P-010 Nyhus as a Treatment for Strangulated Inguinal Hernia: Experience in a Specialized Abdominal Wall Unit

Abstract

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.