Abdominal wall hernia in a rural population in India—Is spectrum changing?


Hernia is a common word that most surgeons are familiar with. A retrospective study was planned to analyse the spectrum of abdominal wall hernias in a rural population inIndia. Majority of the patients were of 40 - 70 yrs. Male to female ratio was 7:1. Incidence of groin hernias showed an increasing trend with advancing age. Out of total 320 cases, inguinal hernias were predominating in 77.81% cases. Ventral hernias were present in about 18% cases. However, femoral hernias were rare. We concluded that spectrum of abdominal wall hernias is almost the same all over the globe despite having differences in their socioeconomic and educational status.

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Sangwan, M. , Sangwan, V. , Garg, M. , Mahendirutta, P. and Garg, U. (2013) Abdominal wall hernia in a rural population in India—Is spectrum changing?. Open Journal of Epidemiology, 3, 135-138. doi: 10.4236/ojepi.2013.33020.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Mebula, J.B. and Chalya, P.L. (2012) Surgical management of inguinal hernias at Bugando medical centre in northwestern Tanzania: Our experience in a resource-limited setting. Mebula and Chalya BMC Research, 5, 585.
[2] Primatesia, P. and Golacre, M.J. (1996) Inguinal hernia repair, incidence of elective and emergency surgery. International Journal of Epidemiology, 25, 835-839. doi:10.1093/ije/25.4.835
[3] Kingnorth, A.N. and Leblanc, K.A. (2003) Management of abdominal hernias. 3rd Edition, Edward Arnold, London.
[4] Rutkow, I.M. (2003) Demographic and socioeconomic aspects of hernia repair in United States in 2003. Surgical Clinics of North America, 83, 1045-1051. doi:10.1016/S0039-6109(03)00132-4
[5] Javid, P.J. and Brooks, D.C. (2007) Hernias. In: Zinner, M.J. and Ashley, S.W., Eds., Maingots Abdominal Operations, Vol. 1, 11th Edition, McGraw-Hill, New York, 103-139.
[6] Gulzar, M.R., Iqbal, J., Ulhaq, M.I. and Afzal, M. (2007) Darning vs Bassini repair for inguinal hernia—A prospective comparative study. Professional Medical Journal, 14, 128-133.
[7] Fitzgibbons, R.J., Filipi, C.J. and Thomas, H.Q. (2005) Inguinal hernia. In: Brunicardi, F.C., Andersen, D.K., Billiar, T.R., Dunn, D.L., Hunter, J.G. and Pollock, R.E., Eds., Schwartz’s Principles of Surgery, 8th Edition, McGraw-Hill, New York.
[8] Sultan, B., Qureshi, Z. and Malik, M.A. (2009) Frequency of external hernias in Ayub teaching hospital Abbottabad. Journal of Ayub Medical College Abbottabad, 21, 57-58.
[9] Garba, E.S. (2000) The pattern of adult external abdominal hernias in Zaria. Nigerian Journal of Surgical Research, 2, 12-15.
[10] Mbah, N. (2007) Morbidity and mortality associated with inguinal hernia in northwestern Nigeria. West African Journal of Medicine, 26, 288-292.
[11] Zimmermann, L.M. and Amson, B.J. (1967) Anatomy and surgery of hernias, 2nd Edition, Willium and Wilkins, Baltimore.
[12] Russell, R.C.G., Williams, N.S. and Bulstrode, C.J.K. (2000) Bailey and love’s short practice of surgery. 23rd Edition, Hodder Arnold, London.
[13] Ammar, S.A. and Ismail, T. (2008) Abdominal wall hernias in upper Egypt: A different spectrum. East and Central African Journal of Surgery, 13, 109-113.
[14] Osifo, O.D. and Amusan, T. (2010) Outcome of giant inguinosacrotal hernia repair with local lidocaineanaesthesia. Saudi Medical Journal, 31, 53-58.

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