Is the Lichtenstein Operation of Strangulated Groin Hernia a Safe Procedure?

Wysocki, A; Kulawik, Jan; Poźniczek, M; Strzałka, Marcin

doi:10.1007/s00268-005-0416-z

Cited by 64 publications

(35 citation statements)

References 77 publications

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“…In Group 1, 51.7% (58) of the patients had hernias on the right side, while 48.3% (54) had hernias on the left side. In Group 2, 61.5% (24) of the patients had hernias on the right side, and 38.5% (15) had their hernias on the left side. There were no statistically significant differences between the two groups with respect to gender, hernia type, or hernia localization (p>0.05) ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Wysocki et al (15) previously performed a study of 77 patients who underwent the Lichtenstein procedure. In this study, two of the patients had seromas, while two patients had limited wound infections.…”

Section: Wound Infection-recurrencementioning

confidence: 99%

“…However, recent studies have reported that strangulation is no longer a contraindication for tension-free mesh repair (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Wound Infection-recurrencementioning

confidence: 99%

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Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Wound Infection-recurrencementioning

confidence: 99%

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Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

et al. 2016

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“…It has been reported that polypropylene meshes can be used safely in inguinal hernia cases that undergo intestinal resection. [28] Polypropylene meshes are resistant against infections due to their macroporous structure and can be used safely in AWH defects. Repair techniques performed using Prolene mesh in anterior AWHs in the hands of experienced surgeons and in accordance with the technique would provide lower morbidity and recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

Incarcerated abdominal wall hernia surgery: relationship between risk factors and morbidity and mortality rates (a single center emergency surgery experience)

Özkan¹,

Yıldız²,

Çakır³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇBu çalışmada, acil cerrahi kliniğimizde boğulmuş abdominal duvar hernisi nedeniyle ameliyat edilen hastalarda morbidite ve mortaliteyle ilişkili risk faktörlerinin insidansı araştırıldı. GEREÇ VE YÖNTEMHastalar hem fıtık türüne göre (inguinal, umblikal, insizyonel, femoral) kendi aralarında hem de morbidite ve mortalite üzerine etkili faktörler bakımından; yaş, cinsiyet, Amerikan Anesteziyoloji Derneği (AAD) skoru, anestezi tipi, eşlik eden hastalıklar, intestinal boğulma ve nekroz varlığı gibi verilerle değerlendirildi. BULGULARİnguinal herni erkeklerde, umblikal ve femoral herni kadınlarda sıktı (p<0,001). Femoral hernide boğulma ve nekrozdan dolayı intestinal rezeksiyon diğer fıtık türleri-ne göre anlamlı olarak yüksek saptandı (sırasıyla, p<0,005 ve p<0,001). Morbidite ve mortalite üzerine; ileri yaş (≥65 yaş), ek hastalık, strangülasyon, nekroz, yüksek AAD skoru (III, IV), semptomların başlama ve hastaneye başvuru süresinin anlamlı etkisi bulundu. Genel anestezinin de morbidite için risk oluşturduğu görüldü (p<0,05). SONUÇBoğulmuş abdominal duvar hernileri yüksek morbidite ve mortalite oranına sahip bir cerrahi problemdir. Bu yüzden herni saptandığında elektif koşullarda ameliyat planlanmalıdır.Anahtar Sözcükler: Abdominal duvar hernisi; inkarserasyon; nekroz; strangülasyon. BACKGROUNDThe aim of the present study was to investigate morbidityand mortality-related risk factors in patients undergoing surgery due to incarcerated abdominal wall hernia. METHODSThe patients were grouped according to the type of hernia (inguinal, umbilical, incisional, femoral), and these groups were evaluated in terms of risk factors affecting morbidity and mortality such as age, gender, American Society of Anesthesiologists (ASA) score, type of anesthesia, concomitant diseases, and the presences of intestinal strangulation and necrosis. RESULTSInguinal hernia was frequent in males, whereas femoral hernia was frequent in females (p<0.001). The rate of intestinal resection due to strangulation and necrosis was found significantly higher among femoral hernias as compared to the other types of hernia (p<0.005 and p<0.001, respectively). Advanced age (≥65 years), concomitant disease, strangulation, necrosis, high ASA score (III-IV), time from the onset of symptoms, and time to hospital admission were found to have significant influences on morbidity and mortality. General anesthesia was found to be a risk factor for morbidity as well (p<0.05). CONCLUSIONIncarcerated abdominal wall hernias are surgical problems with high morbidity and mortality rates. Therefore, surgery should be planned under elective conditions when hernia is detected.

