Prosthetic repair of incarcerated inguinal hernias: is it a reliable method?

Derıcı, Hayrullah; Ünalp, Haluk Recai; Nazli, Okay; Kamer, Erdinç; Coşkun, Murat; Tansuğ, Tuğrul; Bozdağ, Ali Doğan

doi:10.1007/s00423-008-0326-2

Cited by 45 publications

(48 citation statements)

References 22 publications

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“…Factors that influence recurrences in hernia surgery include inadequate surgical technique, size of the hernia, obesity, wound site infection, cigarette smoking, diabetes, COPD, advanced age, and the use of steroid. [18][19][20][21][22] Recurrence rate has been reported in the literature as 1-22% for incarcerated inguinal hernias [23,24] and as 1-10% for incarcerated femoral hernias. [25] In the present study, recurrence was determined in totally 8 (4.2%) cases; the recurrence rate was highest in inguinal hernia (n=6, 5.9%) as compared to all hernia types.…”

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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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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“…There has been widespread apprehension, however, that synthetic materials in emergency interventions for incarcerated and strangulated hernias are too susceptible to surgical field infection [1]. Recent reports have demonstrated that a strangulated inguinal hernia cannot be considered a contraindication for the use of a prosthetic mesh.…”

Section: Discussionmentioning

confidence: 99%

“…Incarcerated groin hernias make up a significant portion of surgical emergencies, and account for 5-15% of inguinal hernia surgeries [1]. Strangulated hernias have been deemed to be an absolute contraindication for the use of a prosthetic mesh [2].…”

Section: Introductionmentioning

confidence: 99%

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

et al. 2011

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“…[10][11][12] Prosthetic materials are not used routinely in these patients. Derici et al 13 reported that in incarcerated inguinal hernia repair, the risk of recurrence is lower with the usage of prosthetic materials. However, use of prosthetic materials in surgery for patients with acute incarcerated AWH may result in an increased tendency for wound infection.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia

Gül

Aliosmanoglu

Kapan

et al. 2013

International Surgery

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Patients with incarcerated abdominal wall hernias (AWHs) are often encountered in emergency care units. Despite advances in anesthesia, antisepsis, antibiotic therapy, and fluid therapy, the morbidity and mortality rates for these patients remain high. Between 2006 and 2011, we retrospectively analyzed the cases of 131 patients who underwent emergency surgery for incarcerated abdominal wall hernias. Of these, there were 70 women (53.4%) and 61 men (46.6%) with an average age of 63.3 6 17.4 years (range, 17-91 years). Morbidity was observed in 28 patients (21.4%), and the mortality rate was 2.3%. Intestinal resection, presence of concomitant disease, and general anesthesia were the independent variants that affected morbidity of patients with incarcerated abdominal wall hernias.

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Prosthetic repair of incarcerated inguinal hernias: is it a reliable method?

Abstract: Mesh repair can be preferred in incarcerated inguinal hernia patients because recurrence rate was significantly lower in patients who underwent Lichtenstein repair in this study.

Cited by 45 publications

References 22 publications

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

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

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia

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