Abstract
Purpose
Inguinal and femoral hernias are common disorders associated with aging. Incarcerated external hernias, however, are often fatal. This study investigated the prognostic factors in patients with incarcerated hernias.
Methods
The study reviewed 38 patients (aged 35–97 years) diagnosed with incarcerated hernias who underwent emergency surgery. The patients were divided into those with or without a small intestinal resection, and they were then analyzed according to time from onset of symptoms to surgery.
Results
The time from symptom onset to surgery was significantly longer in the resection group than in the group without resection. The patients were divided into those treated within or after 12 h using a receiver-operating characteristic curve. A sensitivity of 71.4% and a specificity of 83.4% were obtained using the time from symptom onset to operation of 12 h as a cutoff value. More patients who underwent surgery after 12 h from the onset of symptoms required an intestinal resection. Patients who underwent surgery later than 12 h after the onset of symptoms also stayed in the hospital longer than those operated on within 12 h.
Conclusions
The amount of time that elapses from the onset of symptom to surgery is considered to be an important prognostic factor in patients with incarcerated hernias. Early diagnosis and early treatment are therefore necessary in such patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kulah B, Kulacoglu IH, Oruc MT, Duzgun AP, Moran M, Ozmen MM, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg 2001;181:101–104.
Smith MA, Soper NJ. Small intestine. In: Doherty GM, Meko JB, Olson JA, Peplinski GR, editors. The Washington manual of surgery. 2nd ed. Philadelphia: JB Lippincott; 1999. p. 216–227.
Andrews NJ. Presentation and outcome of strangulated external hernia in a district general hospital. Br J Surg 1981;68:329–332.
Kulah B, Duzgun AP, Moran M, Kulacoglu IH, Ozmen MM, Coskun F. Emergency hernia repairs in elderly patients. Am J Surg 2001;182:455–459.
Alvarez JA, Baldonedo RF, Bear IG, Solís JA, Alvarez P, Jorge JI. Incarcerated groin hernias in adults: presentation and outcome. Hernia 2004;8:121–126.
Hjaltason E. Incarcerated hernia. Acta Chir Scand 1981;147:263–267.
Murai S, Akatsu T, Yabe N, Inoue Y, Akatsu Y, Kitagawa Y. Impacted obturator hernia treated successfully with a Kugel repair: report of two cases. Surg Today 2009;39(9):821–824.
Rai S, Chandra SS, Smile SR. A study of the risk of strangulation and obstruction in groin hernias. Aust N Z J Surg 1998;68:650–654.
Maeda T, Yuasa H, Arimura T, Endou S, Akashi K, Ashikawa K. Value of the level of serum creatine phosphokinase for early diagnosis of strangulation ileus. Jpn J Gastroenterol Surg 1993;26:1007–1012.
Ohira S, Hasegawa H, Ogiso S, Igami T, Mori T, Uehara K, et al. Clinical study of the strangulated Ileus without previous abdominal operation. J Jpn Soc Emerg 2001;21:687–693.
McEntee G, Pender D, Mulvin D, McCullough M, Naeeder S, Farah S, et al. Current spectrum of intestinal obstruction. Br J Surg 1987;74:976–980.
Askew G, Williams GT, Brown SC. Delay in presentation and misdiagnosis of strangulated hernia: prospective study. J R Coll Surg Edinb 1992;37:37–38.
Nesterenko IuA, Shovskiĭ OL. Outcome of treatment of incarcerated hernia. Khirurgiia (Mosk) 1993;26–30.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tanaka, N., Uchida, N., Ogihara, H. et al. Clinical study of inguinal and femoral incarcerated hernias. Surg Today 40, 1144–1147 (2010). https://doi.org/10.1007/s00595-009-4193-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-009-4193-4