Relationship Between Constipation and Inguinal Hernia

Impact of Chronic Constipation on the Development Inguinal Hernia

The purpose of this study is to asses the effect of chronic constipation on formation of inguinal hernia using Constipation Severity Scale.

Study Overview

• Status: Completed
• Conditions: Constipation; Inguinal Hernia

Detailed Description

Causes of inguinal hernia are known to be multifactorial, although not fully understood. Besides family history, and connective tissue diseases, the sudden increase in abdominal pressure as heavy lifting, chronic constipation , coughing, straining , situations such as difficulty urinating facilitate the formation and emergence of hernia.

Constipation severity scale(CSS) was developed by Varma et al in 2008. CSS is a scale to determine the individuals defecation frequency, the intensity and difficulty during defecation.CSS has three subscales including Pain, Congestion stool and Large Intestine laziness(0-73 points).High scores indicate that serious symptoms.

Investigators found no studies that show how constipation impact on groin hernias. Investigators are planning to understand the effect of constipation on direct and indirect hernia formation.

• Study Type: Observational
• Enrollment (Actual): 200

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 78 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

study group: 100 patients with groin hernia above age of 18 kontrol group: 100 healthy volunteers

Description

Inclusion Criteria:

• healthy volunteers(n:100)
• patients above age of 18(n:100)
• patients with groin hernia(n:100)

Exclusion Criteria:

• previous inguinal hernia surgery
• patients who did not accept the procedure
• patients under age of 18

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
constipation & hernia group; The effect of constipation on study group whether there is a correlation between subgroups of operated patients on the view of direct and indirect hernias(Nyhuss classification).
constipation & normal population; The level of constipation on normal population using constipation severity scale.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Impact of chronic constipation on the development inguinal hernia	This study asses the effect of chronic constipation on formation of inguinal hernia using Constipation Severity Scale(CSS). After the Ethics Committee Approval from Harran University, study was carried out with 200 patient. After filling out a detailed consent form the two groups were asked to fill out the scale(study group: 100 Patients which were operated with the diagnosis of inguinal hernia, control group: 100 volunteers clinically determined to be healthy). . During surgery, hernia types of the patient's in study group defined according to Nyhus classification and noted on the scale. Results in both groups were studied to understand the effect of constipation on development of inguinal hernia and whether there was a correlation between surgical patients and healthy volunteers. The effect of constipation was also evaluated on operated patients on the view of direct and indirect hernias. P <0.05 was considered significant.,	12 months

Collaborators and Investigators

• Sponsor: Siverek Devlet Hastanesi
• Collaborators: Harran University
• Investigators: Study Director: Ali Uzunköy, Harran University; Study Director: Bülent Çitgez, Sisli Etfal Hospital

Study record dates

Study Major Dates

• Study Start: January 1, 2015
• Primary Completion (Actual): July 1, 2015
• Study Completion (Actual): September 1, 2015

Study Registration Dates

• First Submitted: October 23, 2015
• First Submitted That Met QC Criteria: April 22, 2016
• First Posted (Estimate): April 25, 2016

Study Record Updates

• Last Update Posted (Estimate): April 25, 2016
• Last Update Submitted That Met QC Criteria: April 22, 2016
• Last Verified: April 1, 2016

More Information

Terms related to this study

• Keywords: groin hernia; Nyhus classification; constipation severity scale
• Additional Relevant MeSH Terms: Signs and Symptoms, Digestive; Pathological Conditions, Anatomical; Hernia, Abdominal; Hernia; Hernia, Inguinal; Constipation
• Other Study ID Numbers: 74059997.050.01.04/78

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No