Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Online Early
Does Vitamin D Deficiency Cause Direct Inguinal Hernia? Preliminary Results
Mehmet Eren Yüksel1,Funda Tamer2,Emine Avcı3
1Aksaray University School of Medicine, Department of General Surgery, Aksaray, Turkey
2Gazi University School of Medicine, Department of Dermatology, Ankara, Turkey
3General Directorate of Public Health, Department of Infectious Diseases, Ankara, Turkey
Purpose: Direct inguinal hernia is a protrusion of the visceral contents through the weakened part of the abdominal wall. The serum level of vitamin D has a positive correlation with muscle mass and functions. Therefore, decreased serum levels of vitamin D may facilitate direct inguinal hernia development. We aimed to compare the serum levels of vitamin D in patients with direct inguinal hernia and healthy individuals.

Materials and Methods: Between April 2018 and October 2018, 30 patients with direct inguinal hernia (28 male, 2 female) and 30 healthy individuals within the control group (28 male, 2 female) were included in the study. Serum vitamin D levels of the participants and ultrasound findings of the patients were reviewed retrospectively.

Results: The mean serum 25(OH)D level was 23.11±8.42 ng/mL in patients and 24.77±10.67 ng/mL in healthy individuals, respectively (p=0.77). Serum 25(OH)D level was decreased in 27 (90%) patients, and it was within normal limits in 3 (10%) patients. Serum 25(OH)D level was decreased in 21 (70%) healthy individuals, and it was normal in 9 (30%) healthy individuals within the control group (p=0.11).

Conclusion: The results obtained from this study revealed that the patients with direct inguinal hernia had lower serum vitamin D levels than healthy individuals. However, there was no statistically significant difference in serum vitamin D levels between patients with inguinal hernia and control group. Therefore, our hypothesis if low serum 25(OH)D levels caused direct inguinal hernia could not be proved. A larger sample group is needed for further investigation. Keywords : Hernia, inguinal, vitamin D