Clinical Characteristics of Incarcerated Inguinal Hernias of the Greater Omentum

Abstract

Purpose: Incarcerated inguinal hernia may have very unusual hernial sac contents. In this study we aim to present clinical characteristics about incarcerated inguinal hernia of the greater omentum. Methods: We retrospectively analyzed hospital records of 643 adult patients who underwent inguinal hernia repair from November 2001 to January 2009. The age, sex, location, type, symptom duration, body mass index (BMI), comorbidity, type of anesthesia, operative time, postoperative hospital stay and complications were reviewed. Results: Of the 643 cases, 18 cases were omental incarcerated inguinal hernia group (O group). Seventeen in 18 cases of O group were male patient (NS). In O group, 16 cases were indirect type and 2 cases were femoral type (P=0.021). Mean age was younger in O group than in non-omental incarcerated inguinal hernia group (N group) (P=0.017). Duration of symptom was longer (P=0.013), and body mass index (BMI) was larger in O group (P=0.042). Operative time was longer in O group than in N group (P=0.006). Conclusion:The patients with omental incarcerated inguinal hernia mostly had long durations of protruding mass without pain. In these patients, operation was relatively difficult due to severe adhesion between the hernial sac and greater omentum. In addition, operative time took approximately 10 minutes longer. Therefore, general and spinal anesthesia is more feasible than local anesthesia.

Percutaneous ilioinguinal-iliohypogastric nerve block or step-by-step local infiltration anesthesia for inguinal hernia repair: what cadaveric dissection says?

“…Numerous repair procedures have been described to date for groin hernias. Almost all of them, excluding laparoscopic techniques, can be performed with local anesthesia [ 16 - 18 ]. Lichtenstein repair by using prosthetic mesh has gained great popularity because of its simplicity and low recurrence rate [ 17 ].…”

The Analysis of Risk Factors of Gall Stone Associated with Metabolic Syndrome

“…http://jsms.sch.ac.kr 을 대상으로 담석질환의 유병률을 조사한 결과에서는 2.3-4.9% 정 도로 보고되고 있다 [11][12][13][14]. 서양에서는 대부분 담낭 내 결석이 발 생하고, 콜레스테롤 담석이 많은 것으로 보고되어지는 반면, 우리 나라에서는 색소성 담석이 많고 담석의 위치에 있어서도 담관 결석 과 간내 결석이 상대적으로 많으며 여성에서 호발하는 경향을 보 여 왔다 [8,9,15]. 하지만 1980년대 이후 식생활의 변화 등으로 콜레 스테롤 담석이 증가할 것으로 예상되며, 역학 연구에서 콜레스테롤 담석의 위험 요소로 비만과 고인슐린혈증이 많은 영향을 미치는 것 으로 되어 있어 담석의 증가와 대사증후군과 밀접한 관계가 있을 것이라는 보고가 이뤄지고 있다 [16,17].…”