Inguinal hernia natural history, complications and prognosis: Difference between revisions

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{{Inguinal hernia}}
{{Inguinal hernia}}
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{{CMG}}; {{AE}} {{F.K}}


==Natural History==
==Overview==
As the hernia progresses, contents of the abdominal cavity, such as the intestines, can descend into the hernia and run the risk of being pinched within the hernia, causing an intestinal obstruction.
The symptoms of inguinal hernia usually develop in the 4th decade of life, and start with symptoms such as bulging, heaviness, burning, or aching in the groin. If left untreated, patients with inguinal hernia may progress to develop incarceration, [[strangulation]]. Prognosis is generally good, and [[mortality]] is very rare.


==Complications==
==Natural History, Complications, and Prognosis==
If the blood supply of the portion of the intestine caught in the hernia is compromised, the hernia is deemed "strangulated," and gut ischemia and [[gangrene]] can result, with potentially fatal consequences. The timing of complications is not predictable; some hernias remain static for years, others progress rapidly from the time of onset.
 
===Natural History===
*The symptoms of inguinal hernia usually develop in the 4th decade of life, and start with symptoms such as bulging, heaviness, burning, or aching in the groin.
*If left untreated, patients with inguinal hernia may progress to develop incarceration, [[strangulation]].<ref name="pmid22643828">{{cite journal |vauthors=Svendsen SW, Frost P, Vad MV, Andersen JH |title=Risk and prognosis of inguinal hernia in relation to occupational mechanical exposures--a systematic review of the epidemiologic evidence |journal=Scand J Work Environ Health |volume=39 |issue=1 |pages=5–26 |year=2013 |pmid=22643828 |doi=10.5271/sjweh.3305 |url=}}</ref>
 
===Complications===
*Common complications of inguinal hernia include:<ref name="pmid18244999">{{cite journal |vauthors=Jenkins JT, O'Dwyer PJ |title=Inguinal hernias |journal=BMJ |volume=336 |issue=7638 |pages=269–72 |year=2008 |pmid=18244999 |pmc=2223000 |doi=10.1136/bmj.39450.428275.AD |url=}}</ref><ref name="pmid21187992">{{cite journal |vauthors=Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M |title=Complications in groin hernia surgery and the way out |journal=J Minim Access Surg |volume=2 |issue=3 |pages=174–7 |year=2006 |pmid=21187992 |pmc=2999781 |doi= |url=}}</ref><ref name="RuhlEverhart2007">{{cite journal|last1=Ruhl|first1=C. E.|last2=Everhart|first2=J. E.|title=Risk Factors for Inguinal Hernia among Adults in the US Population|journal=American Journal of Epidemiology|volume=165|issue=10|year=2007|pages=1154–1161|issn=0002-9262|doi=10.1093/aje/kwm011}}</ref>
**Bruising and [[haematoma]]
**Chronic and persisting pain
**[[Infertility]]
**Incarceration
**[[Bowel obstruction]]
**Bowel [[strangulation]]
**Postoperative complications
***Seroma / hematoma formation
***[[Urinary retention]]
***Neuralgias
***[[Testicular pain]] and [[swelling]]
***Mesh infection and wound infection
***Recurrence
 
===Prognosis===
*[[Prognosis]] is generally good, and [[mortality]] is very rare.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Needs overview]]
[[Category:Injuries]]
[[Category:Surgery]]
[[Category:Hernias]]
[[Category:Gastroenterology]]
[[Category:Primary care]]


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[[Category: (name of the system)]]

Latest revision as of 15:26, 29 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

The symptoms of inguinal hernia usually develop in the 4th decade of life, and start with symptoms such as bulging, heaviness, burning, or aching in the groin. If left untreated, patients with inguinal hernia may progress to develop incarceration, strangulation. Prognosis is generally good, and mortality is very rare.

Natural History, Complications, and Prognosis

Natural History

  • The symptoms of inguinal hernia usually develop in the 4th decade of life, and start with symptoms such as bulging, heaviness, burning, or aching in the groin.
  • If left untreated, patients with inguinal hernia may progress to develop incarceration, strangulation.[1]

Complications

Prognosis

References

  1. Svendsen SW, Frost P, Vad MV, Andersen JH (2013). "Risk and prognosis of inguinal hernia in relation to occupational mechanical exposures--a systematic review of the epidemiologic evidence". Scand J Work Environ Health. 39 (1): 5–26. doi:10.5271/sjweh.3305. PMID 22643828.
  2. Jenkins JT, O'Dwyer PJ (2008). "Inguinal hernias". BMJ. 336 (7638): 269–72. doi:10.1136/bmj.39450.428275.AD. PMC 2223000. PMID 18244999.
  3. Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M (2006). "Complications in groin hernia surgery and the way out". J Minim Access Surg. 2 (3): 174–7. PMC 2999781. PMID 21187992.
  4. Ruhl, C. E.; Everhart, J. E. (2007). "Risk Factors for Inguinal Hernia among Adults in the US Population". American Journal of Epidemiology. 165 (10): 1154–1161. doi:10.1093/aje/kwm011. ISSN 0002-9262.

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