Lichtenstein Repair for Incarcerated Groin Hernias

Abstract

Monofilament polypropylene mesh can be successfully used not only in elective operations, but also in emergency operations for incarcerated inguinal hernias.

Surgical Outcomes of Lichtenstein Tension-Free Hernioplasty for Acutely Incarcerated Inguinal Hernia

“…This is comparable to the 4% postoperative morbidity after hernioplasty for acutely incarcerated inguinal hernias reported by Wysocki et al 4 Incarcerated hernia can predispose to wound infection, 8 but wound infections are often managed effectively by antibiotic therapy with or without drainage.…”

“…2 However, there are few reports on the surgical outcomes of emergency hernioplasty for incarcerated inguinal hernia. 3,4 The aim of this study was to evaluate the short-term and long-term outcomes of emergency Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia.…”

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

“…Strangulated hernias have been deemed to be an absolute contraindication for the use of a prosthetic mesh [2]. Some groups, however, have reported that a strangulated groin hernia can be repaired safely with a prosthetic mesh [2][3][4][5][6][7]. There is no consensus on the use of prostheses in potentially infected operating fields (after intestinal resection) [8].…”

Is Graft Use Safe in Emergency Inguinal Hernia Repair?

“…The primary repair of inguinal hernias is generally performed using the technique described by Lichtenstein and many studies that used this technique have been published [5]. While the use of mesh in emergency conditions (strangulation) is questioned, the number of reports stating the efficacy and reliability of mesh use in these conditions are increasing [1,2,6]. In addition to their use in elective hernias, polypropylene mesh can also be used in cases of strangulated hernia with acceptable post-operative complication rates [1][2][3].…”