Do we really know the symptoms of inguinal hernia?

Lara, Francisco Javier Pérez; Moreno, Arturo del Rey; Muñoz, H. Oliva

doi:10.1007/s10029-014-1319-4

Cited by 12 publications

(10 citation statements)

References 17 publications

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“…The clinical manifestations extend beyond the inguinal region, with a notable proportion of patients experiencing symptoms such as groin pain, genital discomfort, urinary issues, abdominal discomfort, increased peristalsis, and tenesmus. 11,12 Numerous studies have underscored the significant impact of inguinal hernias on individuals' QOL due to pain and discomfort. [13][14][15] Groin discomfort or heaviness, often accompanied by a visible bulge, represents the most prevalent symptom associated with hernias.…”

Section: Discussionmentioning

confidence: 99%

Quality of life following laparoscopic totally extraperitoneal repair of a unilateral reducible inguinal hernia

Chuah,

Siow,

Bujang

2024

Asian J Endoscop Surgery

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BackgroundLaparoscopic totally extraperitoneal (TEP) inguinal hernia repair has become increasingly favored over open Lichtenstein tension‐free mesh repair owing to its associated benefits, including reduced postoperative pain, early return to normal activities, and a comparable recurrence rate. In recent years, emphasis has been placed on patient‐reported outcomes, particularly health‐related quality of life (QOL), as a critical metric for evaluating surgical success. This study aimed to evaluate the overall QOL following laparoscopic TEP repair of unilateral inguinal hernia.MethodsThis prospective study enrolled patients aged 18 years or older who underwent elective laparoscopic TEP hernia repair for unilateral inguinal hernia from April 2020 to March 2022. Data collected include demographic details, hernia characteristics, postoperative complications, and postoperative QOL assessment. The Short Form 36 Health Survey Version 2 (SF‐36v2), a validated general QoL questionnaire, was administered preoperatively and at 1 month, 6 months, and 1 year postoperatively. Statistical analysis utilized paired t‐tests for comparisons, with significance set at a p‐value <.05.ResultsA cohort of 49 patients, with a mean (standard deviation) age of 56.7 (14.0) years, predominantly comprising 47 men, was available for evaluation. Complications were observed in three (6.1%) of cases, with seroma/hematoma occurring in two patients and a wound infection necessitating antibiotic treatment in one patient. Notably, there were no instances of recurrence during the study period. Postoperative assessments revealed significant improvements in both physical and mental health at 1 month, with continued improvement noted up to 12 months.ConclusionLaparoscopic TEP inguinal hernia repair has been shown to improve both physical and mental health in patients with unilateral reducible inguinal hernia, with the majority of the improvement typically occurring within the initial month following surgery. It is crucial to communicate these improvement trends to patients undergoing hernia repair to help manage their expectations effectively.

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Section: Discussionmentioning

confidence: 99%

Quality of life following laparoscopic totally extraperitoneal repair of a unilateral reducible inguinal hernia

Chuah,

Siow,

Bujang

2024

Asian J Endoscop Surgery

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“…Population-based epidemiological studies are not present in the primary data, and the estimates of incidence and prevalence might be affected by bias. The incidence might be underestimated because people with asymptomatic hernias or those who refuse to seek medical treatment cannot be identified by using patient databases or claims data sets 49 . Thus, the actual burden of inguinal, femoral, and abdominal hernias should be determined using nationwide population-based surveys in the future if conditions permit.…”

Section: Discussionmentioning

confidence: 99%

The global, regional, and national burden and its trends of inguinal, femoral, and abdominal hernia from 1990 to 2019: findings from the 2019 Global Burden of Disease Study – a cross-sectional study

