Strangulated Hernia
Conditions
Keywords
Infection, Prosthesis, Recurrence, Strangulation
Brief summary
Primary suture repair increases the risk for recurrence, the fact of benefit of mesh repair in elective situations is documented, and many studies have reported beneficial outcomes of mesh hernioplasty in emergency situations. Still there is controversy of using such grafts in presence of intestinal resection.
Detailed description
Patients with acutely incarcerated hernias (with small intestine contents) who underwent polypropylene mesh hernioplasty were included in this prospective study from June 2005 through Jan. 2011, patients were categorized into 2 groups who required intestinal resection anastomosis (group I)or not (group II).
Interventions
OTHERmesh repair
mesh repair of strangulated hernia without resection
OTHERSURGERY
REPAIR OF STRANGULATED HERNIA with intestinal resection
Sponsors
Mansoura University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* strangulated hernias
Exclusion criteria
* above 75, under 18 * recurrent hernia * peritonitis * pure omentum contents ASA above 3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| wound infection | 5 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | 3hours | the time from skin incision up to skin closure |
| morbidity | 5 months | the perioperative complications |
| recurrence of the hernia | 6months | Recurrence of the hernia was defined as an apparent swelling or a palpable defect at the previous surgery site detected clinically or radiologically by ultrasound if needed |
Countries
Egypt
Outcome results
None listed