| Timing of strangulation in adult hernias. | |
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MedLine Citation:
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PMID: 2765809 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This retrospective study aimed to determine why the incidence of strangulated hernias in adults remains high. Seventy-nine patients presented with clinical evidence of hernia strangulation which required urgent surgery during the period 1979-87. Forty-six patients (58 per cent) had noted a hernia present for at least 1 month before strangulation: 18 (23 per cent) had not reported it to their family doctor, 19 (24 per cent) were known by family practitioners or non-surgical medical personnel to have a hernia but had not been referred for surgical opinion, and nine (11 per cent) had been previously assessed surgically with a view to elective repair. Of these nine, five were considered unfit, three were on waiting lists for operation and one had refused surgery. Thirty-two patients (40 per cent) presented primarily with strangulation within days of developing a hernia. The duration of hernia before strangulation in one patient was unknown. Although an unavoidable number of patients will continue to present with strangulation within days of developing a hernia, the overall incidence could be significantly reduced by greater public awareness of the risks of hernia strangulation and by a policy of immediate patient referral and prompt elective repair. |
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Authors:
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G P McEntee; A O'Carroll; B Mooney; T J Egan; P V Delaney |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of surgery Volume: 76 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1989 Jul |
Date Detail:
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Created Date: 1989-09-28 Completed Date: 1989-09-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 725-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Regional Hospital, Dooradoyle, Limerick, Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Aged, 80 and over Female Hernia / etiology, pathology, surgery* Humans Male Middle Aged Referral and Consultation Risk Factors Sex Factors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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