Prosthetic repair of an incarcerated groin hernia with small intestinal resection

Purpose No consensus has been reached on the use of prostheses in a potentially infected operating field. In this study, we evaluated the validity of a mesh prosthesis for the repair of incarcerated groin hernias with intestinal resection. Methods Twenty-seven patients underwent operations for corre...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2012-04, Vol.42 (4), p.359-362
Main Authors: Ueda, Junji, Nomura, Tsutomu, Sasaki, Junpei, Shigehara, Kengo, Yamahatsu, Kazuya, Tani, Aya, Shioda, Yoshinobu, Furukawa, Kiyonori, Uchida, Eiji
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Chi-Square Distribution
Female
Groin - pathology
Groin - surgery
Hernia, Inguinal - pathology
Hernia, Inguinal - surgery
Herniorrhaphy - instrumentation
Herniorrhaphy - methods
Humans
Intestine, Small - pathology
Intestine, Small - surgery
Male
Medicine
Medicine & Public Health
Original Article
Statistics as Topic
Statistics, Nonparametric
Surgery
Surgical Mesh
Surgical Oncology
Time Factors
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Summary:Purpose No consensus has been reached on the use of prostheses in a potentially infected operating field. In this study, we evaluated the validity of a mesh prosthesis for the repair of incarcerated groin hernias with intestinal resection. Methods Twenty-seven patients underwent operations for correction of incarcerated groin hernias with small intestinal resection at our hospital between January 2000 and March 2010. The patients were divided into two groups: those who underwent repair with a prosthetic mesh and those who underwent primary hernia repair. Patients with intestinal perforations, abscess formations, panperitonitis, and those who required colon resections were excluded. The length of the operation, blood loss, and incidences of surgical site infection, postoperative ileus, and recurrence were evaluated in each group. Results Of the 27 patients studied, 10 (37%) underwent tension-free repair with a mesh, and 17 (63%) underwent primary hernia repair. Although the patients who underwent primary hernia repair were significantly older than the patients who underwent mesh repair ( P  = 0.015), no statistically significant differences in morbidity, including surgical site infection, or mortality, were identified. Conclusion Strangulated inguinal hernias cannot be considered a contraindication to the use of a prosthetic mesh even in cases requiring small-intestinal resection.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-011-0019-2