Is Laparoscopy Needed for Incarcerated Hernias that Became Reducible during Induction of General Anesthesia?

Bozkurt, Mehmet Abdussamet; Gönenç, Murat; Kocataş, Ali; Temizgönül, Kaplan Baha; Ünsal, Mustafa; Alış, Halil

doi:10.1177/000313481508100205

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Laparoscopic exploration is more advantageous than open surgery in evaluating intestinal segments that have been spontaneously reduced following the introduction of anesthesia. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic exploration is more advantageous than open surgery in evaluating intestinal segments that have been spontaneously reduced following the introduction of anesthesia. [7] Laparoscopic hernia repair has become routine in elective surgery, but open surgery continues to be more prominent in emergency cases. [8,9] This may be due to the difficulty in assessing the vascularization of the strangulated segment and performing resections if necessary.…”

Section: Discussionmentioning

confidence: 99%

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Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

Eminoğlu

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Incarcerated inguinal hernia requires emergency intervention.The incarcerated segment should be thoroughly inspected in order to evaluate the degree of ischemia and decide whether resection is required.The aim of this study is to evaluate the applicability of TAPP for patients seen in the emergency department for incarcerated inguinal hernias. METHODS: The study was done retrospectively.Patients who presented to the emergency department and were operated with the TAPP technique were included.İn all patients laparoscopic abdominal exploration was done to determine the extent of the incarcerated intestinal segment and evaluate the need for resection.TAPP technique was used to laparoscopically repair the hernia. The demographics of the patients,technique used for the hernia repair,necessity for resection,postoperative mortality and morbidity and recurrence rates were recorded. RESULTS: 109 patients were seen for incarcerated hernia.12 patients were excluded either because they were not suitable for or did not consent to laparoscopic repair.97 patients had hernia repair with TAPP technique.İn 6 patients spontaneous reduction of the incarcerated segment was observed after anesthesia induction.İn 9 patients necrosis of the incarcerated segment was observed and resection and anostomosis was performed.7 patients had laparoscopic 2 patients had open resections.Seroma was observed in 7, hematoma in 3 and wound infection in 2 patients postoperatively.No mortality was seen.1 patient had a recurrence in the follow up period. CONCLUSION: TAPP technique is a good alternative for selected patients undergoing emergency hernia repair because it provides the surgeon with the possibility to evaluate the incarcerated intestinal segment thoroughly while preserving the advantages of laparoscopic surgery.

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“…Laparoscopic exploration is more advantageous than open surgery in evaluating intestinal segments that have been spontaneously reduced following the introduction of anesthesia. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

Eminoğlu

2024

Ulus Travma Acil Cerrahi Derg

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“…Although there is no single standard repair technique for all inguinal hernias, the Lichtenstein approach or a laparo-endoscopic repair is considered optimal treatment techniques [3]. Previous research has shown that approximately 8.6% of all incarcerated inguinal hernia contents can be returned to the abdominal cavity spontaneously after general anesthesia, and intestinal ischemia or necrosis was detected by laparoscopic examination in approximately 40.9% of cases [4].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Examination and Transabdominal Preperitoneal (TAPP) Approach with Biologic Mesh for Strangulated Direct Inguinal Hernia Accompanied by Small Intestinal Perforation

Xie¹,

Shujie²,

Fu³

et al. 2021

Preprint

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Background A direct inguinal hernia is caused by a weakness or defect in the floor of the Hesselbach triangle. It is believed that direct hernias are less likely to strangulate than indirect hernias, because the neck of the direct hernia is wide enough to avoid strangulation. Approximately 8.6% of all incarcerated inguinal hernia contents can be returned to the abdominal cavity spontaneously after general anesthesia, and intestinal ischemia or necrosis was detected by laparoscopic examination in approximately 40.9% of cases. However, which surgical approach or mesh for an acutely incarcerated and strangulated groin hernia is still no consensus. We retrospectively enrolled 12 patients with incarcerated inguinal hernias accompanied by small intestinal perforation who underwent laparoscopic examination when the hernia content spontaneously returned into the abdominal cavity after induction of general anesthesia in our institution.Results 1 of the 12 patients had developed temporary seroma; the other 2 had early postoperative pain. No evidence of hernia recurrence, chronic pain, infection, scrotal swelling, paralyticileus, persistent seroma, mortality, or any other complications were found during the follow-up. At 1 year and most recent follow-up, all patients were satisfied with the treatment outcome.Conclusions It is a necessary to detect abdominal viscera when incarcerated inguinal hernia contents return to the abdominal cavity spontaneously after general anesthesia, and laparoscopic examination is an efficient method. Laparoscopic TAPP technique with biologic meshes is a feasible method to treat strangulated inguinal hernias accompanied by small intestinal perforation. To better understand whether TAPP or biologic mesh apply to strangulated inguinal hernia (especially enterectomy) and evaluate its wider application, this treatment will need to be tested in larger clinical trials.

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Laparoscopic Examination and Transabdominal Preperitoneal (TAPP) Approach with Biologic Mesh for Strangulated Direct Inguinal Hernia: a Case Series

Xie

Liu

et al. 2021

Indian J Surg

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Is Laparoscopy Needed for Incarcerated Hernias that Became Reducible during Induction of General Anesthesia?

Cited by 4 publications

References 4 publications

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

Laparoscopic Examination and Transabdominal Preperitoneal (TAPP) Approach with Biologic Mesh for Strangulated Direct Inguinal Hernia Accompanied by Small Intestinal Perforation

Laparoscopic Examination and Transabdominal Preperitoneal (TAPP) Approach with Biologic Mesh for Strangulated Direct Inguinal Hernia: a Case Series

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