Revista chilena de cirugía
versión On-line ISSN 0718-4026
ACEVEDO F, ALBERTO; VITERBO S, AQUILES; CAPONA P, RODRIGO y DELLEPIANE T, VERÓNICA. Clinical manifestations of groin hernia: what drives the patient to seek for a surgical solution?. Rev Chil Cir [online]. 2008, vol.60, n.3, pp. 231-235. ISSN 0718-4026. doi: 10.4067/S0718-40262008000300011.
Background: Clinical symptoms of uncomplicated groin hernia are not adequately emphasized in the specialized Hterature. Most authors consider hernias to be painless or slightly painful. Our experience at the Major Ambulatory Surgery Program (MASP) of the Health Reference Center Cordillera indicates that pain is a usual complaint among these patients. Aim: To analyze the clinical profile of patients with groin hernia. Material and methods: The information was gathered by the staff surgeons, during the first consultation, using a previously designed form. The obtained data was transcribed to the datábase of the MASP. Results: One hundred two females aged 15 to 85 years and 591 males aged 17 to 84 years, answered the survey. Pain was present in 82.4% of patients and it was modérate or intense in 79.1% of them. There was no relationship between pain intensity and the hernia type (direct, indirect or recurrent) or size (big, médium or small). The reason for consulting was pain in 75% of patients and discomfort in 17%. Restriction of the usual activities was referred by the 59% of patients, which was significant in 33% of them. Agreater restriction in the activities was observed in patients with recurrent hernias. Adull character of pain of a sub acute type was most frequently observed. Physical activity increased the discomfort in 89% of cases. The proportion of patients with pain was similar among patients consulting early or late in the course of the disease. Conclusions: Pain and functional limitations were the reason to seek a surgical solution in a high proportion of patients with groin hernia
Palabras clave : Inguinal hernia; pain; functional limitation.