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Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study

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Abstract

Purpose

The aim of this prospective study was to present a 10-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated groin hernias.

Methods

Patients with acutely incarcerated and/or strangulated groin hernias were treated by emergency repair of the hernia using a Prolene mesh. The presence of non-viable intestine necessitating resection–anastomosis of the bowel was not considered a contraindication to the use of mesh.

Results

The present study included 234 patients. Their age ranged from 16 to 85 years with a mean of 55.9 ± 17.7 years. The hernia was indirect inguinal in 201 patients (85.9 %), direct inguinal in 5 patients 5 (2.1 %), hernia of canal of nuck in 13 patients (5.6 %) and femoral in 15 patients (6.4 %). Thirty patients (12.8 %) had recurrent hernias. Resection–anastomosis of non-viable small intestine was performed in 32 patients (13.7 %). There were 5 perioperative mortalities (2.1 %). Complications were encountered in 41 patients (17.5 %) and included wound infection in 14 patients (6 %), scrotal hematoma in 9 patients (3.8 %), chest infection in 8 patients (3.4 %), deep vein thrombosis in 2 patients (0.9 %), transient deterioration of liver function in 11 patients (4.7 %) and mesh infection in 1 patient (0.5 %). Follow-up duration ranged from 6 to 120 months with a mean of 62.5 ± 35.3 months. Two recurrences (0.9 %) were encountered throughout the study period.

Conclusions

The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.

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Conflict of interest

SB declares no conflict of interest.

MA declares no conflict of interest.

IA declares no conflict of interest.

IK declares no conflict of interest.

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Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, University of Alexandria, Al-Azarita, Alexandria, Egypt

    S. S. Bessa, M. R. Abdel-fattah, I. A. Al-Sayes & I. T. Korayem

  2. General Surgery Department, Faculty of Medicine, University of Alexandria, Midan Al-Khartoum, Mahatet Al-Raml, Alexandria, Egypt

    S. S. Bessa

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  1. S. S. Bessa
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  2. M. R. Abdel-fattah
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  3. I. A. Al-Sayes
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  4. I. T. Korayem
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Correspondence to S. S. Bessa.

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Bessa, S.S., Abdel-fattah, M.R., Al-Sayes, I.A. et al. Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study. Hernia 19, 909–914 (2015). https://doi.org/10.1007/s10029-015-1360-y

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  • DOI: https://doi.org/10.1007/s10029-015-1360-y

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