Characterization of patients with inguinal hernias
DOI:
https://doi.org/10.5281/zenodo.14035580Keywords:
herniorrhaphy, inguinal hernia, operative surgical proceduresAbstract
Introduction: from a socioeconomic point of view, inguinal hernias are responsible for more than 10 million lost work days per year, with exponential increases in their incidence rate.
Objective: to characterize patients with inguinal hernias.
Methods: an observational, descriptive, cross-sectional study was carried out at the “Martín Chang Puga” Municipal General Teaching Hospital in the period from September 2021 to December 2023. Using simple random sampling, a sample of 85 patients was selected. The information was obtained from individual medical records and compiled in a form. The variables analyzed were age, sex, risk factors, presentation of the inguinal hernia, diagnosis, status of the deep inguinal ring and posterior wall, type of hernia, and recurrence. The ethical principles of the research were fulfilled.
Results: 98.80 % of patients with inguinal hernias were men aged 60 to 69 years (44.70 %). In 47.10 % of cases, hernias were diagnosed on the right side. The majority (56.50 %) were incarcerated, and 30.60 % were type IIIB. Smoking was the predominant risk factor (35.30 %).
Conclusions: patients were predominantly men in their sixth decade of life. Smoking was the most common risk factor. Type IIIB hernias, right location, and incarceration were the most frequent. The characterization provided by the present study –although it is from a Cuban province– showed the most frequent hernial variables, which may be useful in future analytical research.
Downloads
References
Rodríguez-Fernández Z, Saliou-Diallo M, Joubert-Álvarez G, Gavilán Yodú RL, Casamayor-Callejas E. Fundamentos históricos del diagnóstico y tratamiento de las hernias inguinales. Rev Cubana Cir [Internet]. Jun 2019 [citado 8 Jun 2024];58(2):e774. Disponible en: http://scielo.sld.cu/pdf/cir/v58n2/1561-2945-cir-58-02-e774.pdf
García-Valdés N, Casado-Méndez PR, Machado-Ballester CJ, Santos-Fonseca RS, Sambú Z. Prevalencia de complicaciones posquirúrgicas en pacientes sometidos a reparación quirúrgica de hernias inguinales. Multimed [Internet]. Feb 2022 [citado 8 Jun 2024];26(1):e2037. Disponible en: http://scielo.sld.cu/pdf/mmed/v26n1/1028-4818-mmed-26-01-e2037.pdf
Hernández-López A. Herniólogo. Cir. gen [Internet]. Mar 2012 [citado 8 Jun 2024];34(1):7-8. Disponible en: https://www.scielo.org.mx/pdf/cg/v34n1/v34n1a1.pdf
Bejerano-García RJ. Caracterización de pacientes operados de hernias abdominales externas en un centro de diagnóstico venezolano. MEDISAN [Internet]. Dic 2018 [citado 8 Jun 2024];22(9):920-30. Disponible en: http://scielo.sld.cu/pdf/san/v22n9/1029-3019-san-22-09-920.pdf
Ruiz-Velasco-Cisneros RA, Velásquez-Vera JS, Costales-Montalvo BP, Arcos-Valencia MD, Correa-Andrade AF, Guailacela-Gómez AP, et al. La cirugía a través de las décadas: una mirada a su evolución, logros y desafíos. Salud ConCienc [Internet]. 2023 [citado 8 Jun 2024];2(2):e55. Disponible en: https://saludconciencia.com.ar/index.php/scc/article/download/55/58/96
Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol [Internet]. Ago 1996 [citado 27 Jul 2023];25(4):835-9. Disponible en: https://academic.oup.com/ije/article-pdf/25/4/835/1854073/25-4-835.pdf
Itani KMF, Fitzgibbons RJ, Awad SS, Duh QY, Ferzli GS. Management of recurrent inguinal hernias. J Am Coll Surg. Nov 2009; 209(5):653-8.