Jing

Liu

et al. 2023

International Journal of Surgery

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Background: Inguinal, femoral, and abdominal hernia repairs are the most common surgical procedure worldwide. However, studies on hernia disease burden are notably limited, in both developed and low-income and middle-income countries (LMICs). We investigated temporal trends in the incidence and prevalence of inguinal, femoral, and abdominal hernias at global, regional, and national levels in 204 countries and territories from 1990 to 2019 using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019). Materials and Methods: Annual incident cases, prevalent cases, age-standardized incidence rates (ASIRs), and age-standardized prevalence rates (ASPRs) of inguinal, femoral, and abdominal hernias between 1990 and 2019 were extracted from the GBD 2019 study and stratified by sex, age, and location. Percentage changes in incident cases and prevalent cases, and the estimated annual percentage changes of ASIRs and ASPRs were calculated to quantify the trends in the incidence and prevalence of inguinal, femoral, and abdominal hernias. Data analysis for the present study was conducted from 15 June 2022 to 15 July 2022. Results: Globally, there were 32.53 million [95% uncertainty interval (UI): 27.71–37.79] prevalent cases and 13.02 million (10.68–15.49) incident cases of inguinal, femoral, and abdominal hernias in 2019, which increased by 36.00% and 63.67%, respectively, compared with 1990. Eighty-six percent of the incident cases were males, the male-to-female ratio was 6 : 1, and most patients were aged 50–69 years. India (2.45 million), China (1.95 million), and Brazil (0.71 million) accounted for more than one-third (39%) of the incident cases worldwide. From 1990 to 2019, the ASIR and ASPR showed a decreasing trend worldwide, except in Central Sub-Saharan Africa, which had an increasing trend in ASIR and ASPR. Conclusion: The global incident cases and prevalent cases of inguinal, femoral, and abdominal hernias increased substantially from 1990 to 2019, with a heavier burden observed in males, older adults, and in LMICs such as India and China. In addition, the ASIR and ASPR increased substantially in Central Sub-Saharan Africa. More efforts are warranted for hernia management to reduce the burden of inguinal, femoral, and abdominal hernias, such as by providing safe hernia surgical treatment for males, older adults, and LMICs.

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“…Although tension-free mesh repair of inguinal hernia is a standard technique in many developed countries, mesh is used to a lesser extent in developing countries because of its initial cost [ 20 ]. Therefore, studies were conducted to assess the effectiveness and safety of low-cost mesh use [ 21 ]. The small volume of contribution from developing or undeveloped countries in article productivity may be because of the inadequate number of cases operated using high-cost techniques and consequently the inability to conduct randomized controlled trials, as well as the inadequate amount of funds allocated for research.…”

Section: Discussionmentioning

confidence: 99%

“…effectiveness and safety of low-cost mesh use [21]. The small volume of contribution from developing or undeveloped countries in article productivity may be because of the inadequate number of cases operated using high-cost techniques and consequently the inability to conduct randomized controlled trials, as well as the inadequate amount of funds allocated for research.…”

Section: Approved Galley Proofmentioning

confidence: 99%

Evolution of Inguinal Hernia Publications: A Bibliometric Analysis from 1980 to 2021

Şahiner

Altunal

2023

Med Sci Monit

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Background:Despite the increasing number of studies published worldwide focusing on inguinal hernia, a major condition in the surgical field that affects the quality of life of many patients, a bibliometric study on inguinal hernia is yet to be conducted. The present study aimed to analyze the scientific articles published on inguinal hernia using statistical methods. Material/Methods:Articles published between 1980 and 2021 on inguinal hernia were downloaded from the Web of Science database and analyzed using statistical methods. Results:A total of 11 761 publications were found. The top 5 contributors to the literature were the United States (n=2109, 27%), Germany (563, 6.7%), United Kingdom (595, 5.7%), Turkey (415, 5.3%), and Japan (388, 4.9%).The top 3 most influential journals by average number of citations per article were Annals of Surgery (citations: 67.4), British Journal of Surgery (citations: 49.9), and Surgical Clinics of North America (citations: 43.2). Conclusions:In the current comprehensive bibliometric study on inguinal hernia, which has demonstrated an upward trend in the number of articles published recently, we present a summary of 7810 articles published from 1980 to 2021. According to the results of the analysis conducted to identify trending topics, the keywords studied in recent years are believed to include pediatric, outcomes, minimally invasive surgery, robotic, incisional hernia, umbilical hernia, chronic pain, obesity, bariatric surgery, NSQIP, seroma, surgical site infection, abdominal wall reconstruction, ventral hernia repair, and hiatal hernia repair.

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Do we really know the symptoms of inguinal hernia?

Abstract: Patients with inguinal hernia present a wide variety of symptoms, and these are not restricted to the inguinal area. It is important to be aware of this fact to convey accurate information to the patient, especially with regard to postoperative expectations.

Cited by 12 publications

References 17 publications

Quality of life following laparoscopic totally extraperitoneal repair of a unilateral reducible inguinal hernia

Quality of life following laparoscopic totally extraperitoneal repair of a unilateral reducible inguinal hernia

The global, regional, and national burden and its trends of inguinal, femoral, and abdominal hernia from 1990 to 2019: findings from the 2019 Global Burden of Disease Study – a cross-sectional study

Evolution of Inguinal Hernia Publications: A Bibliometric Analysis from 1980 to 2021

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