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2008 | 80 | 12 | 671-675

Article title

Duration of Groin Hernias and Accompanied Symptoms Before Beginning of Treatment of Hernias


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The aim of the study was determination of character and duration of the complaints before operation compared with size and type of a hernia determined during the surgery.Material and methods. 200 patients (181 males and 19 females) with 298 hernias were surveyed for the duration of the ailment and its type. Hernias of the II and III size grade (acc. to Schumpelick) constituted 73.48% of cases and recurrent hernias constituted 8.4%.Results. 179 times patients reported thickening as a complaint. In 120 cases thinking in the groin was combined with a sensation of pressure or burning/pain. Pressure or pain appeared 62 times as a spontaneous complaint. 57 hernias (19.12%) were not discovered by the patients. The patients were divided into age groups: <45, 46-65 and >65 years. Mean duration of a thickening was 12.05 and 15.65 months in the groups <45 and 46-65, respectively, and 21.01 months in the group >65 (p<0.01). The patients were divided into professional groups: blue collars, white collars, sportsmen, pensioners blue collars and pensioners white collars. Blue collars and sportsmen reported for treatment earlier than the other groups (p<0.01). Recurrent inguinal hernias were observed by the patients for a longer period of time, than in case of other hernias (p<0.01. Earlier than in a year after onset of symptoms 78.21% of the patients reported for treatment because of a thickening, 76.56% because of the sensation of urgency and 89.24% because of burning sensation/pain. Duration of pressure and/or pain depend not on the type of hernia. Duration of hernia symptoms does not influence the number of cases with pressure and pain.Conclusions. The most frequent complaint is a thickening in the groin. Duration of symptoms does not influence the number of patients with pain complaints. Blue collars and sportsmen report for therapy earlier and pain tolerance does not depend on a patient's age. One fifth of hernias treated surgically were discovered neither by a patient nor by a referring physician.








Physical description


1 - 12 - 2008
4 - 5 - 2010


  • Department of General and Visceral Surgery, Grossburgwedel Hospital, Teaching Hospital of Medical Academy in Hannover


  • Ścierski A: Operacje przepuklin pachwinowych z dostępu przedotrzewnowego. W: Kostewicz W (red.) Chirurgia laparoskopowa. Wyd. 1. PZWL, Warszawa 2002, s. 264-82.
  • Devlin HB: Trends in hernia surgery in the land of Astlay Cooper. W: Soper NJ (red.) Problems in general surgery. Wyd.1. Philadelphia. Lippincott-Raven; 1995: 12: 85-92.
  • McEntee GP, Carroll AO, Mooney B et al.: Timing of strangulation in adult hernias. Br J Surg 1989; 76: 725-26.
  • Nilsson E. Outcomes W: Kurzer M, Kark AE, Wantz G (red.) Surgical Management of Abdominal Wall Hernias. Wyd.1. London; Martin Dunitz Ltd: 1999: 11-20.
  • Hair A, Paterson C, Wright D et al.: What Effect Does the Duration of an Inguinal Hernia Have on Patient Symptoms? J Am Coll Surg 2001; 193: 125-29.
  • Berliner SD: When is surgery necessary for a groin hernia? Postgrad Med 1990; 87: 149-52.
  • Fitzgibbons RJ, Giobbe-Hurder A, Gibbs JO et al.: Watchful Waiting vs Repair of Inguinal Hernia in Minimally Symptomatic Men: A Randomized Clinical Trial. JAMA 2006; 295: 285-92.
  • Allen PIM, Zager M, Goodman M: Elective repair of groin hernias in the elderly. Br J Surg 1987; 74: 987-89.
  • Cheek CM, Williams MH, Farndon JR: Trusses in the management of hernias today. Br J Surg 1995; 82:1611-13.
  • Burns E, Whitley A: Trusses. Br Med J 1990; 301: 1319-20.
  • Askew G, Williams GT, Brown SC: Delay in presentation and misdiagnosis of strangulated hernia: a prospective study. J R Coll Surg Edinb 1992; 37: 37-38.[PubMed]
  • McIntosh A, Hutchinson A, Roberts A et al.: Evidence-based management of groin hernia in primary care - a systematic review. Family Practice 2000; 17: 442-47.
  • Hair A, Paterson C, O'Dwyer PJ: Diagnosis of a femoral hernia in the elective setting. J R Coll Surg Edinb 2001; 46: 117-18.
  • Ralphs DNL, Brain AJL, Grundy DJ et al.: How accurately can direct and indirect inguinal hernias be distinguished. BMJ 1980; 280: 1039-40.
  • Cameron AEP: Accuracy of clinical diagnosis of direct and indirect inguinal hernia. Br J Surg 1994; 81: 250.
  • Moreno-Egea A, Girela E, Canteras M et al.: Accuracy of clinical diagnosis of inguinal and femoral hernia and its usefulness for indicating laparoscopic surgery. Hernia 2000; 4: 23-27.
  • Bay-Nielsen M, Perkins FM, Kehlet H: Pain and Functional Impairment 1 Year After Inguinal Herniorrhaphy: A Nationwide Questionnaire Study. Ann Surg 2001; 233: 1-7.

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