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Inguinal hernias associated with a single strenuous event.

J S Williamson1, H G Jones2, R R Radwan2

  • 1Royal Gwent Hospital, Newport, NP20 2UB, UK. jswilliamson@doctors.org.uk.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|May 15, 2016
PubMed
Summary

Inguinal hernias attributed to a single strenuous event (SSE) are rare, with few patients meeting established criteria. This suggests a need for updated guidelines regarding workplace activity and hernia claims.

Keywords:
HerniaInguinalStrain

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Area of Science:

  • General Surgery
  • Gastroenterology
  • Occupational Health

Background:

  • The link between physical activity, particularly single strenuous events (SSEs), and inguinal hernia development is debated.
  • Many patients report acute symptoms, leading to questions about causation.

Purpose of the Study:

  • To determine the incidence of inguinal hernias perceived to be caused by SSEs.
  • To compare the features of these hernias with existing guidelines.

Main Methods:

  • A questionnaire-based study of 292 patients surgically treated for primary inguinal hernia.
  • Clinical data and patient responses were analyzed against established criteria for SSE association.

Main Results:

  • 14% of patients reported an SSE associated with hernia onset.
  • Only 5% of those reporting an SSE met published criteria.
  • This represented less than 1% of all treated inguinal hernias.

Conclusions:

  • Inguinal hernias directly attributable to SSEs are rare.
  • Current guidelines may be insufficient for assessing workplace activity claims.
  • Updated assessment criteria are needed for industrial claims linking hernias to work.