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Published in: Langenbeck's Archives of Surgery 5/2010

01-06-2010 | Original Article

Prosthetic repair of incarcerated inguinal hernias: is it a reliable method?

Authors: Hayrullah Derici, Haluk R. Unalp, Okay Nazli, Erdinc Kamer, Murat Coskun, Tugrul Tansug, Ali D. Bozdag

Published in: Langenbeck's Archives of Surgery | Issue 5/2010

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Abstract

Background and aim

It is generally accepted that most inguinal hernias should be operated on electively using synthetic grafts. However, limited information is available on the usage of these materials in patient with incarcerated and strangulated hernias. The objective of this study is to compare the outcomes of incarcerated inguinal hernia repair with or without graft.

Materials and methods

One hundred-thirteen patients with incarcerated inguinal hernia that underwent surgery were included in this study. Patients who underwent Lichtenstein repair were assigned to group I; those who underwent primary repair were assigned to group II. Demographics and characteristics of patients in each group were compared. Chi-square and Student's t-tests were used.

Results

No statistical difference was found between patients who did and did not receive anastomosis in both groups in terms of surgery duration, length of hospital stay, postoperative morbidity, and mortality. Recurrence was found in 4.0% and 20.8% patients in group I and group II, respectively (P = 0.036).

Conclusions

Mesh repair can be preferred in incarcerated inguinal hernia patients because recurrence rate was significantly lower in patients who underwent Lichtenstein repair in this study.
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Metadata
Title
Prosthetic repair of incarcerated inguinal hernias: is it a reliable method?
Authors
Hayrullah Derici
Haluk R. Unalp
Okay Nazli
Erdinc Kamer
Murat Coskun
Tugrul Tansug
Ali D. Bozdag
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 5/2010
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-008-0326-2

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