Hernias are the most common cause of strangulation in patients presenting with small bowel obstruction

Ihedioha, U; Alani, A.; Modak, Prasenjit; Chong, Peter Siao Tick; O’Dwyer, PJ

doi:10.1007/s10029-006-0101-7

Cited by 60 publications

(48 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[12] Femoral type hernia substantially leads to incarceration and strangulation, and thus requires intestinal resection. [13,14] Among the hernia types, intestinal necrosis is most commonly encountered in femoral hernias. However, no significant effect of the hernia type on mortality and morbidity has been demonstrated.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Uncommon contents of femoral hernia sacs, such as caecum, colon, appendix, Meckel's diverticulum (Littre hernia), testis, ovary, and even stomach or kidney, have been reported [1]. Femoral hernia is often associated with incarceration or strangulation [2,3]. A left side femoral hernia containing ascending colon, transverse colon, caecum, appendix and distal ileum as the contents has been reported only once, and the contents were found to be strangulated and gangrenous [4].…”

Section: Introductionmentioning

confidence: 99%

Non-obstructed femoral hernia containing ascending colon, caecum, appendix and small bowel with concurrent bilateral recurrent inguinal hernia

Patel

Vasava

Hukkeri

2010

Hernia

View full text Add to dashboard Cite

Femoral hernias, which are less common than inguinal hernias and more often found in females, occasionally contain more than just small intestine and omentum. Uncommon contents reported in femoral hernia sacs include caecum, appendix, Meckel's diverticulum (Littre hernia), testis, ovary, transverse colon and even stomach or kidney. Strangulation of femoral hernias containing appendix, small intestine and caecum, and Meckel's diverticulum are well reported in the literature. Here, we report a case of a male patient having bilateral femoral hernia with bilateral recurrent inguinal hernia. A huge, right-sided femoral hernia contained terminal ileum, appendix, caecum and ascending colon, which were irreducible but neither obstructed nor strangulated. The patient was operated on with a Pfannenstiel incision together with an infrainguinal incision. For reduction of content, an inguinal ligament was also incised. Bilateral preperitoneal, polypropylene mesh hernioplasty was performed along with rolled plug placement in the right femoral canal. The patient had an uneventful post operative recovery and no recurrence in 6 months of follow up.

show abstract

“…Of the 5 obstructed femoral hernias, 4 occurred in female and in male, showing the fact that femoral hernia is mostly seen among female gender [13] . Abdominal hernias are found to account for around 8%-25% of all cases of intestinal obstruction, [14,15] while in a few series they represent the most common cause of intestinal obstruction. [[16,17] Moreover, they still remain the most common cause for bowel strangulation and ischaemia.…”

Section: Resultsmentioning

confidence: 99%

A Pattern of Intestinal Obstruction Cases – A Tertiary Care Centre Study

Pillai¹,

Benjamin²,

Chisthi³

2017

AIMDR

View full text Add to dashboard Cite

Background: Bowel obstruction is a surgical emergency that causes confusion both in the diagnosis and the management. Decision on whether to operate on the patient or to continue with conservative management as well as the timing of intervention often rests upon the treating surgeon and his competence. Objectives: Primary objective of the study was to describe the etiological profile in patients with intestinal obstruction in our institution. Secondary objectives were to study the demographic pattern and the mode of management in these patients. Material & Methods: This was a hospital based Cross sectional study conducted at the General Surgery department, Government Medical College Hospital, Trivandrum. The study period was for 18 months, from April 2014 to September 2015. Study subjects included patients admitted in the Surgical wards with intestinal obstruction. Sample size was calculated to be 204 based on reference study. All values are presented as means and percentages. Results: Males were found to be affected much more than females. In 70% of patients, small bowel was the bowel predominantly involved. Adhesions were the commonest etiological factor followed by obstructed hernias. Most of the patients underwent operative management. Conclusions: Small bowel was the most commonly obstructed part of the bowel while adhesions and hernia form the commonest reasons for intestinal obstruction in our setting. Appendicectomy and laparotomy for perforation peritonitis caused the most postoperative adhesions.

show abstract

Hernias are the most common cause of strangulation in patients presenting with small bowel obstruction

Abstract: Whilst adhesions are the most common cause of small bowel obstruction, hernias remain the most frequent cause of strangulation in patients presenting with this condition.

Cited by 60 publications

References 7 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)

Non-obstructed femoral hernia containing ascending colon, caecum, appendix and small bowel with concurrent bilateral recurrent inguinal hernia

A Pattern of Intestinal Obstruction Cases – A Tertiary Care Centre Study

Contact Info

Product

Resources

About