Factors affecting morbidity in urgent repair of abdominal wall hernia with intestinal incarceration in adults

Ezer, Ali; Çalışkan, Kenan; Çolakoğlu, Tamer; Parlakgümüş, Alper; Bellı, Sedat; Tarım, Akın

doi:10.5505/tjtes.2011.28009

Cited by 9 publications

(8 citation statements)

References 13 publications

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“…Mortality, and morbidity are related to the development of bowel necrosis secondary to strangulation [8, 9]. In various studies performed, bowel resection has been reportedly required in 10-15% of the patients with strangulated abdominal wall hernias [2].…”

Section: Discussionmentioning

confidence: 99%

“…In various studies, authors reported that advanced age, higher incidence rates of concomitant diseases and delayed referrals increased bowel resection and morbidity rates [10, 11]. In studies where patients aged ≤70 years with strangulated abdominal wall hernias were urgently operated, higher mortality rates were reported in the advanced age group [8, 11]. As indicated in various reports, in cases with strangulated abdominal wall hernias, most frequently hernial sac contains small bowel segments [1].…”

Section: Discussionmentioning

confidence: 99%

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Management of strangulated abdominal wall hernias with mesh, early results

Ozbagriacik

Baş

Başak

et al. 2015

North Clin Istanbul

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OBJECTIVE:Surgery for abdominal wall hernias is a common procedure in general surgery practice. The main causes of delay for the operation are comorbid problems and patient unwillingness, which eventually, means that some patients are admitted to emergency clinics with strangulated hernias. In this report, patients who admitted to the emergency department with strangulated adominal wall hernias are presented together with their clinical management.METHODS:Patients who admitted to our clinic between January 2009 and November 2011 and underwent emergency operation were included in the study retrospectively. Demographic characteristics, hernia type, length of hospital stay, surgical treatment and complications were assessed.RESULTS:A total 81 patients (37 female, 44 male) with a mean age of 52.1±17.64 years were included in the study. Inguinal, femoral, umbilical and incisional hernias were detected in 40, 26, 9 and 6 patients respectively. Polypropylene mesh was used in 75 patients for repair. Primary repair without mesh was used in six patients. Small bowel (n=10; 12.34%), omentum (n=19; 23.45%), appendix (n=1; 1.2%) and Meckel’s diverticulum (n=1; 1.2%) were resected. Median length of hospital stay was 2 (1–7) days. Surgical site infection was detected in five (6.2%) patients. No significant difference was detected for length of hospital stay and surgical site infection in patients who had mesh repair (p=0.232 and 0.326 respectively).CONCLUSION:The need for bowel resection is common in strangulated abdominal wall hernias which undergo emergency operation. In the present study, an increase of morbidity was seen in patients who underwent bowel resection. No morbidity was detected related to the usage of prosthetic materials in repair of hernias. Hence, we believe that prosthetic materials can be used safely in emergency cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of strangulated abdominal wall hernias with mesh, early results

Ozbagriacik

Baş

Başak

et al. 2015

North Clin Istanbul

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“…While mortality rates in IAAH are 1.4-13.4%, morbidity rates have been reported between 19-30%. Mortality and morbidity have been reported to be associated with strangulation and bowel resection (8,10) (10) reported morbidity rates as 11.4% and 20%, respectively, and mortality rates as 5.06% and 3%, respectively, in their study. In our study, the mortality rate was 4.8%, and the morbidity rate was 13.7%, consistent with the literature.…”

Section: Discussionmentioning

confidence: 82%

İnkarsere Karın Ön Duvarı Fıtıklarında Üçüncü Basamak Hastane Deneyimi

Taş

Yiğit

Tüzün

2023

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: This study aims to evaluate the results of incarcerated anterior abdominal wall hernia cases in which we performed emergency surgery in light of the literature. Materials and Methods: The records of 124 patients who underwent emergency surgery for incarcera-ted anterior abdominal wall hernia between January 2016 and December 2019 were retrospectively reviewed. The patients' files, computer records, epicrisis reports, surgery reports, and outpatient clinic records were evaluated. Patients; Age, gender, hernia type, location, time of admission, previous hernia surgery history, affected organs, type of anesthesia applied, surgical techniques, resection status, length of hospital stay, morbidity, and mortality rates were recorded. Results: The mean age of 124 patients was 59.47 ± 17.75 (17-94) years. Of the patients, 64 (51.6%) were female, and 60 (48.4%) were male. The mean hospital stay was 4.12±3.52 (1-19) days. Thirteen (10.5%) patients had additional disease. General anesthesia was applied to 100 (80.6%) patients, and regional anesthesia was applied to 24 (19.4%) patients. 25 patients were operated on with the diagnosis of recur-rence and 99 with the diagnosis of a primary hernia. The most frequently compressed organs in the hernia sac were the omentum (64.5%) and small intestine (32.2%). Bowel resection was performed in 16 of the patients. Mesh was applied to 90 patients during the operation. The most common hernia types were inguinal, umbilical, and incisional. 31 (13.7%) complications developed in 17 patients. Sepsis, wound infection, ileus, atelectasis, and respiratory failure were the most common. Mortality was developed in 6 (4.8%) of the patients. Conclusions: This study showed that additional disease increases morbidity in hernia cases, and intestinal resection due to strangulation increases morbidity and mortality. Therefore, patients presenting with an incarcerated hernia should be operated on as soon as possible before strangulation develops.

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“…980089 indication, priority is given to the removal of necrotic tissues, rather than to the closure of the defect, whereas different techniques are used for elective operations by considering the status of patients (Vano-Galvan 2009) Before discussing these techniques, we find it useful to remind that such cases are the patients who are typically elderly and have comorbid diseases and high risk of postoperative complications (El Saadi 2005, Garavello 2004) . In Ezer et al's study conducted in 2011, a postoperative complication rate of 20% and a mortality rate of 3% were reported, which revealed a significant correlation between age and comorbid diseases and postoperative morbidity and mortality (Ezer 2011). Considering that the cases with giant inguinoscrotal hernia are the patients who are typically elderly and have comorbid diseases will provide better understanding of the importance of early diagnosis and early treatment in minimizing morbidity and mortality.…”

Section: Discussionmentioning

confidence: 98%

A Giant Scrotal Hernia Case with Erectile Dysfunction

Ay¹,

Ay²,

Aydınuraz³

2013

IJCRM

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Giant inguinal hernias are extremely rarely seen today, in fact never seen in developed countries, and accurate diagnostic and interventional approaches are of vital importance, given the significant morbidity and the decline in patient comfort that they cause.We present a case of giant inguinoscrotal hernia with a complaint of erectile dysfunction. The patient refused to have treatment due to social pressure related to possible orchiectomy procedure. We believe that sharing such examples primarily in the literature at least in terms of enriching the notion of a national emergency surgery will be a driving force in establishing more effective health policies.

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Factors affecting morbidity in urgent repair of abdominal wall hernia with intestinal incarceration in adults

Cited by 9 publications

References 13 publications

Management of strangulated abdominal wall hernias with mesh, early results

Management of strangulated abdominal wall hernias with mesh, early results

İnkarsere Karın Ön Duvarı Fıtıklarında Üçüncü Basamak Hastane Deneyimi

A Giant Scrotal Hernia Case with Erectile Dysfunction

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