There is insufficient epidemiologic evidence to draw meaningful conclusions about ( i ) the existence of causal associations between specific occupational mechanical exposures and the development of inguinal hernia , and ( ii ) the influence of these exposures on prognosis after inguinal hernia repair with respect to hernia recurrence and persistent pain
OBJECTIVES The aim of this review was to evaluate the epidemiologic evidence for ( i ) a causal effect of occupational mechanical exposures on incidence of inguinal hernia , and ( ii ) a prognostic effect of such exposures on hernia recurrence and persistent pain after inguinal hernia repair .
Short convalescence after inguinal herniorrhaphy with standardised recommendations: duration and reasons for delayed return to work.
OBJECTIVE To provide a detailed description of post-herniorrhaphy convalescence . DESIGN Prospect i ve , descriptive , consecutive question naire case series . SETTING Public university hospital , Denmark . PATIENTS 100 consecutive patients treated for inguinal hernia . INTERVENTION Elective open inguinal herniorrhaphy under local anaesthesia . One day convalescence for light/moderate and three weeks for strenuous physical activity was recommended . MAIN OUTCOME MEASURE Duration of absence from work or main recreational activity . RESULTS Overall median absence ( including the day of operation ) was 6 days ( interquartile range 1 - 16 ) . For unemployed patients it was 1 day ( 0 - 7 ) , for patients with a light or moderate workload 6 days ( 3 - 12 ) , and for those with a heavy workload 25 days ( 21 - 37 ) . Among the 64 patients , who did not follow the recommendations , pain was contributory in 33 and advice from the general practitioner in 12 . Pain was the main cause of impairment of activities of daily living . CONCLUSION Well-defined recommendations for convalescence may , together with improved management of postoperative pain , shorten convalescence ; they are essential in the evaluation of effects of different surgical techniques of herniorrhaphy on convalescence
There is insufficient epidemiologic evidence to draw meaningful conclusions about ( i ) the existence of causal associations between specific occupational mechanical exposures and the development of inguinal hernia , and ( ii ) the influence of these exposures on prognosis after inguinal hernia repair with respect to hernia recurrence and persistent pain
OBJECTIVES The aim of this review was to evaluate the epidemiologic evidence for ( i ) a causal effect of occupational mechanical exposures on incidence of inguinal hernia , and ( ii ) a prognostic effect of such exposures on hernia recurrence and persistent pain after inguinal hernia repair .