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“…Setelah integritas mekanik usus hilang, maka bakteri dapat menginvasi submukosa serta memasuki sirkulasi sistemik melalui vena porta dan sistem limfatik. [4][5][6][7] Beberapa substansi bakteri dapat ditemukan dari cairan peritoneum dan jaringan limfatik, bahkan bila tidak terjadi perforasi. 4 Pada keadaan obstruksi dan strangulasi usus, kadar laktat darah merupakan salah satu indikator kimiawi darah yang dapat diukur.…”

Section: Pendahuluanunclassified

Kadar Laktat Darah sebagai Prediktor Kontaminasi Bakteri pada Hernia Inguinalis Lateralis Strangulata

Pratama¹,

Yarman²,

Sulthana³

2013

mkb

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AbstrakHernia inguinalis lateralis strangulata merupakan salah satu kasus akut abdomen yang harus segera ditangani. Hernia yang mengalami strangulasi akan mengalami kerusakan integritas sel dan barier mukosa usus sehingga terjadi kontaminasi bakteri. Selain itu, sel usus yang strangulasi akan mengalami metabolisme anaerob yang menyebabkan peningkatan kadar laktat darah. Oleh sebab itu dilakukan penelitian untuk menilai hubungan antara kadar laktat darah dan kontaminasi bakteri pada keadaan strangulasi hernia. Metode penelitian bersifat potong lintang, data prospektif, penderita dengan hernia inguinalis lateralis strangulata yang datang ke Rumah Sakit Dr. Hasan Sadikin Bandung periode Mei 2011-April 2012. Dilakukan pengukuran kadar laktat darah saat penderita datang dan cairan peritoneum yang berasal dari kantung hernia diambil saat operasi. Dilakukan analisis data dengan uji regresi logistik. Subjek penelitian berjumlah 30 orang, terdiri atas 28 lakilaki dan 2 perempuan. Usia rata-rata subjek penelitian 58,5±12,86 tahun. Nilai kadar laktat darah rata-rata 1,76±0,36 mmol/L. Hasil kultur kuman cairan peritoneum terbanyak Escherichia coli. Terdapat hubungan sangat kuat dan sangat bermakna antara kadar laktat darah dan kejadian kontaminasi bakteri, nilai r=0,817 dan p=0,007 (p<0,01). Simpulan, kadar laktat darah dapat dijadikan sebagai alat ukur untuk memperkirakan kontaminasi bakteri pada penderita hernia inguinalis lateralis strangulata. [MKB. 2013;45(1):44-9] Kata kunci: Hernia inguinalis lateralis strangulata, kadar laktat darah, kontaminasi bakteri Blood Lactate Levelas Predictor of Bacterial Contamination in Strangulated Groin Hernia AbstractStrangulated groin hernia is one of the acute abdomen and have to be treated immediately. Strangulated hernia will cause damage of cell integrity and barrier of intestinal mucous, which make bacterial contamination occur. Strangulated intestinal cells will have anaerobic metabolism which make the blood lactate level increased. Therefore study was conducted to know the correlation between blood lactate level and bacterial contamination in strangulated groin hernia. The study method was cross-sectional with prospective data, patients with strangulated groin hernia who came to Dr. Hasan Sadikin Hospital Bandung during May 2011-April 2012. Blood lactate level was measured when the patient came to hospital and the peritoneal fluid which came from the hernial sac was taken intraoperatively. The data were analyzed with regression logistic test. There were 30 subjects in this study, 28 males and 2 females. The average age was 58.5±12.86 years old. The average blood lactate level was 1.76±0.36 mmol/L. The most found bacterial culture was Escherichia coli. There was strong and very significance correlation between blood lactate level and bacterial contamination, r=0.817 and p=0.007 (p<0.01). In conclusion, blood lactate level can be a predictor for bacterial contamination occurrence in patient with strangulated groin hernia. [MKB. 2013;45(1):44-9]

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Is the Lichtenstein Operation of Strangulated Groin Hernia a Safe Procedure?

Abstract: The use of monofilament polypropylene mesh for strangulated inguinal hernia repair is safe, and the risk of the local infectious complications is low.

Cited by 64 publications

References 77 publications

Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

Incarcerated abdominal wall hernia surgery: relationship between risk factors and morbidity and mortality rates (a single center emergency surgery experience)

Kadar Laktat Darah sebagai Prediktor Kontaminasi Bakteri pada Hernia Inguinalis Lateralis Strangulata

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