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

Hemberg, Anders; Holmberg, Henrik; Norberg, Margareta; Nordin, Pär

doi:10.1007/s10029-017-1617-8

Cited by 9 publications

(11 citation statements)

References 26 publications

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“…Smoking has been long proposed as a risk factor for IHRs, however, recent evidence refutes this theory. 22 Recently, Kevric et al 8 reported that Australia had a small increase in the incidence of groin hernia repairs (i.e. inguinal and femoral) over a similar time period, opposite of the findings reported in this current study.…”

Section: Discussioncontrasting

confidence: 84%

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Trends in Australian inguinal hernia repair rates: a 15‐year population study

Williams

Hutchinson

et al. 2020

ANZ Journal of Surgery

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Background: An inguinal hernia is one of the most common surgical pathologies, and therefore the repair of an inguinal hernia is one of the most common general surgical procedures. The aim of this study was to assess the trend in inguinal hernia repair (IHR) rates in Australia between 2000/2001 and 2014/2015 using population data from public and private hospitals. Methods: ICD-10 data cubes from the Australian Institute of Health and Welfare were analysed to determine the number of inguinal hernia repairs performed, open or laparoscopically, between 2000/2001 and 2014/2015 financial years. These data were combined with the Australian Bureau of Statistics population data estimates for the corresponding years, to give a procedure per 100 000 estimates. Results: Incidence of IHRs within Australia decreased from 217 to 194 per 100 000 population over the 15-year study period. There was a clear shift towards increased uptake of laparoscopic surgery with a subsequent fall in rates of open IHRs. Males accounted for the majority of IHR procedures. Unilateral repair was more common; however, the incidence of unilateral repair rates decreased while bilateral IHR rates increased over the study period. Conclusion: Laparoscopic techniques are increasingly being used within public and private institutions across the country for inguinal hernia repair. There has also been a decrease in the incidence of IHR procedures performed per year over the 15-year period studied, consistent with published literature from Europe and the USA. Methods Data extraction Data regarding surgical procedures performed in Australia, in both public and private hospitals, are recorded by the AIHW. Data regarding IHRs were located within each financial year's

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Section: Discussioncontrasting

confidence: 84%

“…Another possible explanation for the decreasing IHR rates posed by the authors of the American study was the change in smoking patterns over time. Smoking has been long proposed as a risk factor for IHRs, however, recent evidence refutes this theory 22 …”

Section: Discussionmentioning

confidence: 99%

Trends in Australian inguinal hernia repair rates: a 15‐year population study

Williams

Hutchinson

et al. 2020

ANZ Journal of Surgery

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“…A low BMI, high age and previous hernia repair was found to be associated with an increased risk of inguinal hernia formation as have others [18,19,27].…”

Section: Discussionmentioning

confidence: 81%

“…Based upon previous studies possibly important variables for developing inguinal hernia such as age, previous inguinal hernia repair, comorbidity in terms of pulmonary disease, diabetes, degree of physical workload, high and low BMI, smoking, level of physical activity, pelvic lymph node dissection and clinical tumor stage [17][18][19][20], were retrieved from baseline questionnaire and clinical record forms.…”

Section: Risk Factorsmentioning

confidence: 99%

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Nilsson

Stranne

Hugosson

et al. 2020

Hernia

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Purpose In addition to incisional hernia, inguinal hernia is a recognized complication to radical retropubic prostatectomy. To compare the risk of developing inguinal and incisional hernias after open radical prostatectomy compared to robot-assisted laparoscopic prostatectomy. Method Patients planned for prostatectomy were enrolled in the prospective, controlled LAPPRO trial between September 2008 and November 2011 at 14 hospitals in Sweden. Information regarding patient characteristics, operative techniques and occurrence of postoperative inguinal and incisional hernia were retrieved using six clinical record forms and four validated questionnaires. Results 3447 patients operated with radical prostatectomy were analyzed. Within 24 months, 262 patients developed an inguinal hernia, 189 (7.3%) after robot-assisted laparoscopic prostatectomy and 73 (8.4%) after open radical prostatectomy. The relative risk of having an inguinal hernia after robot-assisted laparoscopic prostatectomy was 18% lower compared to open radical retropubic prostatectomy, a non-significant difference. Risk factors for developing an inguinal hernia after prostatectomy were increased age, low BMI and previous hernia repair. The incidence of incisional hernia was low regardless of surgical technique. Limitations are the non-randomised setting.Conclusions We found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI.

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“…Patients with IH had a slightly lower imputed BMI and were more likely to have used tobacco compared with control individuals, consistent with prior reports. 16,26 Both patients with IH and control individuals had a mean of more than 6 years of follow-up in Utah dur- ing a 20-year study period (1996-2015) based on UPDB demographic and medical records ( Table 2).…”

Section: Participant Characteristicsmentioning

confidence: 99%

Association of Exfoliation Syndrome With Risk of Indirect Inguinal Hernia

et al. 2018

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IMPORTANCE Exfoliation syndrome (XFS) is a systemic connective tissue disease, and abnormal connective tissue metabolism is implicated in inguinal hernias (IH). Associating XFS with comorbid conditions may illuminate their underlying pathophysiology and affect clinical screening and treatment. Exfoliation syndrome involves altered systemic extracellular matrix (ECM) homeostasis involving elastin metabolism. Hernias occur owing to abnormal ECM synthesis, metabolism, or repair. Inguinal hernias involve weakening or rupture of the abdominal/groin wall. OBJECTIVE To determine an association between patients with XFS and patients with IH in Utah, possibly differing between direct or indirect hernia. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional study in a large health care system of Utah hospitals and clinics. Conditional logistic regression odds ratios were used to estimate risk of XFS in patients with IH overall and by subtype (direct or indirect) compared with control individuals. Codes specific to direct and indirect IH with additional medical records review of 186 procedures were used to classify IH subtypes that were not prespecified. Bootstrap resampling with jackknife estimation used to calculate 95% confidence intervals. The model accounted for matching on sex and age and adjusted for body mass index and tobacco use.

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

Cited by 9 publications

References 26 publications

Trends in Australian inguinal hernia repair rates: a 15‐year population study

Trends in Australian inguinal hernia repair rates: a 15‐year population study

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Association of Exfoliation Syndrome With Risk of Indirect Inguinal Hernia

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