Abstract
Introduction
There is debate regarding the role of physical activity and, in particular, a single strenuous event (SSE) in the development of inguinal hernia. This study aims to identify the incidence and associated features of hernias perceived to be due to a single strenuous event and to compare their features with published guidelines.
Materials and methods
All consecutive patients surgically treated for primary inguinal hernia at a single NHS trust between April 2010 and April 2011 were identified and contacted to participate in a questionnaire. Clinical details from operative records and case notes were compared with patients’ responses to identify features of their presentation attributable to a single strenuous event according to previously published guidelines.
Results
Three hundred and thirty five eligible patients were contacted with a response rate of 292 (87 %). 41/292 (14 %) of patients reported an SSE associated with the onset of their hernia. Only 2 of 41 (5 %) patients reporting a hernia associated with SSE met published criteria for association of the hernia with SSE, and this represented less than 1 % of all patients treated for inguinal hernia at a single centre in a 1-year period.
Conclusion
The relationship between physical activity and development of inguinal hernia is under debate; however, we find that inguinal hernia that can be attributed to SSE is a rare event, despite the fact that many patients present with acute symptoms. Updated guidelines for the assessment of ‘cause’ in industrial claims for the association of hernia with workplace activity are required.
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References
Davis PR (1959) The causation of herniae by weight-lifting. Lancet 2(7095):155–157
Carbonell JF, Sanchez JL, Peris RT, Ivorra JC, Del Baño MJ, Sanchez CS et al (1993) Risk factors associated with inguinal hernias: a case control study. Eur J Surg 159(9):481–486
Flich J, Alfonso JL, Delgado F, Prado MJ, Cortina P (1992) Inguinal hernia and certain risk factors. Eur J Epidemiol 8(2):277–282
Kang SK, Burnett CA, Freund E, Sestito J (1999) Hernia: is it a work-related condition? Am J Ind Med 36(6):638–644
Sanjay P, Woodward A (2007) Single strenuous event: does it predispose to inguinal herniation? Hernia 11(6):493–496
Bendavid R, Sanjay P, Woodward A (2007) Single strenuous event: does it predispose to inguinal herniation? Hernia 11:493–496
Bendavid R, Sanjay P, Woodward A (2008) Single strenuous event: does it predispose to inguinal herniation? Hernia 12(4):443
Hendry PO, Paterson-Brown S, de Beaux A (2008) Work related aspects of inguinal hernia: a literature review. Surgeon. 6(6):361–365
Smith GD, Crosby DL, Lewis PA (1996) Inguinal hernia and a single strenuous event. Ann R Coll Surg Engl 78(4):367–368
Pathak S, Poston GJ (2006) It is highly unlikely that the development of an abdominal wall hernia can be attributable to a single strenuous event. Ann R Coll Surg Engl 88(2):168–171
van Wessem KJ, Simons MP, Plaisier PW, Lange JF (2003) The etiology of indirect inguinal hernias: congenital and/or acquired? Hernia 7(2):76–79
Ashindoitiang JA, Ibrahim NA, Akinlolu OO (2012) Risk factors for inguinal hernia in adult male Nigerians: a case control study. Int J Surg. 10(7):364–367
Vad MV, Frost P, Bay-Nielsen M, Svendsen SW (2012) Impact of occupational mechanical exposures on risk of lateral and medial inguinal hernia requiring surgical repair. Occup Environ Med 69(11):802–809
Vad MV, Frost P, Svendsen SW (2015) Occupational mechanical exposures and reoperation after first-time inguinal hernia repair: a prognosis study in a male cohort. Hernia 19(6):893–900
Ruhl CE, Everhart JE (2007) Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol 165(10):1154–1161
Liem MS, van der Graaf Y, Zwart RC, Geurts I, van Vroonhoven TJ (1997) Risk factors for inguinal hernia in women: a case-control study. The Coala Trial Group. Am J Epidemiol 146(9):721–726
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
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JW, HJ, RR, and AR declare no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Williamson, J.S., Jones, H.G., Radwan, R.R. et al. Inguinal hernias associated with a single strenuous event. Hernia 20, 687–690 (2016). https://doi.org/10.1007/s10029-016-1505-7
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DOI: https://doi.org/10.1007/s10029-016-1505-7