Influence of socio-psychological status peculiarities on patients with obstructed inguinal hernia while concerning surgical treatment

• Main Authors: Tolstokorov A.S., Lyakishev V.V., Selezneva T.D.
• Format: Article
• Language: Russian
• Published: Saratov State Medical University 2013-06-01
• Series: Саратовский научно-медицинский журнал
• Subjects: inguinal hernia; surgical treatment
• Online Access: http://www.ssmj.ru/system/files/2013-02_328-332.pdf
• ISSN: 1995-0039; 2076-2518

The research goal is to confront the duration of withholding operative therapy of obstructed inguinal hernias with peculiarities of medical and social and psychological status of patients. Materials and methods: 186 patients with inguinal hernias aged from 25 to 60 years were examined. Duration of withholding operative therapy was determined from the moment of officially established diagnosis to the moment of admission to surgical hospital. Results: Medical aid to patients with inguinal hernias who went to the hospital by themselves is no more than 29% and in most cases (53,6%) diagnosis is officially established while staying in health care institutions with other diseases, 94,6% of patients realized the fact that full recovery from inguinal hernias was possible only after surgical procedures. Conclusion: In the first year after establishment of diagnosis consent to surgical treatment of inguinal hernias is associated with the age under 30, higher education, the presence of partially or entirely unreduced inguinal hernia, prevalence of such qualities of charac- ter as psychasthenia, paranoia, hypomania. In five-six years after official establishment of diagnosis patients aged over 50 years with higher education and prevailing of such qualities of character as hypohondria, depression, psychasthenia give their consent to surgical treatment of inguinal hernia regardless of its type and size.