A Tertiary Hospital Experience in Incarcerated Anterior Abdominal Wall Hernias

Authors : İlhan TAŞ, Ebral YİĞİT, Abidin TÜZÜN

Pages : 292-297

Doi:10.35440/hutfd.1325197

View : 35 | Download : 55

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Background: This study aims to evaluate the results of incarcerated anterior abdominal wall hernia cases in which we performed emergency surgery in light of the literature. Materials and Methods: The records of 124 patients who underwent emergency surgery for incarcera-ted anterior abdominal wall hernia between January 2016 and December 2019 were retrospectively reviewed. The patients\` files, computer records, epicrisis reports, surgery reports, and outpatient clinic records were evaluated. Patients; Age, gender, hernia type, location, time of admission, previous hernia surgery history, affected organs, type of anesthesia applied, surgical techniques, resection status, length of hospital stay, morbidity, and mortality rates were recorded. Results: The mean age of 124 patients was 59.47 ± 17.75 insert ignore into journalissuearticles values(17-94); years. Of the patients, 64 insert ignore into journalissuearticles values(51.6%); were female, and 60 insert ignore into journalissuearticles values(48.4%); were male. The mean hospital stay was 4.12±3.52 insert ignore into journalissuearticles values(1-19); days. Thirteen insert ignore into journalissuearticles values(10.5%); patients had additional disease. General anesthesia was applied to 100 insert ignore into journalissuearticles values(80.6%); patients, and regional anesthesia was applied to 24 insert ignore into journalissuearticles values(19.4%); patients. 25 patients were operated on with the diagnosis of recur-rence and 99 with the diagnosis of a primary hernia. The most frequently compressed organs in the hernia sac were the omentum insert ignore into journalissuearticles values(64.5%); and small intestine insert ignore into journalissuearticles values(32.2%);. Bowel resection was performed in 16 of the patients. Mesh was applied to 90 patients during the operation. The most common hernia types were inguinal, umbilical, and incisional. 31 insert ignore into journalissuearticles values(13.7%); complications developed in 17 patients. Sepsis, wound infection, ileus, atelectasis, and respiratory failure were the most common. Mortality was developed in 6 insert ignore into journalissuearticles values(4.8%); of the patients. Conclusions: This study showed that additional disease increases morbidity in hernia cases, and intestinal resection due to strangulation increases morbidity and mortality. Therefore, patients presenting with an incarcerated hernia should be operated on as soon as possible before strangulation develops.
Keywords : inkarsere herni, srangüle herni, morbidite, mortalite