Page 22 - herina surgery and possible lawsuits

1 Natural history of inguinal hernia

The natural history of an untreated inguinal hernia is poorly understood because until recently
there were almost no contemporary data available. Published figures are based more on
speculation than on scientific facts, leads difficulty in finding complication rate and life

threatening risk rate for groups of populations in whom no one has a hernia repaired.
• The probability of hernia become painful rose to 90% by 10 years; however leisure
activity affected in 29% patients and only 13% required time of because of hernia

related symptoms.
• Probability of irreducibility increased from 6.5% at 12 months to 30% at 10 years,
possibility of strangulation at 3 month was 2.3% at 3months and 4.5% at 21 months.

Operative mortality for obstructed hernia surgery is around 0.15%. [51, 52]. Operative
mortality for obstructed hernia surgery is around 0.15%.
• Fitzgibbon and O’Dwyer had done two separate studies and concluded that mdication

of surgery in symptomatic patients is for comfort than prevention of complication.
The watchful waiting is safe and acceptable option for the asymptomatic hernia or
minimally symptomatic patients. Deferring an operation until the symptoms carries no

increase m complications.[53, 54]

28