1999-09-21
Prevalence of aortic aneurysm in men with a history of inguinal hernia repair
Publication
Publication
British Journal of Surgery , Volume 86 - Issue 9 p. 1155- 1158
Background: Population-based screening for abdominal aortic aneurysm (AAA) is still a subject of debate. This study examined whether subjects with a history of inguinal hernia were at increased risk sufficient to justify screening. Methods: The prevalence of AAA was documented in 156 men aged 55 years and older, discharged after inguinal hernia surgery, and compared with the prevalence in 1771 men without a history of inguinal hernia who were participating in a screening survey for AAA. The influence of age and smoking status was assessed. Results: The prevalence of AAA in men with a history of inguinal hernia was 12.2 (95 per cent confidence interval (c.i.) 7.0-17.4) per cent and 3.7 (95 per cent c.i. 2.8-4.6) per cent in those without such a history; prevalence ratio 3.3 (95 per cent c.i. 2.0-5.3). In current smokers the prevalence of abdominal aneurysm was 4.2 (95 per cent c.i. 2.1-8.2) times higher in those with compared with those without a history of inguinal hernia. In non-smokers the prevalence ratio was 1.9 (95 per cent c.i. 0.5-7.0). Conclusion: Men with a history of inguinal hernia are at increased risk of AAA, most notably if they are cigarette smokers. Ultrasonographic screening could be considered before operation for inguinal hernia.
Additional Metadata | |
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doi.org/10.1046/j.1365-2168.1999.01213.x, hdl.handle.net/1765/57697 | |
British Journal of Surgery | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Pleumeekers, B., de Gruijl, A., Hofman, A., van Beek, T., & Hoes, A. (1999). Prevalence of aortic aneurysm in men with a history of inguinal hernia repair. British Journal of Surgery, 86(9), 1155–1158. doi:10.1046/j.1365-2168.1999.01213.x |