Document ID: chunk:federal_register_of_legislation:F2021L00497:reg:9:p1
Version: federal_register_of_legislation:F2021L00497
Segment Type: reg
Provision Reference: reg 9 (pt 1/2)
Character Range: 3592–6969

9               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, inguinal hernia or death from inguinal hernia is connected 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 before the clinical