Our experince of incarcerated inguinal hernias

Kartal, Abdülcabbar; Çıtgez, Bülent; Besler, Evren; Yetkin, Sıtkı Gürkan; Uludağ, Mehmet; Akgün, İsmail; Özşahin, Hamdi; Mihmanlı, Mehmet

doi:10.5350/semb.20140810102931

Cited by 3 publications

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“…In a study by Kartal et al, 24 (63%) patients had hernia on the right side and 14 (37%) patients had hernia on the left side. 17 In the present study, 41 (65%) patients had a hernia on the right side, 21 (33.3%) patients had a hernia on the left side and one (1.58%) patient had a bilateral incarcerated inguinal hernia; which was compatible with the literature.…”

Section: Discussionsupporting

confidence: 92%

Should a laparoscopic repair be the first choice in incarcerated inguinal hernia

Akay¹,

Akıcı

2020

Int Surg J

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Background: An important part of the procedures for admission to emergency surgery is incarcerated inguinal hernia repair. Minimally invasive surgical procedures have led surgeons to perform these operations laparoscopically. The aim of this study was to demonstrate the safety of laparoscopic inguinal hernia repair in patients admitted to the emergency department with incarcerated inguinal hernia.Methods: The files of patients who underwent laparoscopic surgery for incarcerated inguinal hernia between January 2015 and June 2019 in Bandirma State Hospital General Surgery Clinic was retrospectively reviewed. Pearson Chi-Square test was used as statistical method. Version 18 of the SPSS program was used. P<0.05 was considered significant as it should be.Results: A total of 63 patients were included in the study. The mean age was 52.8 years. A total of 64 repairs were performed on the right side in 41 (65%) cases, on the left side in 21 (33.3%) cases and on both sides in one (1.58%) case. Four (6.25%) of 63 patients had strangulation. Three of these patients (4.68%) had strangulated hernia, and one (1.56%) had strangulated and incarcerated hernia. Four patients (6.25%) presented with ileus. The mean operation time was 65 minutes (35-110 minutes). Mean duration of hospitalization was 2.4 days. The rate of minor complications was 4.68%. Only one (1.56%) major complication was iatrogenic small intestinal perforation. The mean follow-up time was 25.2 months. There was no early recurrence in patients.Conclusions: We suggest that laparoscopic transabdominal preperitoneal hernia repair can be performed safely in emergency procedures in patients with incarcerated inguinal hernia.

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Section: Discussionsupporting

confidence: 92%

Should a laparoscopic repair be the first choice in incarcerated inguinal hernia

Akay¹,

Akıcı

2020

Int Surg J

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“…Although East et al reported that a manual reduction of hernia under analgesia/ sedation (TAXIS) could be safely performed on selected patients during the pandemic period, some strangulated incarcerated hernias should be immediately operated [9]. Studies in the non-pandemic period have reported the mortality rate of EAAWHS between 1.5 and 4.5%, while morbidity rates up to 38.8% have been reported and the most important predictive factor for mortality has been shown to be intestinal infarction [10][11][12]. COVID-19 infection is expected to increase mortality and morbidity rates during the pandemic in these patients requiring to be operated urgently [3].…”

Section: Introductionmentioning

confidence: 99%

The effects of COVID-19 pandemic on emergency anterior abdominal wall hernia surgery: is it safe to postpone elective hernia surgery in the pandemic?

