Incarcerated anterior abdominal wall hernias in a community hospital

Golub, Robert M.; Cantu, Roberto

doi:10.1007/bf01569136

Cited by 16 publications

(7 citation statements)

References 14 publications

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“…Patients in the trial who had survived cancer may be more likely to under-report discomfort or the cosmetic disfigurement that incisional hernia may cause. In 5-10% of patients an incisional hernia may, however, become incarcerated and ischaemic, increasing mortality [26,27], but the indication from the present study does not suggest that this will be reduced by mesh-assisted closure.…”

Section: Discussioncontrasting

confidence: 63%

Double‐blind randomized controlled trial of collagen mesh for the prevention of abdominal incisional hernia in patients having a vertical rectus abdominis myocutaneus flap during surgery for advanced pelvic malignancy

et al. 2017

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Section: Discussioncontrasting

confidence: 63%

Double‐blind randomized controlled trial of collagen mesh for the prevention of abdominal incisional hernia in patients having a vertical rectus abdominis myocutaneus flap during surgery for advanced pelvic malignancy

et al. 2017

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“…[7] Gloub et al [10] reported that high ASA score was one of the most important independent risk factors affecting mortality. A significantly longer hospital stay and a significantly higher morbidity rate have also been reported in elderly patients with ASA class III or IV who underwent emergency hernia repair.…”

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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“…During the past few years we found only a few papers concerning the technique used in the management of incarcerated groin hernias. It is surprising, because emergency procedures are a large percentage of all groin hernia operations, especially in some countries, such as Poland (8,10,22).…”

Section: Discussionmentioning

confidence: 99%