Recurrent inguinal hernia: the effect of concomitant pathology
DOI:
https://doi.org/10.11603/2414-4533.2021.3.12536Keywords:
inguinal hernia, recurrence, concomitant pathology, correlationAbstract
The aim of the work: to investigate the direct impact of comorbidities on the likelihood of recurrence of inguinal hernia.
Materials and Methods. A comprehensive examination of 31 patients who had undergone inpatient treatment for recurrence
inguinal hernias was conducted (type IV by L.M. Nyhus, 1993). Thus, as inguinal hernia (K40 according to ICD-10), was mainly found in people of working age to classify patients by age used the classification of UN experts for socio-economic and demographic calculations, and people were assigned to one of the groups, respectively: 15–24 years – early working age (n = 12); 25–54 years – the main working age (n = 19). During the current study, the timing of recurrence of inguinal hernia, the type of primary hernioplasty were determined. The distribution of patients by type of comorbidity was carried out according to ICD-10.
Results and Discussion. In patients aged ≥ 25 years, concomitant pathology was found to be unrelated to recurrence of inguinal hernia based on correlation analysis. In contrast, in patients aged <25 years, a strong positive association was found between comorbidities such as varicose veins of the lower extremities (0.89), gastroesophageal reflux disease (0.84), hemorrhoids (0.91), and joint hypermobility syndrome (0.78). The substantiation of these data should be considered the systemic connective tissue lesions in young people, which underlie the pathological changes of the above diseases and cause a high recurrence rate and short duration of its occurrence after primary hernioplasty (up to 5 years – 83.33 %).
References
Ashrafi, D., Siddaiah-Subramanya, M., Memon, B., & Memon, M. A. (2019). Causes of recurrences after open inguinal herniorrhaphy. Hernia, 23 (4), 637-645.
Bittner, R., & Schwarz, J. (2012). Inguinal hernia repair: current surgical techniques. Langenbeck's Archives of Surgery, 397 (2), 271-282.
Burcharth, J., Pommergaard, H. C., Bisgaard, T., & Rosenberg, J. (2015). Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surgical Innovation, 22 (3), 303-317.
Klinge, U., Binnebösel, M., Rosch, R., & Mertens, P. (2006). Hernia recurrence as a problem of biology and collagen. Journal of Minimal Access Surgery, 2 (3), 151.
Kocijan, R., Sandberg, S., Chan, Y. W., & Hollinsky, C. (2010). Anatomical changes after inguinal hernia treatment: a reason for chronic pain and recurrent hernia? Surgical Endoscopy, 24 (2), 395-399.
Melkemichel, M., Bringman, S.A.W., & Widhe, B.O.O. (2021). Long-term comparison of recurrence rates between different lightweight and heavyweight meshes in open anterior mesh inguinal hernia repair: a nationwide population-based register study. Annals of Surgery, 273 (2), 365-372.
Djeng, S.H., & Dobrovolskiy, S.R. (2014). Displaziya soedinitelnoy tkani kak prichina razvitiya retsidiva pahovoy gryzhi (s kommentariem) [Dysplasia of connective tissue as a cause of recurrent inguinal hernia (with commentary)]. Hirurgiya. Zhurnal im. N.I. Pirogova – Surgery. Journal named after N.I. Pirogov, (9), 61-63 [in Russian].
Dzyubanovskiy, I. Ya., & Prodan, A.M. (2016). Kliniko-diagnosticheskie kriterii disfunktsii soedinitelnoy tkani u bolnykh varikoznoy boleznyu ven nizhnikh konechnostey [Clinical and diagnostic criteria for connective tissue dysfunction in patients with varicose veins of the lower extremities]. Hirurg – Surgeon, (3), 36-41 [in Russian].
Habibulina, M.M., & Shamilov, M.D. (2021). Bezbolevaya ishemiya miokarda u molodykh zhenshchin s kardialgiey, disgormonozom i raznoy komorbidnostyu (serdechnoy i vneserdechnoy) [Painless myocardial ischemia in young women with cardialgia, dyshormonosis and various comorbidity (cardiac and extracardiac)]. Doctor, 32 (3), 61-65 [in Russian].
Hidirova, L.D., Yahontov, D.A., & Lukinov, V.L. (2021). Progressirovanie fibrillyatsii predserdiy u komorbidnyh bolnyh srednego vozrasta [Progression of atrial fibrillation in middle-aged comorbid patients]. Mezhdunarodnyy zhurnal serdtsa i sosudistykh zabolevaniy – International Journal of Heart and Vascular Diseases, 9 (30), 43-52 [in Russian].
Cherepanova, Yu.A., & Malchikov, A.Ya. (2016). Rezultaty lecheniya pahovyh gryzh u patsentov s sindromom displazii soedinitelnoy tkani [Results of treatment of inguinal hernias in patients with connective tissue dysplasia syndrome]. Hirurgicheskaya praktika – Surgical Practice, (2), 11-13 [in Russian].
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