• Erkan Ozkan, Mehmet Kamil Yıldız, Tuğrul Cakır, Ender Dulundu, Cengiz Eriş, Mehmet Mahir Fersahoğlu, and Umit Topaloğlu.
• 5th Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey. dr.erkan@mynet.com
• Ulus Travma Acil Cer. 2012 Sep 1;18(5):389-96.

BackgroundThe aim of the present study was to investigate morbidity and mortality-related risk factors in patients undergoing surgery due to incarcerated abdominal wall hernia.MethodsThe patients were grouped according to the type of hernia (inguinal, umbilical, incisional, femoral), and these groups were evaluated in terms of risk factors affecting morbidity and mortality such as age, gender, American Society of Anesthesiologists (ASA) score, type of anesthesia, concomitant diseases, and the presence of intestinal strangulation and necrosis.ResultsInguinal hernia was frequent in males, whereas femoral hernia was frequent in females (p<0.001). The rate of intestinal resection due to strangulation and necrosis was found significantly higher among femoral hernias as compared to the other types of hernia (p<0.005 and p<0.001, respectively). Advanced age (≥ 65 years), concomitant disease, strangulation, necrosis, high ASA score (III-IV), time from the onset of symptoms, and time to hospital admission were found to have significant influences on morbidity and mortality. General anesthesia was found to be a risk factor for morbidity as well (p<0.05).ConclusionIncarcerated abdominal wall hernias are surgical problems with high morbidity and mortality rates. Therefore, surgery should be planned under elective conditions when hernia is detected.

28 keywords...

hide…