Prognostic Factors of Postoperative Morbidity and Mortality of Adult Strangulated Groin Hernia

Lebeau, R; Traoré, M; Anzoua, Kouakou Ibrahim; Kalou, Ismael Leh Bi; N’Dri, Ahou Bernadette; Brice, A. G.; Kakou, Aka Gérard; Diané, Bamourou

doi:10.1007/s12262-015-1343-3

Cited by 16 publications

(11 citation statements)

References 15 publications

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“…However, given their predisposition to complications, surgeons should be cautious in using WW for patients with SMI. Emergency hernia repairs have a higher risk of morbidity and mortality when compared to elective cases and should thus be avoided where possible in high-risk groups [ 4 ]. Furthermore, individuals managed with WW play an essential role in their care, alerting surgeons to changes in their clinical status, indicating the need for surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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Severe Mental Illness: A Contraindication to Watchful Waiting in Hernia Management?

Milne¹,

Naraynsingh²,

Goolcharan

2021

Cureus

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Watchful waiting (WW) is a strategy that can be used to manage hernias whereby patients who are asymptomatic or minimally symptomatic are observed until symptoms worsen or complications develop, prompting surgical intervention. The successful implementation of a WW strategy requires patients to report changes in their clinical condition to receive timely care. Patients who have severe mental illness may defer seeking care when appropriate. This case report describes our experience treating a patient with severe mental illness who had a primary ventral hernia managed by WW. She was lost to follow-up and subsequently presented with a strangulated epigastric hernia which fistulized to the skin. The case report highlights the challenges of attempting WW in patients with severe mental illness. We suggest that poorly controlled severe mental illness should be considered a relative contraindication to WW.

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Section: Discussionmentioning

confidence: 99%

“…The practicality of WW as a management strategy depends on the ability of a patient to present once symptoms worsen. Unfortunately, patients with diminished mental capacity may defer treatment, presenting with advanced complications and the attendant increased risk of morbidity and mortality [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Severe Mental Illness: A Contraindication to Watchful Waiting in Hernia Management?

Milne¹,

Naraynsingh²,

Goolcharan

2021

Cureus

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“…For femoral hernia, since the surgically created orifice is small, an additional abdominal incision is often required to adequately evaluate the potentially incarcerated bowel. Among these patients, 10.5%–27.8% have developed some complications 6 . Moreover, 50% of midline laparotomies were performed without intestinal resection 6 …”

Section: Introductionmentioning

confidence: 99%

“…Among these patients, 10.5%–27.8% have developed some complications 6 . Moreover, 50% of midline laparotomies were performed without intestinal resection 6 …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

Okazaki

Poudel

Hane

et al. 2021

Asian J Endoscop Surgery

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Introduction:The laparoscopic approach for elective femoral herniorrhaphy is well established. However, femoral hernias often present as incarcerations and require emergency repair surgery, mainly using the open approach. This study aimed to retrospectively analyze the efficacy of the laparoscopic approach for incarcerated femoral hernias.Methods: Data of patients who underwent emergency surgery for incarcerated femoral hernia between April 2016 and August 2021 were retrospectively analyzed. Laparoscopy was performed whenever possible; however, conversion to an open approach remained a fallback option for when laparoscopic repair was not possible. In laparoscopic repair, incarcerated femoral hernias reduced using traction, water pressure, and preperitoneal methods. Data of patients who underwent open repair and laparoscopy were then compared.Results: During the observation period, 20 patients underwent emergency surgery for incarcerated femoral hernia. Eleven patients subsequently underwent repair using a laparoscopic approach, and eight underwent repair using an open approach. Only one patient underwent intestinal resection without hernia repair due to perforated bowel. Operative time for laparoscopic repair was longer. Mesh repair was performed in 18 patients. Four patients each in the laparoscopic repair and open group required intestinal resection. Conclusion:Incarcerated femoral hernias can be safely repaired using the laparoscopic approach.

