orifice is penetrated by the spermatic cord and is covered by the transversalis fascia, which act as a supportive structure in preventing development of IH.…”

Section: Discussionmentioning

confidence: 99%

“…Aging may abate tension of the supporting connective tissue surrounding the internal inguinal ring [15]. It may also accelerate deterioration of muscular power of the abdominal muscles [13, 16]. Smoking is a known factor that is related to an increased risk of IH recurrence, since it causes change in the collagen composition by generating tissue hypoxia [14].…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors of inguinal hernia after robot-assisted radical prostatectomy

et al. 2017

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Background: Robot-assisted radical prostatectomy (RARP) has now become a gold standard approach in radical prostatectomy. The aim of this study was to investigate incidence and risk factors of inguinal hernia (IH) after RARP. Methods: This study included 307 consecutive men who underwent RARP for the treatment of prostate cancer from January 2011 to August 2015. The incidence of IH after RARP was investigated. Clinical and pathological factors were also investigated to assess relationship with development of postoperative IH. Results: Median follow-ups were 380 days, and median age of patients was 67 years. Incidence of IH was 11.3, 14.0, and 15.4% at 1, 2, and 3 years after RARP, respectively. Postoperative IH occurrence was significantly associated with low surgeon experience and postoperative incontinence at 3 or 6 months after surgery (P = 0.019, P = 0.002, and P = 0.016, respectively). Conclusions: Most of the IH occurred within the first 2 years with a rate of 14%. Incidence of IH after RARP was significantly associated with surgical experience and incontinence outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of inguinal hernia after robot-assisted radical prostatectomy

et al. 2017

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“…There are, however, two studies with results that correlate with ours. One reported a close to significant decrease in hazard ratio (0.82, 95% CI 0.65–1) among current smokers [27], and another reported a significantly decreased hazard ratio among individuals who smoked more than fifteen grams of tobacco each day [28]. …”

Section: Discussionmentioning

confidence: 99%

Tobacco use is not associated with groin hernia repair, a population-based study

Hemberg

Holmberg

Norberg

et al. 2017

Hernia

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PurposeThe pathogenesis of groin hernia is not fully understood and some suggested risk factors are debatable. This population-based study evaluates the association between groin hernia repair and tobacco use.MethodAn observational study based on register linkage between the Swedish Hernia Register and the Västerbotten Intervention Program (VIP). All primary groin hernia repairs performed from 2001 to 2013 in the county of Västerbotten, Sweden, were included.ResultsVIP provided data on the use of tobacco in 102,857 individuals. Neither smoking nor the use of snus, increased the risk for requiring a groin hernia repair. On the contrary, heavy smoking decreased the risk for men, HR 0.75 (95% CI 0.58–0.96), as did having a BMI over 30 kg/m2 HR (men) 0.33 (95% CI 0.27–0.40).ConclusionTobacco use is not a risk factor for requiring a groin hernia repair, whereas having a low BMI significantly increases the risk.

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“…[6][7] Interestingly, data from the Swedish hernia registry showed that the relationship of BMI with post-operative complications after IHR was U-shaped, where complication rates were highest in patients who were underweight or obese. [6] Others have also encountered increased risk for re-admission for obese patients after IHR.…”

Section: Discussionmentioning

confidence: 99%

“…However, recent epidemiologic studies have suggested the opposite: increased weight, along with higher body mass index (BMI), is associated with a decreased risk of requiring an IHR when compared with normal weight individuals. [6, 7][8] Nonetheless, obesity is an established risk factor that increases the risk of recurrence of an IHR. [6] Hence, it is possible that the interaction between body weight and the mechanisms behind the development and recurrence of an IH are different.…”

Section: Introductionmentioning

confidence: 99%

Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN

Zendejas

Hernández-Irizarry

Ramírez

et al. 2013

Hernia

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Purpose The relationship between body mass index (BMI) and the risk of inguinal hernia development is unclear. To explore the relationship, we determined whether the incidence of inguinal hernia repairs (IHR) varied across patients in different BMI categories. Study Design A population-based incidence study was undertaken. We reviewed all IHR performed on adult residents of Olmsted County, MN from 2004 to 2008. Cases were ascertained through the Rochester Epidemiology Project, a records-linkage system with more than 97% population coverage. Results During the study period, a total of 1,168 IHR were performed on 879 men and 107 women. The median BMI of the cohort was 26.7 kg/m2 (range 14.9 – 58.1; interquartile range 23.9 – 28.9). Incidence rates varied significantly as a function of BMI (p<0.001). Rates were highest among men who were either normal weight or overweight (419.8 and 421.1 per 100,000 person years for BMI<25 and BMI 25–29.9, respectively), and lowest for obese and morbidly obese men (273.5 and 99.4 per 100,000 person years for BMI 30–34.9 and BMI ≥35, respectively). Findings were similar across all age categories and in patients who had an IHR that was initial or recurrent, direct or indirect, and unilateral or bilateral. Conclusions The incidence of IHR decreased as BMI increased. Obese and morbidly obese patients had a lower incidence of IHR than those who were normal weight or overweight. The causal mechanisms leading to such a relationship are unclear and warrant further study.

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Body Mass Index and Groin Hernia

Cited by 87 publications

References 21 publications

Incidence and risk factors of inguinal hernia after robot-assisted radical prostatectomy

Incidence and risk factors of inguinal hernia after robot-assisted radical prostatectomy

Tobacco use is not associated with groin hernia repair, a population-based study

Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN

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