Are rare hernias rarer: a ten-year observational study

Authors

  • Tanmay Pande Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India
  • Arpan Yadav Department of Urology, RIMS, Imphal, Manipur, India
  • B. K. Varghese Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India
  • Anurakshat Gupta Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195390

Keywords:

Incidence inguinal hernia, Femoral hernia, Rare hernia

Abstract

Background: Hernia is one of the most common ailments encountered in general surgery practice. The inguinal hernia constitutes majority of cases. The available literature describes umbilical, femoral, lumbar, perineal and many others rarer varieties. Our preliminary observations indicated a changing scenario. With a view to ascertain it, investigations were made to find out the incidence of hernia with frequency data of different types and demographic details of patients during last decade at tertiary care teaching hospital in Pune and then comparing it with the existing literature.

Methods: Ten years data from October 2008 to October 2018 of all the adult population suffering from hernia reporting to this center was collected from the archives of hospital records maintained in OPD, wards and the department.

Results: Inguinal hernia was the most common constituting 76.9% of the total cases. The right side was more affected than the left side with 51.0% cases being on right side. This was followed by umbilical hernia, 12.26% of the total cases. Males were more affected than the females except in incisional hernia. Only two cases of spigelian hernia had undergone repair over last one decade. There were no cases of femoral hernia, lumbar hernia and perineal hernia encountered during the last ten years in this center.

Conclusions: The relative frequency of the incidence of different types of hernia was inguinal, umbilical, epigastric; incisional which have been in descending order. In the last decade at this centre which is in contrast with hernia incidence figures quoted in common reference books and the available literature. 

Author Biographies

Tanmay Pande, Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India

Surgical Spl ,Peripheral Hospital ,J&K,India

Arpan Yadav, Department of Urology, RIMS, Imphal, Manipur, India

Senior Resident Department of Urology,RIMS, Imphal,India

B. K. Varghese, Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India

Assoc Prof ,Dept of Surgery,AFMC,Pune

Anurakshat Gupta, Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India

Assoc Prof ,Dept of Surgery, Pune

References

Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date?. JRSM Short Rep. 2011;2(1):1-6.

Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol. 1996;25(4):835-9.

Beadles CA, Meagher AD, Charles AG. Trends in emergent hernia repair in the United States. JAMA Surg. 2015;150(3):194-200.

Şeker G, Kulacoglu H, Öztuna D, Topgül K, Akyol C, Çakmak A, et al. Changes in the frequencies of abdominal wall hernias and the preferences for their repair: a multicenter national study from Turkey. Int Surg. 2014;99(5):534-42.

HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1-165.

Rains AJH, Capper WM. Bailey and Love’s Short Practice of Surgery. 15th ed. London: Lewis, 1971.

David C, Sabiston JR. Davis-Christopher (1981) Textbook of Surgery. 12th ed. London: Elsevier Health Sciences; 1981.

Russell RCG, Williams NS, Bulstrode CJK. Bailey and Love’s Short Practice of Surgery. 23rd ed. London: Hodder Arnold; 2000.

Townsend C, Beauchamp D, Evers M, Mattox KL, Sabiston DC. Sabiston Textbook of Surgery: The biological basis of modern surgical practice. Philadelphia, PA: WB Saunders; 2001.

Williams NS, Bulstrode Christopher J.K,Connell PR, Bailey and Love’s Short Practice of Surgery. 25th ed. London: Hodder Arnold; 2014: 1-1513.

Kingnorth AN, Leblanc KA. Management of abdominal wall hernias. 3rd ed. Edward Arnold London; 2013.

Javid PJ, Brooks DC. Hernias. In: Maingots Abdominal Operations. In: Zinner MJ, Ashley SW, eds. New York: Mc Graw Hill; 2007.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin N Am. 2003;83(5):1045-51.

Le Huu Nho R, Mege D, Ouaïssi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg. 2012;149(5):e3-14.

Ayesha F, Mohiuddin MR. Study of incidence of inguinal hernias and the risk factors associated with the inguinal hermias in the regional population of south India city. 2014;6(23):9-13.

Vijayakumar MSS, Alagar R. A Study on Incidence and Risk Factors of Inguinal Hernia in ESI Population. IOSR J Dent Med Sci. 2003;15(7):2279-861.

Balamaddaiah G, Rama Mohan Reddy SV. Prevalence and risk factors of inguinal hernia: a study in a semi-urban area in Rayalaseema, Andhra Pradesh, India. Int Sur J. 2016;3(3):1310-3.

Sangwan M, Sangwan V, Garg M, Mahendirutta P, Garg U. Abdominal wall hernia in a rural population in India-Is spectrum changing?. Open J Epidemiol. 2013;3:135-8.

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP, et al. Prevalence of generalized & abdominal obesity in urban and rural India- the ICMR-INDIAB study (Phase-I) [ICMR-INDIAB-3]. Indian J Med Res. 2015;142(2):139-50.

Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide Prevalence of Groin Hernia Repair. PLoS One. 2013;8(1):e54367.

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Published

2019-11-26

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Original Research Articles