Prevalence of abdominal aortic aneurysms in over 65-year-old men with inguinal hernias |
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Authors: | Anderson Oliver Shiralkar Sandy |
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Institution: | Department of Vascular Surgery, Russell's Hall Hospital, Dudley, UK. Sandy.Shiralkar@dgoh.nhs.uk |
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Abstract: | INTRODUCTIONThe aim of this study was to determine the prevalence of abdominal aortic aneurysms (AAAs) in over 65-year-old men who have inguinal hernias and discuss if pre-operative selective screening of this population is appropriate.PATIENTS AND METHODSA prospective study on 70 consecutive male patients with an age range of 65–88 years (mean, 74 years) who were referred to a single vascular consultant''s out-patient clinic with an inguinal hernia were screened for the presence of an AAA with an ultrasound scan before hernia repair over a period of 3 years.RESULTSTwo patients were found to have an AAA measuring 3.8 cm and 6.0 cm giving an AAA prevalence of 3% (exact 95% confidence interval = 0–10%).CONCLUSIONSThis study does not demonstrate an increased AAA prevalence in over 65-year-old male patients with inguinal hernias, scanned pre-operatively when compared to screening programmes. Selective screening of this cohort cannot be justified on this evidence. |
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Keywords: | Abdominal aortic aneurysm Inguinal hernia |
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