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21-03-2023 | Femoral Hernia | Original Article

Predictive factors of bowel necrosis in patients with incarcerated femoral hernia

Authors: H. Beji, M. Bouassida, M. F. Chtourou, S. Zribi, G. Laamiri, Y. Kallel, B. Mroua, M. M. Mighri, H. Touinsi

Published in: Hernia | Issue 6/2023

Abstract

Purpose

Intestinal necrosis is a frequent complication in patients with incarcerated femoral hernias (IFH). Knowing the low incidence of IFH, few series with large samples studied predictive factors of intestinal necrosis.

The main objectives of our study were to determine the predictive preoperative factors of intestinal necrosis in patients with IFH and to compare its morbidity with that related to incarcerate inguinal hernias (IIH).

Methods

We conducted a retrospective observational cohort study in which we included patients with incarcerated groin hernias (IGH).

This is a single-center study between January 2004 and December 2021. Patients were divided into two groups: group A (admitted for IFH) and group B (admitted for IIH). Intestinal necrosis was confirmed intraoperatively.

Results

383 patients with IGH were included in the study: 91 patients had IFH (23.76%) and 282 patients had IIH (76.24%). In patients with IFH, the median age was 67 years. We had 60 females (66%) and 31 males (34%). Bowel ischemia was present in 29 patients (32%). Bowel necrosis was present in 14 patients (16%). We identified three independent variables predicting bowel necrosis in patients with IFH: Duration from symptoms to surgery, NLR (Neutrophil to Lymphocyte ratio), and urea.

Bowel ischemia and bowel necrosis were significantly higher in patients with IFH compared to those with IIH.

Conclusions

In summary, we found that duration from symptoms to surgery, NLR, and urea were significantly predictive of intestinal necrosis in patients with IFH.

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Title: Predictive factors of bowel necrosis in patients with incarcerated femoral hernia
Authors: H. Beji
M. Bouassida
M. F. Chtourou
S. Zribi
G. Laamiri
Y. Kallel
B. Mroua
M. M. Mighri
H. Touinsi
Publication date: 21-03-2023
Publisher: Springer Paris
Keywords: Femoral Hernia
Inguinal Hernia
Published in: Hernia / Issue 6/2023
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-023-02776-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictive factors of bowel necrosis in patients with incarcerated femoral hernia

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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