Tension-free herniorrhaphy for incarcerated/strangulated inguinal hernia

VernacularTitle:经腹膜前腹股沟疝无张力修补术治疗嵌顿疝和(或)绞窄疝效果分析
Author: Minggang WANG ; Yingmo SHEN ; Shuo YANG ; Jinxin CAO ; Yilin ZHU ; Jie CHEN
Publication Type:Journal Article
Keywords: Hernia,inguinal,incarcerated; Herniorrhaphy
From: Chinese Journal of General Surgery 2016;31(8):650-653
CountryChina
Language:Chinese
Abstract: Objective To evaluate preperitoneal tension-free herniorrhaphy for incarcerated and (or) strangulated inguinal hernia.Methods During Mar,2008 to Mar,2015,89 incarcerated and (or)strangulated hernia patients(incarcerated hernia group) and 1 741 primary inguinal hernia patients (elective group) underwent preperitoneal tension-free herniorrhaphy.Results The operation time (42 ± 8 min),length of stay (4.0 ± 2.6 d) and the time return to work (9.0 ± 3.3 d) in incarcerated hernia group were longer than in elective group of (38 ± 4 min),(3.0 ± 0.6 d) and (8.1 ± 2.5 d),respectively (all P ＜0.01).Blood loss [(10 ± 14 ml) vs (7 ±4 ml)] was compareble,P =0.148.There were 1 infection case and 20 seroma cases (22.5％) vs 5 infection cases and 187 seroma cases (12.7％) all P ＞0.05.Followup found hernia recurrence in one case in elective group.Conclusion Preperitoneal tension-free herniorrhaphy is safe and effective for the treatment of incarcerated and(or) strangulated hernia.