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  1. 4 Polish Journal of Surgery

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  1. 2 2012

  2. 1 2009

  3. 1 2008

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  1. 4 Ścierski A.

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

100%
Ścierski A.
Polish Journal of Surgery
|
2008
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vol. 80
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issue 12
671-675
EN
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.
2
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"Sportsman's Hernia". Part Two: Multispecialist Differentia Diagnosis of Most Common Disorders

100%
Ścierski A.
Polish Journal of Surgery
|
2012
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vol. 84
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issue 2
105-112
3
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Anatomopathologic Analysis of Synchronically Operated Bilateral Inguinal Hernias

100%
Ścierski A.
Polish Journal of Surgery
|
2009
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vol. 81
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issue 5
236-241
EN
The aim of the study was statistic evaluation of anatomopathologic changes of synchoperated groin hernias.Material and methods. In 1994-2005, 2099 patients were operated due to inguinal hernias. 1343 times the operation was conducted unilaterally, 756 (36.2%) bilaterally (1512 hernias). Patients were divided into three age groups: A ≤ 45 years of age, B - 46-64 years of age and C ≥ 65 years of age.Results. Among those operated bilaterally and synchronically the most frequent were lateral hernias, constituting from 57.2% to 69.8%, medial from 21.41% to 28.4%, combined from 8.81% to 14.52% of all operated hernias in all age groups. Hernias size I (<1.5 cm) constituted among bilateral hernias 29.66% of cases in age group A and 15% in age group C. For unilateral hernias the numbers were respectively 32.95% and 8.32%. Hernias size III (>3 cm) made up for bilateral hernias 26.14% of cases in age A, for unilateral hernias that was 18.9%. In age group C the figures were respectively 47.05% and 47.54%. Hernias size II in all age groups constituted from 37.95% to 48.15% of all cases. Recurrent hernias constituted 8.46% of operated bilateral hernias (128 cases). Among unilateral hernias, 124 recurrent cases were operated (9.23%). Femoral hernias coexisted among 25 men (1.75%) and 10 women (11.9%) operated bilaterally and among 41 patients operated unilaterally (3.05%).Conclusions. In case of bilateral hernias there was no correlation found between coexistence of femoral hernia and age of patients; among men they were mainly left, and in case of women - right side cases. Among unilaterally operated patients the coexistence of femoral hernia was observed more frequently in the elderly group, among women mostly on the right side.
4
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"Sportsman's Hernia". Part One: Pathophysiology, Nomenclature and Treatment

100%
Ścierski A.
Polish Journal of Surgery
|
2012
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vol. 84
|
issue 1
56-62
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