• Ali Ezer, Kenan Calışkan, Tamer Colakoğlu, Alper Parlakgümüş, Sedat Belli, and Akın Tarım.
• Department of General Surgery, Başkent University Faculty of Medicine, Ankara, Turkey. ezerali@hotmail.com.
• Ulus Travma Acil Cer. 2011 Jul 1; 17 (4): 344-8.

BackgroundThe aim of this study was to investigate factors that affect morbidity in adults with incarcerated intestinal hernia of the abdominal wall.Methods124 patients with a mean age of 61 ± 13.87 years (73 males) underwent emergency surgery for incarcerated intestinal hernia between March 1999 and March 2008. The median duration of the hernia was 5 years (0.1-30). Type and duration of hernia, accompanying diseases, surgical procedure, and operation-related complications were retrospectively evaluated.ResultsTwenty-five patients (20%) had complications. Twelve patients (10%) had surgical site infection and 10 patients (8%) had septic complications. Four patients (3%) died in the postoperative period. Out of 40 patients developing strangulation, 18 underwent bowel resection. The only independent variable concerning bowel resection other than inguinal hernia was found to be ventral hernia (p=0.039). There was no statistical significance between duration of hernia and incarceration and complications. The rate of complications was significantly high in the patients with accompanying diseases (p<0.001). The relation between age and complications was also significant (p=0.034). Multivariate analyses showed high ASA scores as the only independent variable for development of complications (p<0.001).ConclusionPatients with comorbid diseases and high ASA scores should be informed about the elevated risk of complications, and scheduled surgery before the development of incarceration should be recommended.

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