Prosthetic repair of an incarcerated groin hernia with small intestinal resection

Ueda, Junji; Nomura, Tsutomu; Sasaki, Junpei; Shigehara, Kengo; Yamahatsu, Kazuya; Tani, Aya; Shioda, Yoshinobu; Furukawa, Kiyonori; Uchida, Eiji

doi:10.1007/s00595-011-0019-2

Cited by 37 publications

(22 citation statements)

References 27 publications

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“…These initial data were confirmed recently showing similar infection rates but reduced recurrence rates in the long-term follow-up in the mesh group [11][12][13][14]. These results have been reproduced even in the context of concomitant bowel resection [15,16]. So far, no consensus has been reached on mesh placement for the treatment of incarcerated hernias.…”

Section: Introductionmentioning

confidence: 69%

“…However, colorectal procedures are associated with high SSI rates between 5.2 and 8.9 % [29]. Of note, Ueda et al [16] reported 20 % SSI in their overall population with no 27]. Several studies conclude that the use of mesh does not increase the risk for complication in the absence of bowel resection [4,11,27,[30][31][32].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies conclude that the use of mesh does not increase the risk for complication in the absence of bowel resection [4,11,27,[30][31][32]. When bowel resection is needed, some studies suggest that mesh repair could be used [16,27]. Bessa et al reported 5.6 % of SSI in case of bowel resection, and Ueda et al 18 % [16,27].…”

Section: Discussionmentioning

confidence: 99%

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Surgery for incarcerated hernia: short-term outcome with or without mesh

Venara

Hübner

Naoures

et al. 2014

Langenbecks Arch Surg

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Section: Introductionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Surgery for incarcerated hernia: short-term outcome with or without mesh

Venara

Hübner

Naoures

et al. 2014

Langenbecks Arch Surg

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“…At present, the use of a mesh for the tension-free repair of an emergency hernia does not seem to be an absolute contraindication 11 . A mesh is safe to apply even in cases of intestinal resection and anastomosis 10,[17][18][19][20] . Evidence has accumulated regarding the application of synthetic meshes, and clinicians recommend the use of synthetic meshes to repair FHs in patients, including in emergency situations 2,10,19 .…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Liu

Zheng

et al. 2020

Sci Rep

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to compare the outcomes of open preperitoneal repair (opR) with the use of mesh and open suture repair (oSR) without mesh via inguinal approach for the treatment of emergency femoral hernia (fH). the primary outcome was the postoperative complication and the secondary outcomes were the recurrence rate of FH and the postoperative comfort level at the surgical site. 104 patients with emergency FHs were included, of whom 51 patients were treated with OPR, 53 patients were treated with OSR. Between the two groups, no significant difference was found in surgical site infection (SSI) (p = 0.801) or seroma (P = 0.843), while there was significant difference in the improvement of comfort at the surgical site (p = 0.013). The results of the 2-year follow-up demonstrated 1 and 8 cases of recurrence in the OPR and OSR group respectively, which was statistically significant (HR, 8.193 [95% CI, 1.024 to 65.547], P = 0.047). Compared with OSR, OPR with the use of mesh did not increase the risk of SSi and was safe to apply even under the condition of an emergency fH operation with intestine resection; opR could reduce the recurrence rate of fH and improve the comfort at the surgical site.The incidence of femoral hernia is not high, accounting for approximately 2-4% of all groin hernias 1,2 , but it is extremely easy for femoral hernias (FHs) to incarcerate and/or strangulate 3,4 , and patients need emergency surgery after incarceration and/or strangulation 5,6 . The surgical methods include tissue suture repair and tension-free repair with different kinds of meshes. Clinical guidelines do not strongly recommend tension-free repair with mesh because this approach may cause surgical site infection (SSI), especially in patients who undergo intestinal resection 7,8 . At present, with the improvement of mesh materials, there have been continuous reports of the safe use of mesh in the repair of incarcerated and/or strangulated groin hernias or even in the condition of intestinal resection without the occurrence of serious complications such as mesh-related infection 9-11 .However, cohort studies comparing open mesh tension-free repair and open suture repair for emergency femoral hernias via the inguinal approach have rarely been reported. The purpose of this study was to evaluate the feasibility of open preperitoneal repair (OPR) for emergency FHs using UHS meshes by comparing the outcomes with those of open suture repair (OSR) for the treatment of emergency FHs. patients and Methods ethics statement. This retrospective cohort study was approved by the Medical Ethics Committee of Ganzhou People's Hospital, and the methods were carried out in accordance with the approved guidelines.patients. By referencing the medical records, consecutive patients with a primary diagnosis of FH treated between 2011 and 2017 were identified. Patients who underwent emergency FH repair via OPR with the use of UHS mesh or OSR without the use of mesh were selected and divided into two groups (the OPR group and OSR group) according to the repair method.

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“…Some may argue that in case of strangulated hernia requiring bowel resection, the use of mesh for repair was contraindicated due to the risk of mesh infection. But recent studies had showed that bowel resection was not related to postoperative mesh infection nor wound infection [5]. Recent further advancement of laparoscopic surgery with single port instrument allowed further reduction of invasiveness of laparoscopic hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

Ng¹,

Yang²,

Li³

2013

IJCM

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Introduction: Single incision laparoscopic surgery (SILS) has become more popular for various surgical procedures including hernia surgery. Initial results of SILS in elective hernia repair were comparable to those of conventional laparoscopic approaches. However the use of SILS in emergency case has not been widely reported. This study aimed to evaluate the feasibility of the use of single incision laparoscopic transabdominal preperitoneal (TAPP) repair for patients presenting with strangulated groin hernia. Method: Emergency single incision laparoscopic TAPP repair were performed in our unit from June 2011 onwards for selected patients. Retrospectively data including the patient demographics, operative time, type of hernia, hospital stay, complications and recurrence rate were collected and analyzed. Result: There were a total of five patients in this series from June 2011 to June 2012. The median age was 62 years old with a male to female ratio of 4:1. Four patients had unilateral hernia (one femoral and three inguinal hernias) and one had bilateral hernia (unilaterally strangulated femoral hernia and bilaterally reducible indirect inguinal hernia). The median operative time was 75 minutes for patients with unilateral repair. None of the patients required bowel resection. The conversion rate to either conventional laparoscopic or open repair was zero. The median hospital stay was 2 days. No major complication or recurrence was detected. Conclusion: This series showed that single port laparoscopic TAPP repair for strangulated groin hernia is a feasible option with no major complication reported.

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Prosthetic repair of an incarcerated groin hernia with small intestinal resection

Abstract: Strangulated inguinal hernias cannot be considered a contraindication to the use of a prosthetic mesh even in cases requiring small-intestinal resection.

Cited by 37 publications

References 27 publications

Surgery for incarcerated hernia: short-term outcome with or without mesh

Surgery for incarcerated hernia: short-term outcome with or without mesh

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

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