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Groin hernia subtypes are associated in patients with bilateral hernias: a 14-year nationwide epidemiologic study.
Surg Endosc. 2015 Jul; 29(7):2019-26.SE

Abstract

BACKGROUND

To investigate the relation between groin hernia subtypes in patients operated for bilateral hernias.

METHODS

With data from the Danish Hernia Database, we identified all patients operated for primary groin hernias from 1998 to 2012. Within this cohort all patients that were bilaterally operated were analyzed. Risk factors for bilateral groin hernia operation as well as the relationship between groin hernia subtypes bilaterally, were analyzed using multivariate Cox proportional hazards analysis and Kappa statistics.

RESULTS

A total of 108, 775 persons with primary groin hernia repair (89.9% males) were registered, and of those were 12,041 persons operated bilaterally (94.9% males). Females and males operated for a unilaterally direct inguinal hernia (DIH) had increased Hazard Ratios (HR) of 3.85 (CI 95% 2.14-6.19) and 4.46 (CI 95% 2.57-7.88) of being contralaterally operated for a DIH. Females and males operated for a unilaterally indirect inguinal hernia (IIH) had HRs of 6.93 (CI 95% 3.66-13.11) and 1.89 (CI95% 1.24-2.88) for being contralaterally operated for an IIH. The same tendency was seen for femoral hernias.

CONCLUSIONS

All hernia subtypes were bilaterally associated in both genders and the hernia subtypes could be localized manifestations of generalized conditions or inheritable traits instead of localized defects.

Authors+Show Affiliations

Centre for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Copenhagen, Denmark, jakobburcharth@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25318367

Citation

Burcharth, Jakob, et al. "Groin Hernia Subtypes Are Associated in Patients With Bilateral Hernias: a 14-year Nationwide Epidemiologic Study." Surgical Endoscopy, vol. 29, no. 7, 2015, pp. 2019-26.
Burcharth J, Andresen K, Pommergaard HC, et al. Groin hernia subtypes are associated in patients with bilateral hernias: a 14-year nationwide epidemiologic study. Surg Endosc. 2015;29(7):2019-26.
Burcharth, J., Andresen, K., Pommergaard, H. C., & Rosenberg, J. (2015). Groin hernia subtypes are associated in patients with bilateral hernias: a 14-year nationwide epidemiologic study. Surgical Endoscopy, 29(7), 2019-26. https://doi.org/10.1007/s00464-014-3905-z
Burcharth J, et al. Groin Hernia Subtypes Are Associated in Patients With Bilateral Hernias: a 14-year Nationwide Epidemiologic Study. Surg Endosc. 2015;29(7):2019-26. PubMed PMID: 25318367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Groin hernia subtypes are associated in patients with bilateral hernias: a 14-year nationwide epidemiologic study. AU - Burcharth,Jakob, AU - Andresen,Kristoffer, AU - Pommergaard,Hans-Christian, AU - Rosenberg,Jacob, Y1 - 2014/10/16/ PY - 2014/05/11/received PY - 2014/09/17/accepted PY - 2014/10/17/entrez PY - 2014/10/17/pubmed PY - 2016/2/18/medline SP - 2019 EP - 26 JF - Surgical endoscopy JO - Surg Endosc VL - 29 IS - 7 N2 - BACKGROUND: To investigate the relation between groin hernia subtypes in patients operated for bilateral hernias. METHODS: With data from the Danish Hernia Database, we identified all patients operated for primary groin hernias from 1998 to 2012. Within this cohort all patients that were bilaterally operated were analyzed. Risk factors for bilateral groin hernia operation as well as the relationship between groin hernia subtypes bilaterally, were analyzed using multivariate Cox proportional hazards analysis and Kappa statistics. RESULTS: A total of 108, 775 persons with primary groin hernia repair (89.9% males) were registered, and of those were 12,041 persons operated bilaterally (94.9% males). Females and males operated for a unilaterally direct inguinal hernia (DIH) had increased Hazard Ratios (HR) of 3.85 (CI 95% 2.14-6.19) and 4.46 (CI 95% 2.57-7.88) of being contralaterally operated for a DIH. Females and males operated for a unilaterally indirect inguinal hernia (IIH) had HRs of 6.93 (CI 95% 3.66-13.11) and 1.89 (CI95% 1.24-2.88) for being contralaterally operated for an IIH. The same tendency was seen for femoral hernias. CONCLUSIONS: All hernia subtypes were bilaterally associated in both genders and the hernia subtypes could be localized manifestations of generalized conditions or inheritable traits instead of localized defects. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/25318367/Groin_hernia_subtypes_are_associated_in_patients_with_bilateral_hernias:_a_14_year_nationwide_epidemiologic_study_ L2 - https://dx.doi.org/10.1007/s00464-014-3905-z DB - PRIME DP - Unbound Medicine ER -