Prosthetic repair of acutely incarcerated groin hernias: a prospective clinical observational cohort study

Abstract

Our results suggest that duration of symptoms longer than 6 h was an important factor for determining the need for resection. The use of non-absorbable mesh for acutely incarcerated groin hernia repair is effective and may be used with an acceptable incidence of wound infection and recurrence even when intestinal necrosis was present.

Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

“…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).…”

Mesh Hernioplasty for Complicated Hernias Under Emergency Settings

“…Atila et al, found an incidence rate of 11% in their prospective clinical study consisting of prosthetic repair of acutely incarcerated groin hernias. [7] Similarly, Birolini C, found a 15% incidence of wound related complications in their clinical study. [8] Legnani GL, found a low incidence of complications in their initial evaluation of 9 cases of strangulated inguinal hernias repaired laparoscopically.…”

Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study

“…A recent meta-analysis on the risk factors for meshrelated infections after hernia repair surgery estimated the crude mesh infection rate to be 5 % [26]. The reported incidence of mesh infection in 16 studies reporting on the use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral and groin hernias is 0.2 % despite the fact that resectionanastomosis of non-viable bowel was performed in 14.7 % of the patients (Table 5) [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In the present study, none of the 18 patients who had resection-anastomosis of nonviable small intestine developed mesh infection, and this complication was encountered in one patient (1.25 %) whose hernia contained viable contents.…”

“…Such policy leaves patients with complicated hernias, that is, acute incarceration and/or strangulation at an unacceptably high risk of recurrence. Although several studies have clearly demonstrated the safety and efficacy of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated inguinal and ventral hernias, however, surgeons remained both skeptical and reluctant to use prosthetics in such settings [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”