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

Abstract

Lichtenstein hernioplasty can be used effectively as an emergency operation for incarcerated inguinal hernia with a good outcome and an acceptably low rate of postoperative complications.

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].…”

“…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]. Beltran et al used mesh to repair elective and emergency strangulated hernia, and did not detect a significant difference in postoperative complications between the groups [7].…”

“…The use of polypropylene mesh in hernia repair is a preferred method in elective hernias as well as strangulated hernias that require emergency operation, as it is associated with lower post-operative complication rates [1][2][3]. In this clinical study, we aimed to investigate the effect of graft use on morbidity and mortality in adult patients who underwent emergency operation for incarcerated inguinal hernia.…”

Parastomal hernia repair using cross-linked porcine dermis: Report of a case

“…The use of mesh, fi rst described for other types of hernia by Rosina and Bonardi in 1977, seems to have better results than stomal relocation or primary fascial repair. 11,15,16,17 However, the number of patients and the follow-up periods in most of these studies were insuffi cient, making it impossible to draw defi nitive conclusions. 18 There were also wide variations among the studies in the mesh placement techniques (intraperitoneal, preperitoneal, and anterior fascial onlay) and the types of mesh used (polytetrafl uoroethylene, polypropylene, and composite).…”

Mesh Hernioplasty for Complicated Hernias Under Emergency Settings

“…[3] Some studies show about 20%-30% infection rates in cases requiring bowel resection. [4] There is paucity of literature about the role of prosthetic mesh repair in cases of complicated hernia repair, especially in the emergency setting.…”