Zaga-Minian I, Guzmán-Valdivia G, Romero-Arredondo E, Miranda A. Evaluación. Resultados a 16 años de las dos técnicas más comunes de hernioplastía inguinal abierta. Cir. gen [Internet]. Jun 2011 [citado 8 Jun 2024];33(2):79-85. Disponible en: https://www.scielo.org.mx/pdf/cg/v33n2/v33n2a2.pdf
Alonso-Rodríguez Y, López-Martín JE, Gil-Soto R, Hernández-Núñez A, Hernández-Pérez R. Caracterización de los pacientes con hernia inguinal operados por la técnica de Lichtenstein. Rev Cubana Cir [Internet]. Dic 2020 [citado 25 Mar 2024];59(4):e_1022. Disponible en: http://scielo.sld.cu/pdf/cir/v59n4/1561-2945-cir-59-04-e1022.pdf
Ferrer-Robaina H, Clavijo-Torres R, Mesa-Izquierdo O, Báez-Hernández A, Matos-Ramos YA. Tratamiento de la hernia inguinal por cirugía laparoscópica. Rev Cubana Cir [Internet]. Jun 2021 [citado 25 Mar 2024];60(2):e_947. Disponible en: http://scielo.sld.cu/pdf/cir/v60n2/1561-2945-cir-60-02-e947.pdf
Hernández-Agüero M, Quiroga-Meriño LE, Estrada-Brizuela Y, Gómez-Agüero E, Pacheco-Téllez FL, González-Basulto MJ. Eficacia de la técnica Halsted II en pacientes geriátricos con hernia inguinal. AMC [Internet]. Abr 2020 [citado 25 Mar 2024];24(2):e7286. Disponible en: http://scielo.sld.cu/pdf/amc/v24n2/1025-0255-amc-24-02-e7286.pdf
Márquez-Hernández J, Noya-Pimienta M, Hooker-Jesse H. Cirugía mayor ambulatoria en un grupo básico de trabajo. AMC [Internet]. Dic 2009 [citado 25 Mar 2024];13(6):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/pdf/amc/v13n6/amc080609.pdf
Pardo-Olivares E, Casamayor-Callejas E, Bory-Rodríguez J. Modificación a la clasificación de Lloyd Milton Nyhus al añadir la variable reductibilidad. Rev Cubana Cir [Internet]. Sep 2021 [citado 10 Jun 2024];60(3):e_1172. Disponible en: http://scielo.sld.cu/pdf/cir/v60n3/1561-2945-cir-60-03-e1172.pdf
Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 64ª Asamblea General, Fortaleza, Brasil, octubre 2013 [Internet]. Helsinki: 18ª Asamblea Mundial; 1964 [citado 30 Ene 2024]. Disponible en: http://www.anmat.gov.ar/comunicados/HELSINSKI_2013.pdf
Molina V, Manterola C; Grupo MINCIR. ¿Existe alteración de los mecanismos de degradación del colágeno de la matriz extracelular manifestada en la expresión de MMP2 y TIMP2 en pacientes con hernia inguinal primaria? Int. J. Morphol. [Internet]. 2012 Jun [citado 11 Jun 2024];30(2):683-7. Disponible en: https://www.scielo.cl/pdf/ijmorphol/v30n2/art54.pdf
Pol-Herrera PG, López-Rodríguez PR, León-González O, Caiñas-Román J, Cruz-García N, Pando-Santos A, et al. Cirugía de la hernia inguinal en la tercera edad: ambulatoria y con hospitalización corta. Rev Cubana Cir [Internet]. Mar 2011 [citado 25 Mar 2024];50(1):73-81. Disponible en: http://scielo.sld.cu/pdf/cir/v50n1/cir06111.pdf
Solís-De la Cruz JR, Leal-Mérida G, Guadarrama-Díaz EO. Comparación de las características epidemiológicas, clínicas y quirúrgicas de pacientes con y sin recidiva de hernias inguinales operados en el Centro Médico Naval. Cir. cir. [Internet]. Dic 2022 [citado 25 Mar 2024];90(6):[aprox: 5 p.]. Disponible en: https://www.scielo.org.mx/pdf/cicr/v90n6/0009-7411-cir-90-6-789.pdf
