Surgical treatment of inguinal hernia: Our experience

  • Bahri Ozer Department of General Surgery, Abant Izzet Baysal University Hospital, Bolu, Turkey
  • Mustafa Sit Department of General Surgery, Abant Izzet Baysal University Hospital, Bolu, Turkey
  • Oguz Catal Department of General Surgery, Abant Izzet Baysal University Hospital, Bolu,Turkey
  • Songul Ozer Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey
  • Cihad Tatar Department of General Surgery, Haseki Training and Research Hospital, Istanbul,Turkey
  • Gamze Citlak Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey
  • Osman Anıl Savas Department of General Surgery, Haseki Training and Research Hospital, Istanbul,Turkey
  • Muzaffer Akinci Department of General Surgery, Haseki Training and Research Hospital, Istanbul,Turkey
Keywords: Hernia, anterior mesh, posterior mesh, Mc vay, elective surgery, emergent surgery

Abstract

Aim: In present retrospective analysis, we aimed to evaluate the treatment results of subjects with inguinal hernia whom underwent surgical repair.

Methods: Surgical treatment of inguinal hernia for last 7 years have been retrospectively analyzed. Surgical procedures include anterior mesh, posterior mesh, Mc Vay, non-mesh repair, plug mesh.

Results: A total of 2320 patients underwent hernia surgery were included to the study. While, 2224 of the cases were elective procedures while 96 were operated in emergency conditions. Incarceration 78 of emergent cases were incarcerated and 18 were strangulated. Patients requiring emergency surgery were significantly older than the patients underwent elective hernia repair. Duration of hospital stay was significantly longer in emergent cases compared to elective cases. Need for intestinal resection was more common in emergent cases compared to elective surgery cases. Mc Vay and plug mesh procedures were more commonly used in emergent cases compared to elective surgery cases. Intestinal laceration and development of recurrences were more common in emergent surgery cases compared to elective surgery.

Conclusion: Inguinal hernia patients should be scheduled for elective surgery without delay since need for emergent surgery may increase by time and emergent cases are associated with more complications and surgical morbidity.

Published
2018-05-07