Factors Affecting Strangulation and Necrosis in Incarcerated Abdominal Wall Hernias

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dc.authoridSimsek, Arife/0000-0002-4807-3597
dc.authorwosidSimsek, Arife/AAB-3245-2021
dc.contributor.authorSimsek, Arife
dc.contributor.authorKocaaslan, Huseyin
dc.contributor.authorDirican, Abuzer
dc.contributor.authorAtes, Mustafa
dc.date.accessioned2024-08-04T20:10:32Z
dc.date.available2024-08-04T20:10:32Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND/AIMS The goal of the present study was to determine the factors affecting strangulation and necrosis in incarcerated abdominal wall hernias (AWHs). MATERIAL and METHODS This was a retrospective study conducted by reviewing the medical records of 44 patients who underwent surgery for incarcerated abdominal wall hernia at a university hospital between April 2009 and January 2018. RESULTS Of the 44 study patients, 28 were men and 16 were women of mean age 68.95 years. Of all, 30 patients (68.2%) had groin hernias (femoral: 7, inguinal: 23) and 14 (31.8%) had ventral hernias (incisional: 8, umbilical: 5, epigastric: 1). The intraoperative findings were strangulation in 24 (54.5%) and necrosis in 20 (45.5%) cases. Accordingly, omental resection was performed in 4, small bowel resection in 14, and large bowel resection in two patients. The hernia was repaired using a polypropylene mesh in 33 patients (of them 20 were Lichtenstein, 8 were on-lay, and 5 were plug-mesh) and without using a mesh in ten patients. The hernia was not repaired in one patient. The mean duration of hospitalization was 7.43 (range: 1-5) days. The mortality rate was 13.6%. In univariate analysis, the mortality was positively related to necrosis (p=0.045). The duration of these symptoms was the only factor that affected strangulation and necrosis. CONCLUSION The mortality rate was high in incarcerated abdominal wall hernias, while necrosis was the most significant variable associated with mortality. The duration of the symptoms was the most significant factor that affected necrosis; therefore, it is essential to perform surgical intervention within the first 24 h of admission.en_US
dc.identifier.doi10.5152/cjms.2020.1075
dc.identifier.endpage283en_US
dc.identifier.issn2149-7893
dc.identifier.issn2536-507X
dc.identifier.issue4en_US
dc.identifier.startpage279en_US
dc.identifier.trdizinid425062en_US
dc.identifier.urihttps://doi.org/10.5152/cjms.2020.1075
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/425062
dc.identifier.urihttps://hdl.handle.net/11616/92854
dc.identifier.volume5en_US
dc.identifier.wosWOS:000613253100002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofCyprus Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAbdominal wall herniaen_US
dc.subjectincarcerated herniaen_US
dc.subjectirreducible herniaen_US
dc.subjectnecrosisen_US
dc.subjectobstructionen_US
dc.subjectstrangulated herniaen_US
dc.titleFactors Affecting Strangulation and Necrosis in Incarcerated Abdominal Wall Herniasen_US
dc.typeArticleen_US

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