Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study

Dai, Weigang; Chen, Z; Zuo, Jidong; Tan, Junjie; Tan, Min; Yuan, Yujie

doi:10.1007/s10029-018-1854-5

Cited by 47 publications

(37 citation statements)

References 32 publications

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“…However, if the contents are gangrenous, an urgent exploratory laparotomy with resection of gangrenous segment and anastomosis or ileostomy, depending on patients’ general condition, is the treatment of choice. Strangulated hernia increases the risks in emergency hernia repair, leading to an increased incidence of surgical site contamination and recurrence [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Strangulated Epigastric Hernia: A Rare Occurrence

Vemulakonda¹,

Dutta²,

Jain³

et al. 2021

Cureus

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An epigastric hernia is a rare type of abdominal hernia, described in the literature mostly as small, containing only preperitoneal fat. A large true epigastric hernia with herniation of the abdominal viscera is even rarer. Only a few case reports have given an account of strangulation in such an epigastric hernia. This case report describes a middle-aged, morbidly obese man with a big epigastric hernia presenting with incarceration and acute abdominal pain. Emergency surgical exploration revealed a 7 cm midline defect in the rectus sheath and a 30 cm segment of the jejunum and a 6 cm segment of the transverse colon were gangrenous. The gangrenous bowel segments were resected, and an end-to-end jejuno-jejunal and colocolic anastomosis were done. The patient had an uneventful postoperative recovery.

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Section: Discussionmentioning

confidence: 99%

Strangulated Epigastric Hernia: A Rare Occurrence

Vemulakonda¹,

Dutta²,

Jain³

et al. 2021

Cureus

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“…Alvarez et al [2] observed that 13% of incarcerated groin hernia patients had undergone bowel resection surgery. Kurt et al [5] reported that bowel resection was required in approximately 15% of patents with an incarcerated groin hernia.…”

Section: Discussionmentioning

confidence: 99%

“…Groin hernia, which is a combination of inguinal and femoral hernia, occurs in 27% of men and 3% of women [1] and is commonly encountered on a daily basis. Around 5%-15% of hernia patients have incarceration, and approximately 15% of cases may develop bowel necrosis requiring bowel resection [2].…”

Section: Introductionmentioning

confidence: 99%

Predictive Factors of Bowel Resection Due to an Incarcerated Groin Hernia

Udaka¹,

Taniguchi²,

J³

et al. 2020

JJGH

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In this retrospective study, we assessed factors that can be used to predict the need for bowel resection due to an incarcerated groin hernia. MethodsWe enrolled a total of 83 patients diagnosed with an incarcerated groin hernia on preoperative unenhanced computed tomography (CT) between January 2010 and December 2019 in our hospital.They were divided into two groups: those who underwent bowel resection and those who did not. The clinical ndings, blood test results, and unenhanced CT values of patients were examined and compared between the two groups. The indication of intestinal resection was macroscopic necrosis or perforation of the incarcerated intestine. ResultsA total of 83 patients with incarcerated groin hernias were included in our study, of whom 13 (15.7%) had undergone bowel resection surgery. A univariate analysis identi ed a prolonged time from the symptom onset to surgery, increased white blood cell (WBC) count, increased C-reactive protein (CRP) level, decreased albumin level, and CT attenuation of the incarcerated intestinal wall at the fundus as signi cant predictive factors. The cut-off value for prediction of intestinal resection was 25 HU for the average CT attenuation of the incarcerated intestinal wall at the fundus and a WBC of 11,550 based on the receiver operating characteristic (ROC) curve. A multivariate analysis showed CT attenuation of the incarcerated intestinal wall at the fundus and an increased WBC count to be independent predictive factors. ConclusionsMeasuring unenhanced CT attenuation of the incarcerated intestinal wall at the fundus and the WBC count was suggested to be necessary for determining whether or not resection of the incarcerated intestine is required in cases of groin hernia.

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“…Analysis showed that the first 3 years after laparotomy are the high-risk period for hernia development (92–97% incidence) [ 3 ]. The frequency of recurrent hernias after anterior abdominal wall surgery can reach 50% [ 4 5 6 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

Sokolova

Sherbatykh

Tolkachev

et al. 2021

International Journal of Surgery Protocols

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Background: The research aims to improve the surgical treatment results of incisional ventral hernia by applying a case-specific approach and a new method of anterior abdominal wall surgery. Materials and Methods: The paper reports the results of the prospective dynamic cohort study on 219 patients under 60 years of age, with small and medium hernias and up to 10 cm defects in the anterior abdominal wall (W1–W2), who underwent incisional ventral hernia treatment with mesh endoprostheses. Results: The paper offers a selection algorithm for anterior abdominal wall repair surgery and an original proprietary technique. We have developed and described in detail a new ‘extra-sublay’ technique of surgical intervention. The paper displays the frequency and pattern of complications, as well as the quality of life of patients after different prosthetic surgeries. In the main group, 65.0% of patients showed improvement, 88.4% showed long-term surgical success, 13.6% faced complications, and 4.5% experienced recurrence. Conclusion: After receiving the “on lay” treatment, 59.4% of patients showed positive results, 74.7% showed long-term surgical success, 40% had complications, and 3.1% experienced recurrence. After the “sub lay” intervention, 40.0% of patients demonstrated excellent results, 81.9% reached long-term success, 12% had complications, and 1.4% encountered recurrence. Highlights: The article shows a selection algorithm for anterior abdominal wall plastic repair method. One of the factors that cause relapses and ventral hernias themselves is obesity. The authors’ method of the VH surgical treatment has shown good results. Excellent indicators showed 65.0% of patients of the main group.

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Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study

Cited by 47 publications

References 32 publications

Strangulated Epigastric Hernia: A Rare Occurrence

Strangulated Epigastric Hernia: A Rare Occurrence

Predictive Factors of Bowel Resection Due to an Incarcerated Groin Hernia

Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

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