Aim We present our experience in the repair of strangled inguinal hernias using Nyhus technique. Material and methods Retrospective review from 2019 to 2021 of 39 patients operated on for strangulated inguinal hernia who underwent a subsequent repair with cavity exploration using Nyhus technique, with a minimum follow-up of 12 months. There were 39 patients (77% men/23% women) with a mean age of 67 years (range 45–87 years), of which 41% were smokers, 22% obese, 10% cardiopaths and 22% COPD. 28% of hernias were recurrent. Results Of the 39 patients operated, intestinal resection and anastomosis were necessary in two patients; seroma was observed in 3 patients (10%), SSI in 2 patients (6%), hematoma in 4 patients (12%). During follow-up, recurrence has only been recorded in 2 patients(6%). Conclusions Anterior repair is the most widely used technique today for the repair of strangled inguinal hernia due to its simplicity and reproducibility. In many centers, a laparoscopic approach is being imposed, which allows, in addition to the repair of the hernia, a correct revision of the intestinal package in cases of doubtful viability. However, few surgeons today master the open preperitoneal technique, so useful in cases of recurrences, complex hernias and especially in emergencies. The Nyhus technique is a very useful technical option in the repair of strangled inguinal hernias, allowing access with wide visibility and possibility of safe intestinal resection without the need for general anesthesia.

Aim We present our clinical experience in the urgent repair of traumatic hernias through two clinical cases. Material and Methods Case 1: A 45-year-old man suffering thoraco-abdominal trauma due to running over. Thoracoabdominal CT scan and surgical examination shows a meso tear of terminal ileum and traumatic section of the right lateral musculature. Case 2: A 19-year-old man suffering abdominal trauma due to a traffic accident. CT abdomen is performed which reports large traumatic hernia of the left anterior abdominal wall including intestinal loops, with pneumo and retroneumoperitoneum. Results Case 1: We close the mesenteric gap and repair musculature by associating a polypropylene mesh in the preperitoneal space. The patient is discharged after 13 days. During the two-year follow-up, no hernia recurrence was detected. Case 2: A reconstruction of the wall is performed associating posterior separation of left components, in addition to ileocecal and sigma resection with anastomosis. As a complication presents seroma and chronic sinus, without hernia recurrence during follow-up for 5 years. Conclusions The tendency in traumatic hernias is their repair in a second time attending first to injuries that compromise the survival of the patient, but larger defect can lead to irreversible sequelae since enlargement of hernia, atrophy and muscle retraction, resulting in a more complex repair. If the patient requires urgent surgical intervention for visceral injury, some authors defend the simultaneous repair of the hernia in stable patients. Our group thinks that patients requires individualized management and its urgent repair will depend on the clinical situation.