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Inguinal hernia: aetiology, diagnosis, post‐repair pain and compensation
Author(s) -
O'Rourke Michael G. E.,
O'Rourke Thomas R.
Publication year - 2012
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2011.05755.x
Subject(s) - medicine , etiology , hernia , chronic pain , inguinal hernia , hernia repair , surgery , neuropathic pain , general surgery , physical therapy , anesthesia
Abstract Background: Inguinal hernia compensation depends on aetiology, diagnosis and complications, particularly post‐hernia pain. New studies in these three areas bring confusion to claims. Methods: A comprehensive research of the literature using Medline: in aetiology, in diagnoses, the use of ultrasound and/or other investigations, in chronic post‐hernia pain and the understanding of the pathogenesis of hernia and post‐hernia pain. Using the above data, a creation of a protocol for acceptance of compensation claim. Results: Although intra‐abdominal pressure has been accepted for 200 years as a significant aetiological factor in inguinal hernia, tissue studies and prospective studies suggest an inevitability. In diagnosis, the clinical detection of a lump is the gold standard; investigations are not required. An ultrasonic detection of a hernia without clinical correlation does not require surgery. Post‐hernia chronic pain is not singular to hernia, is now considered neuropathic pain and treatment is conservative. Conclusions: The work scene is possibly an aggravating factor but not a prime aetiological factor. The diagnosis does not require ultrasound. Chronic pain is neuropathic. A protocol for claim acceptance is presented.