Langenbeck's Archives of Surgery

, Volume 395, Issue 5, pp 575–579 | Cite as

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

  • Hayrullah DericiEmail author
  • Haluk R. Unalp
  • Okay Nazli
  • Erdinc Kamer
  • Murat Coskun
  • Tugrul Tansug
  • Ali D. Bozdag
Original Article


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.


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).


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.


Incarcerated inguinal hernia Lichtenstein repair Primary repair Recurrence Graft 


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Hayrullah Derici
    • 1
    Email author
  • Haluk R. Unalp
    • 2
  • Okay Nazli
    • 1
  • Erdinc Kamer
    • 2
  • Murat Coskun
    • 1
  • Tugrul Tansug
    • 1
  • Ali D. Bozdag
    • 1
  1. 1.3rd General Surgery ClinicAtaturk Training and Research HospitalIzmirTurkey
  2. 2.4th General Surgery ClinicAtaturk Training and Research HospitalIzmirTurkey

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