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

Özkan, Erkan; Yıldız, Mehmet Kamil; Çakır, Tuğrul; Dulundu, Ender; Eris, Cengiz; Fersahoğlu, Mehmet Mahir; Topaloğlu, Ümit

doi:10.5505/tjtes.2012.48827

Cited by 21 publications

(15 citation statements)

References 29 publications

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“…2,6,9,10,[18][19][20] Some controversy remains, but apart from all of older age, strangulation, the presence of comorbid disease, the need for emergency surgery, the choice of midline laparotomy, and the type of anesthesia employed, the clearest predictor of morbidity was intestinal resection. 11,[21][22][23][24][25] This is also our conclusion.…”

Section: Discussionsupporting

confidence: 84%

“…2,6,9,[21][22][23]26 The influence of anesthesia (regional or general) on morbidity remains controversial. Some studies have suggested that general anesthesia increased morbidity, 11,22,23 but this has not been widely accepted. Local or regional anesthesia is preferred, to avoid respiratory complications associated with aspiration during induction.…”

Section: Discussionmentioning

confidence: 99%

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Visceral Organ Resection During Femoral Hernia Surgery Is a Predictor of Morbidity

Çalık

Karaman

Atci³

et al. 2015

International Surgery

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Reports on the outcomes of emergency and elective femoral hernia surgery are scarce. Most studies do not distinguish femoral hernia from other types of groin hernia; studies of femoral hernia alone are few in number. The main objective of the present study was to identify factors affecting morbidity of femoral hernia patients. We retrospectively analyzed data on 80 patients who underwent femoral hernia surgery between June 2009 and June 2013. Patients who did and did not experience morbidity were compared in terms of age, sex, hernia location, the presence of any comorbid disease, the type of anesthesia employed, the operative technique used, the type of surgical intervention, and performance of small bowel resection. Forty-three patients (53.8%) underwent emergency surgery because of incarceration. Of these, 18 (41.9%) experienced strangulation and underwent resection. Postoperative complications developed in 11 patients (13.8%). Upon multiple logistic regression analysis, visceral organ resection (of the small bowel and/or omentum) was the only independent predictor of significant morbidity (P < 0.05; odds ratio [OR]: 14.010, 95% confidence interval [CI]: 1.001-196.143). When diagnosed, femoral hernias should be electively repaired as soon as possible. The cumulative probability of strangulation rises over time. A requirement for bowel resection seems to significantly increase morbidity.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Visceral Organ Resection During Femoral Hernia Surgery Is a Predictor of Morbidity

Çalık

Karaman

Atci³

et al. 2015

International Surgery

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“…Therefore, there was a significant difference in the ASA classifications between the elective and emergency surgery groups, as found in previous reports. [ 5 , 23 ] Grades 2, 3, and 4 were also risk factors for emergency surgery on single-factor regression analysis.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for surgical opportunity in patients with femoral hernia

Liu¹,

Zheng²,

Ye³

et al. 2018

Medicine

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“…Femoral hernilerin görülme oranı sadece %2.3 iken, inkarsere yada strangüle şekilde acil servise başvuru oranı %20-%40 arasındadır (9)(10)(11). Başka bir çalışmada bu oranı %44-86 arasında bildirilmiştir (12). Bizim çalışmamızda da inguinal ve femoral herniler sağda daha fazla saptanmıştır.…”

Section: Yöntemlerunclassified

İnkarsere Karın Duvarı Fıtıklı Hastalarda Morbidite ve Mortaliteyi Etkileyen Faktörler

İlhan¹

2015

Konuralp Tıp Dergisi

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ÖZAmaç: Karın duvarı fıtıklarında tedavi şekli cerrahi olmasına rağmen çoğu zaman hastalar tarafından ihmal edilmekte ve inkarsere durumda hastaneye başvurmaktadırlar. Çalışmamızda inkarsere fıtık hastalarında morbidite ve mortaliteye etki eden faktörler araştırılmış ve özellikle bu faktörlere sahip fıtık hastalarında erken fıtık ameliyatının gerekliliğine dikkat çekmek amaçlanmıştır. Yöntem: İnkarsere karın duvarı fıtığı tanısıyla ameliyat yapılan hastaların dosya ve bilgisayar kayıtları retrospektif olarak incelendi. Hastalar yaş, cinsiyet, eşlik eden hastalıklar, fıtık türü, uygulanan cerrahi tipi, morbidite, mortalite ve hastanede kalış süresi yönünden değerlendirildi. Although the treatment method in abdominal wall hernias is surgical, this is generally ignored by the patients, and are admitted to hospitals with an incarcerated hernia. The current study investigates the factors affecting morbidity and mortality in patients with incarcerated hernias with the purpose of drawing attention to the necessity of early hernia surgery in patients with hernia who have these factors. Methods: This study retrospectively examines the files and computer records of patients who have undergone surgery with a diagnosis of incarcerated abdominal wall hernia. The patients were evaluated in terms of age, gender, associated diseases, type of hernia, operation type, morbidity, mortality, and the length of hospital stay. Results: Twenty-eight (35.4%) of the 79 patients were female and 51 (64.6%) were male. The American Society of Anesthesiology (ASA) score was three or four in 38 (48.1%) of the cases. Morbidity was observed in a total nine (11.4%) cases and mortality was seen in four (5.06%) cases. There was a statistically significant correlation between morbidity and mortality and ASA score (p=0.001 and p=0.049), initiation of the complaint (p<0.001 and p=0.024), presence of strangulation (p<0.001 and p=0.003), presence of contamination (p=0.005 and p=0.013), presence of necrosis (p<0.001 and p=0.020), and implementation of intestinal resection (p<0.001 and p=0.013). Conclusion:The morbidity and mortality rates are high in patients with high ASA scores who have incarcerated abdominal wall hernias, and strangulated hernias, requiring resection. Therefore, abdominal wall hernias should be treated electively when they are first recognized before any further disease and strangulation develops. We believe that family medicine specialists will play an active role to inform and guide these patients to surgery on time.

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

Cited by 21 publications

References 29 publications

Visceral Organ Resection During Femoral Hernia Surgery Is a Predictor of Morbidity

Visceral Organ Resection During Femoral Hernia Surgery Is a Predictor of Morbidity

Risk factors for surgical opportunity in patients with femoral hernia

İnkarsere Karın Duvarı Fıtıklı Hastalarda Morbidite ve Mortaliteyi Etkileyen Faktörler

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