Document ID: chunk:federal_register_of_legislation:F2021L00485:reg:9:p1
Version: federal_register_of_legislation:F2021L00485
Segment Type: reg
Provision Reference: reg 9 (pt 1/2)
Character Range: 3637–7011

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting inguinal hernia or death from inguinal hernia with the circumstances of a person's relevant service:
(1)          having acute elevation of pressure within the abdominal cavity due to any one of the following:
(a)          anti-G straining manoeuvre;
(b)          lifting heavy weights;
(c)          physical trauma to the abdomen involving a direct blow to the abdomen;
(d)          pneumoperitoneum induced for laparoscopic surgery;
(e)          significant coughing;
(f)           significant sneezing;
(g)          straining at micturition due to bladder outlet or urethral obstruction; or
(h)          straining at stool due to constipation or diarrhoea;
within the 30 days before the clinical onset of inguinal hernia;
(2)          having chronic elevation of pressure within the abdominal cavity due to any one of the following:
(a)          ascites;
(b)          chronic ambulatory or automatic peritoneal dialysis;
(c)          extensive intra-abdominal neoplastic disease or mass; or
(d)          pregnancy;
at the time of the clinical onset of inguinal hernia;
Note: Chronic elevation of pressure may be intermittent or continuous.
(3)          undergoing radical retropubic prostatectomy, laparoscopic radical prostatectomy or robot-assisted laparoscopic radical prostatectomy within the five years before the clinical onset of inguinal hernia;
(4)          having chronic onchocerciasis in the presence of a hanging groin at the time of the clinical onset of inguinal hernia;
            Note 1: Onchocerciasis is a parasitic disease caused by the filarial worm Onchocerca volvulus that occurs in sub-Saharan African countries, and in some areas of South America and Yemen.  Symptoms include severe itching, disfiguring skin conditions and visual impairment.
            Note 2: hanging groin is defined in the Schedule 1 - Dictionary.
(5)          for uretero-inguinal hernia only, having a kidney transplant before the clinical onset of uretero-inguinal hernia;
(6)          having acute elevation of pressure within the abdominal cavity due to any one of the following:
(a)          anti-G straining manoeuvre;
(b)          lifting heavy weights;
(c)          physical trauma to the abdomen involving a direct blow to the abdomen;
(d)          pneumoperitoneum induced for laparoscopic surgery;
(e)          significant coughing;
(f)           significant sneezing;
(g)          straining at micturition due to bladder outlet or urethral obstruction; or
(h)          straining at stool due to constipation or diarrhoea;
within the 30 days before the clinical worsening of inguinal hernia;
(7)          having chronic elevation of pressure within the abdominal cavity due to any one of the following:
(a)          ascites;
(b)          chronic ambulatory or automatic peritoneal dialysis;
(c)          extensive intra-abdominal neoplastic disease or mass; or
(d)          pregnancy;
at the time of the clinical worsening of inguinal hernia;
Note: Chronic elevation of pressure may be intermittent or continuous.
(8)          undergoing radical retropubic prostatectomy, laparoscopic radical prostatectomy or robot-assisted laparoscopic radical prostatectomy within the five years