Campos-Castillo C, Hurtado-López LM, Basurto-Kuba E, Zaldívar-Ramírez R. Cirugía de corta estancia en sábados, domingos y días festivos, experiencia en el Servicio de Cirugía General del Hospital General de México, O.D. Cir gen [Internet]. Jun 2012 [citado 25 Mar 2024];34(2):130-3. Disponible en: https://www.scielo.org.mx/pdf/cg/v34n2/v34n2a8.pdf
Alonso-Gamboa T. Descripción clínico-epidemiológica de los pacientes mayores de 60 años operados de hernia inguinal. Cir gen [Internet]. Dic 2018 [citado 25 Mar 2024];40(4):255-61. Disponible en: https://www.scielo.org.mx/pdf/cg/v40n4/1405-0099-cg-40-04-255.pdf
Módena SF, Caldeira EJ, Peres MAO, Andreollo NA. Influence of tobacco, alcohol and diabetes on the collagen of cremaster muscle in patients with inguinal hernias. Arq Bras Cir Dig [Internet]. Dic 2016 [citado 25 Mar 2024];29(4):218-22. Disponible en: https://www.scielo.br/j/abcd/a/NtwpKLmQ7Xjm6Z3mXP5ZDtR/?format=pdf&lang=en
Agarwal PK. Study of demographics, clinical profile and risk factors of inguinal hernia: a public health problem in elderly males. Cureus [Internet]. 2023 [citado 25 Mar 2024];15(4):e38053. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132853/pdf/cureus-0015-00000038053.pdf
Pawlak M, East B, De Beaux AC. Algorithm for management of an incarcerated inguinal hernia in the emergency settings with manual reduction. Taxis, the technique and its safety. Hernia [Internet]. 2021 [citado 25 Mar 2024];25(5):1253-8. Disponible en: https://link.springer.com/content/pdf/10.1007/s10029-021-02429-1.pdf
Dai W, Chen Z, Zuo J, Tan J, Tan M, Yuan Y. Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study. Hernia [Internet]. 2018 [citado 25 Mar 2024];23(2):267-76. Disponible en: https://link.springer.com/content/pdf/10.1007/s10029-018-1854-5.pdf
East B, Pawlak M, De Beaux AC. A manual reduction of hernia under analgesia/sedation (Taxis) in the acute inguinal hernia: a useful technique in COVID-19 times to reduce the need for emergency surgery-a literature review. Hernia [Internet]. 2020 [citado 25 Mar 2024];24(5):937-41. Disponible en: https://link.springer.com/content/pdf/10.1007/s10029-020-02227-1.pdf
Wang K, Tan SS, Xiao Y, Wang Z, Peng C, Pang W, et al. Characteristics and treatments for pediatric ordinary and incarcerated inguinal hernia based on gender: 12-year experiences from a single center. BMC Surg [Internet]. 2021 [citado 25 Mar 2024];21(1):[aprox. 7 p.]. Disponible en: https://link.springer.com/content/pdf/10.1186/s12893-020-01039-5.pdf
Saliou-Diallo M, Rodríguez- Fernández Z, Joubert-Álvarez G, Gavilán-Yodú RL, Casamayor- Callejas E. Complicaciones posquirúrgicas de las hernias inguinales. Rev Cubana Cir [Internet]. Jun 2019 [citado 25 Mar 2024];58(2):e773. Disponible en: http://scielo.sld.cu/pdf/cir/v58n2/1561-2945-cir-58-02-e773.pdf
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Julio Michel Arias Manganelly, Yuliel Varona Rodríguez, Olenis Alicia Aldana Ramos, Deinelys Ramírez Fals
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
