Body Mass Index and Inguinal Hernia: An Observational Study Focusing on the Association of Inguinal Hernia With Body Mass Index

Melwani, Rekha; Malik, Sadaf; Arija, Dharmoon; Sial, Ihsanullah; Bajaj, Ajay; Anwar, Adnan; Hashmi, Atif Ali

doi:10.7759/cureus.11426

Cited by 9 publications

(11 citation statements)

References 22 publications

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“…[ 1 ] Moreover, higher body mass index (BMI) patients were more likely to suffer from inguinal hernia than low BMI patients. [ 7 ] Whether heavy lifting is also a risk factor remains controversial. The current study showed that male gender and PD were the risk factors for inguinal hernia development in patients with ESRD.…”

Section: Discussionmentioning

confidence: 99%

“…Male gender was also a risk factor for hernia occurrence. [ 7 – 9 ] According to several previous studies, a higher incidence of inguinal hernia was observed to be 10 times more common in men than in women. [ 1 , 3 , 7 , 10 ] The inguinal canal, where the spermatic cord enters the scrotum, is supposed to act as a pathway from the abdomen wall to the genitalia.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 – 9 ] According to several previous studies, a higher incidence of inguinal hernia was observed to be 10 times more common in men than in women. [ 1 , 3 , 7 , 10 ] The inguinal canal, where the spermatic cord enters the scrotum, is supposed to act as a pathway from the abdomen wall to the genitalia. [ 1 ] For men, this canal is weaker versus women due to testicles descending after birth and the canal not closing up properly.…”

Section: Discussionmentioning

confidence: 99%

“…Several previous articles illustrated that BMI is associated with the incidence of inguinal hernia occurrence. [ 3 , 7 , 8 , 21 ] Some that indicated higher BMI is a protective factor for inguinal hernia compared to patients with lower BMI, and the temporarily hypothetical explanation was the strengthened abdominal adipose tissue or musculature proved to have a stronger barrier against herniation, while others thought patients with higher BMI are more likely to suffer from inguinal hernia than low BMI. [ 3 , 7 , 8 , 14 , 22 , 23 ] However, limited data were collected in the current study, and more studies are needed to determine whether the association between inguinal hernia and obesity is true and the effect of body fat and abdominal muscle distribution needs to be evaluated further as well.…”

Section: Discussionmentioning

confidence: 99%

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The risk factors of the occurrence of inguinal hernia in ESRD patients receiving dialysis treatment: An observational study using national health insurance research database

et al. 2022

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With the quickly growing population of patients receiving dialysis treatment in Taiwan in recent years, concerns about whether more incidence of inguinal hernia exists in dialysis patients are increasing. In Taiwan, peritoneal dialysis (PD) and hemodialysis (HD) are the 2 most common dialysis types. Therefore, the relationship between dialysis type and inguinal hernia occurrence needs to be evaluated and compared. Our retrospective cohort study included a study population total of 3891 patients diagnosed with end stage renal disease (ESRD) under the HD or PD procedure from 2001 to 2009 from the Longitudinal Health Insurance Database. Also, International Statistical Classification of Diseases and Related Health Problems 9th Revision codes were used to identify ESRD and hernia occurrence. Cox proportional-hazards regression model was applied to measure the risk factors to the hernia occurrence. During the follow-up periods of 3 years, the number of hernia occurrences was 44 (1.13%), 1 (0.03%), and 8 (0.21%) with inguinal, femoral, and ventral hernias, respectively. Only the dialysis type revealed significantly increased hernia risk because PD would increase hernia risk 7 times (adjusted hazard ratio [aHR] = 6.98, 95% CI = 3.59-13.25) than HD. If the patients received PD and shifted to HD later, the risk of hernia was 5 times (aHR = 4.98, 95% CI = 2.29-10.85) than patients with HD. Patients with ESRD receiving PD or PD-HD shift were risk factors of inguinal hernia occurrence. The results may help clinicians increase the alert of possible risk factors and complications at the beginning of dialysis treatment in patients with ESRD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The risk factors of the occurrence of inguinal hernia in ESRD patients receiving dialysis treatment: An observational study using national health insurance research database

et al. 2022

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“…The effect of the type of anesthesia (i.e., local, spinal or general) on operative time and frequency of postoperative operations has also been studied 8 . Furthermore, many papers are dedicated to the relationship between BMI, gender and hernia development 9 . Many of these topics are closely related to the rapid technological progress of sensor systems, digital cameras, wireless communication links, material engineering and also the progress of 3D printing methods.…”

Section: Introductionmentioning

confidence: 99%

Computational Intelligence in Hernia Surgery with Classification of Repair Types

Charvátová

East

Procházka

2022

Preprint

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Problems of the ventral hernia are very common and their evaluation by computational methods can help with the selection of the most appropriate treatment. This study collected data from the records of the set of more than 2800 patients from different European countries observed during last 11 years (2012-2022) and were collected by specialists in hernia surgery. The majority of patients were treated by the standard surgery approach, with the increasing trend towards robotic surgery. This paper is devoted to a statistical evaluation of the treatment method related to the age of the patients, their body mass index (BMI), and the type of repair. Appropriate mathematical methods are used to extract and classify the selected features.The proposed methodology focuses on computational and machine learning methods. Mesh hernia surgery is classified into two classes: groin hernia repairs (GHR) and primary ventral, incisional ventral and parastomal hernia repairs (PVHR, IVHR and PHR).This paper presents statistics of surgery hernia treatments related to the age of patients and repair technologies with different kinds of meshes. The main conclusions point to classification of repair technologies related to the BMI and the age of the patients. Separation accuracy of GHR surgery from other types of repairs reached 69.2 % and 70 % for the Bayesian and SVM methods, respectively. The proposed methodology suggests a very close interdisciplinary approach and the use of computational intelligence in hernia surgery, with its possible use in the clinical environment.

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Incidence and risk factors of metachronous contralateral inguinal hernia development up to 25 years after unilateral inguinal hernia repair: a single-centre retrospective cohort study

Glorieux,

Van Aerde,

Vissers

et al. 2023

Surg Endosc

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Body Mass Index and Inguinal Hernia: An Observational Study Focusing on the Association of Inguinal Hernia With Body Mass Index

Cited by 9 publications

References 22 publications

The risk factors of the occurrence of inguinal hernia in ESRD patients receiving dialysis treatment: An observational study using national health insurance research database

The risk factors of the occurrence of inguinal hernia in ESRD patients receiving dialysis treatment: An observational study using national health insurance research database

Computational Intelligence in Hernia Surgery with Classification of Repair Types

Incidence and risk factors of metachronous contralateral inguinal hernia development up to 25 years after unilateral inguinal hernia repair: a single-centre retrospective cohort study

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