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“…[12][13][14][15][16] Morbidity was defined as all the non-fatal surgical and/or medical complications occurred during the patient"s stay in hospital, in the 30-day period following the operation. [10,11,17,18] The main aim of this study was to test the usefulness of Clavien-Dindo classification in patients undergoing the abdominal surgery. In this study ClavienDindo classification has been used for assessment of postsurgical complications after major abdominal surgery.…”

Section: …………………………………………………………………………………………………… Introduction:-mentioning

confidence: 99%

An Observational Study on Assessment of Postoperative Complications Among Perforation Peritonitis Using Clavien-Dindo Classification in Tertiary Care Center of Central India

Deshwali¹,

Prasad²,

Patel³

et al. 2021

IJAR

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Introduction :Surgical team always tries to provide consistently low incidence of major complications for patient undergoing any operation. Clavien-Dindo (CD) classification is the simplest way of reporting all complications. The main aim of this study was to test the usefulness of Clavien-Dindo classification in patients undergoing the abdominal surgery. In this study Clavien-Dindo classification has been used for assessment of postsurgical complications after major abdominal surgery. Material and method: It was an observational study of all perforation peritonitis patients admitted in sri aurobindo medical college and post graduate institute between november 2017 to may 2019 (1 and 1/2 Year) on the basis of Clavien-Dindo classification. Results :This was an observational prospective study was carried out in Department of General Surgery, Sri Aurobindo Medical College and P.G. Institute, Indore, which includes total 60 patients of perforation peritonitis admitted and treated in the department, During the period of November 2017 to May 2019. In our study Most common symptoms in patients presenting with perforation is Abdominal pain in 60 (100%) patients. 45(75%) patients had constipation & obstipation, 41 (68.33%) patients had vomiting ,33(55%) of patients had fever 17 (28.33%) patients had abdominal distensions the other common symptoms. Out of 60 patients, all 60(100%) patients had abdominal tenderness and guarding, 47 (78.33%) patients had absent bowel sounds, 42(70%) patients had tachycardia, 26 (43.33%) patients had hypotension, 23 (38.33%) patients had tachypnoea and 21 (35%) patients had low urinary output. In 16 (26.6%) patients comorbid conditions were present. In 10 (16.66%) patients multiple perforations were found out of which only 01 (10%) patient is haemodynamically stable and 09 (90%) patients were unstable. Complication occurred in 09(90%) patients and no complication were only in 01 (10%) patients. In this group 04(40%) patients got discharged and 6(60%) patient expired. P Value was 0.001 which is significant. In our study most common site of perforation was gastric perforation 30(49.18%) Complication according to clavien -dindo classification 14 out of 60 (23.33%) patients had no complications, 4 (6.66%) had grade I complication, 5 (8.33%) had grade II complications, 12 (20%) had grade III complications, 11 (18.33%) had grade IV complications, and 14 (23.33%) had grade V complication rates. Conclusion :Perforation peritonitis is a life-threatening condition and requires urgent hospital care, resuscitation and surgery. Early resuscitation and surgery are required to decrease morbidity and mortality. On the basis of risk stratification in Peritonitis patients its management requires lots of expensive modalities, skill, monitoring and treatment to provide better care to the patient. For the classification of complications, a new system is proposed by Clavienâ€“Dindo which is very helpful during perforation surgery.Clavien- Dindo classification helps us to distinguish a normal postoperative course and the severity of complications, which allows us to compare postoperative morbidity and evaluate the outcomes. We also recommend a larger study with a bigger sample size for better analysis of clavien-dindo classification of complications and to confirm the findings of our study.

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Prognostic Factors of Postoperative Morbidity and Mortality of Adult Strangulated Groin Hernia

Cited by 16 publications

References 15 publications

Severe Mental Illness: A Contraindication to Watchful Waiting in Hernia Management?

Severe Mental Illness: A Contraindication to Watchful Waiting in Hernia Management?

Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

An Observational Study on Assessment of Postoperative Complications Among Perforation Peritonitis Using Clavien-Dindo Classification in Tertiary Care Center of Central India

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