Turan

Dirim

2021

Eur J Trauma Emerg Surg

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Background The aim of this study was to investigate the effects of the COVID-19 pandemic on emergency anterior abdominal wall hernia surgeries (EAAWHS) by comparing the pandemic period with the control period a year ago and to share our experiences in the pandemic period. Methods This single-center retrospective cohort study included all patients who underwent EAAWHS during the pandemic (from 11 March 2020 to 25 January 2021) and control period (1 year before the same period, from 11 March 2019 to 25 January 2020). Demographic data, preoperative clinical and pathological parameters, intraoperative findings and postoperative complications secondary to operation and COVID-19 infection, length of intensive care and hospital stay of patients were recorded, and the pandemic and control groups were compared. Results Of the 87 patients who underwent anterior abdominal wall hernia surgery during the COVID-19 pandemic, 41 (47.1%) were operated emergently and 46 (52.9%) were operated electively. Of the 485 patients who underwent anterior abdominal wall hernia surgery during the control period, 24 (4.95%) were operated emergently and 461 (95.05%) were operated electively. The decrease in the number of elective operations and the increase in the number of emergency operations were significant during the pandemic ( p < 0.001).There was a decrease in the number of emergency inguinal hernia operations and an increase in the number of emergency ventral (incisional, umbilical) hernia operations during the pandemic period compared to the control period ( p < 0.05).The mortality rates were similar (8.3 vs. 9.8%, p > 0.05) in both periods. Conclusion Despite the increase in the number of EAAWHS during the COVID-19 pandemic, there was no significant difference in mortality and morbidity rates. EAAWHS can be performed safely during the pandemic by taken necessary and adequate precautions.

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İleri Yaşlı Hastalarda (85 yaş ve üzeri) İnkarsere İnguinal Herni Cerrahisi Deneyimlerimiz

Kartal¹

2021

Osmangazi̇ Journal of Medicine

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Özet: Eşlik eden komorbid hastalıkların fazla olması nedeniyle ileri yaş hasta grubu (85 yaş ve üzeri) ayrı bir öneme sahiptir. Çalışmamızda; kliniğimizde ileri yaş hasta grubunda inkarsere inguinal herni nedeniyle acil cerrahi uygulanan olgularının sonuçlarını değerlendirdik. Ocak 2011-Aralık 2019 tarihleri arasında kliniğimizde inkarsere inguinal herni nedeniyle acil cerrahi uygulanan 85 yaş ve üstü 16 hastanın verileri geriye dönük olarak incelendi. Hastaların demografik özellikleri, komorbid hastalıkları, hastalara uygulanan cerrahi tedaviler, hastaların hastanede kalış süreleri ile morbidite ve mortalite bilgileri araştırıldı. Çalışmaya dahil edilen hastaların 14'ü erkek, 2'si kadındı. Ortalama yaş 88,07±3,22 yıl (85-94) olarak görüldü. Hastaların 12'sinde sağ, 4'ünde sol inkarsere inguinal herni mevcuttu. 11 hastada komorbid hastalık mevcut idi. 11 hastaya genel anestezi, 5 hastaya bölgesel anestezi (spinal/epidural) altında cerrahi uygulandı. 10 hastada ameliyat sırasında inkarserasyona sekonder iskemik bulgular gözlendi. İskemi mevcut olan tüm hastalara öncelikle sıcak kompres tedavisi denendi. Sıcak kompres sonrası 3 hastada barsak canlılığı gözlenirken; 7 hastanın barsak canlılığında bozukluğun devam etmesi üzerine hastalara ince bağırsak rezeksiyon anastomozu uygulandı. 9 hastaya meshli inguinal herni onarımı yapıldı (rezeksiyon oranı %43,8). Postoperatif 3 hastada atelektazi, 2 hastada yara yeri enfeksiyonu gelişti. Hastaların ortalama hastanede kalış süresi 8, 21±3,78 (3-15) gündü. Postoperatif dönemde 2 hasta sepsis, 1 hasta ise pulmoner emboli gelişmesi nedeniyle hastalar kaybedildi. Çalışmamızın morbidite oranı %31,2 iken mortalite oranı %18,75 idi. İleri yaş hasta grubunda inkarserasyon nedeniyle uygulanan inguinal herni operasyonları, yüksek morbidite, mortalite ve barsak rezeksiyon oranına sahiptir. Bu durumların önüne geçmek için inguinal herni tanısı alan çok yaşlı hastalara elektif cerrahi yapılmasını önermekteyiz.

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Our experince of incarcerated inguinal hernias

Cited by 3 publications

References 0 publications

Should a laparoscopic repair be the first choice in incarcerated inguinal hernia

Should a laparoscopic repair be the first choice in incarcerated inguinal hernia

The effects of COVID-19 pandemic on emergency anterior abdominal wall hernia surgery: is it safe to postpone elective hernia surgery in the pandemic?

İleri Yaşlı Hastalarda (85 yaş ve üzeri) İnkarsere İnguinal Herni Cerrahisi Deneyimlerimiz

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