Prevalence of abdominal aortic aneurysms in over 65-year-old men with inguinal hernias
The 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. A prospective study on 70 consecutive male patients with an age range of 65...
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Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2008-07, Vol.90 (5), p.386-388 |
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Sprache: | eng |
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Zusammenfassung: | The 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.
A 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.
Two 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%).
This 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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ISSN: | 0035-8843 1478-7083 |
DOI: | 10.1308/003588408X285937 |