Abstract
Treatment of the incarcerated inguinal hernia is tailored based on multiple factors related to the patient and the patient’s presentation. In this chapter, we review different realms of incarcerated inguinal hernias which may present to the emergency room. These may include the acutely incarcerated hernia vs the chronically incarcerated hernia. They include the asymptomatic vs the symptomatic incarcerated hernia. Focus is on the safe treatment of the emergency patient. Surgical techniques are reviewed. Discussion and tips are also provided on how to handle the strangulated inguinal hernia and the special case of the femoral hernia.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Legutko J, Pach R, Solecki R, et al. The history of treatment of groin hernia. Folia Med Cracov. 2008;49(1–2):57–74.
Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006;295(3):285–92.
Ohana G, Manevwitch I, Weil R, et al. Inguinal hernia: challenging the traditional indication for surgery in asymptomatic patients. Hernia. 2004;8:117–20.
Kulah B, Kulacoglu IH, Oruc MT, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg. 2001;181:101–4.
Alvarez JA, Baldonedo RF, Bear IG, et al. Incarcerated groin hernias in adults: presentation and outcome. Hernia. 2014;8:121–6.
Tanaka N, Uchida N, Ogihara H, et al. Clinical study of inguinal and femoral incarcerated hernias. Surg Today. 2010;40:1144–7.
Nilsson H, Stylianidis G, Haapamäki M, et al. Mortality after groin hernia surgery. Ann Surg. 2007;245(4):656.
The HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1–165. https://doi.org/10.1007/s10029-017-1668-x.
Itani KMF, Rosen M, Vargo D, et al. Prospective study of single-stage repair of contaminated hernias using a biologic porcine tissue matrix: the RICH Study. Surgery. 2012;152(3):498–505.
Bellows CF, Shadduck P, Helton WS, et al. Early report of a randomized comparative clinical trial of Strattice™ reconstructive tissue matrix to lightweight synthetic mesh in the repair of inguinal hernias. Hernia. 2014;18(2):221–30.
Ansaloni L, Catena F, Coccolini F, et al. Inguinal hernia repair with porcine small intestine submucosa: 3-year follow-up results of a randomized controlled trial of Lichtenstein’s repair with polypropylene mesh versus Surgisis Inguinal Hernia Matrix. Am J Surg. 2009;198(3):303–12.
Bochicchio GV, Jain A, McGonigal K, et al. Biologic vs synthetic inguinal hernia repair: 1-year results of a randomized double-blinded trial. J Am Coll Surg. 2014;218(4):751–7.
Atema JJ, de Vries FEE, Boermeester MA. Systematic review and meta-analysis of the repair of potentially contaminated and contaminated abdominal wall defects. Am J Surg. 2016;212(5):982–95.
Choi JJ, Palaniappa NC, Dallas KB, et al. Use of mesh during ventral hernia repair in clean-contaminated and contaminated cases: outcomes of 33,832 cases. Ann Surg. 2012;255:176–80.
Carbonell AM, Criss CN, Cobb WS, et al. Outcomes of synthetic mesh in contaminated ventral hernia repairs. J Am Coll Surg. 2013;217(6):991–8.
Brahmbhatt R, Martindale R, Liang MK. Jumping the gun? Evaluating the evidence for synthetic mesh in contaminated hernia repairs. J Am Coll Surg. 2014;218(30):498–9.
O'Dwyer PJ, Norrie J, Alani A, et al. Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial. Ann Surg. 2006;244(2):167.
Rosemar A, Angerras U, Rosengren A. Body mass index and groin hernia: a 34-year follow-up study in Swedish men. Ann Surg. 2008;247:1064–8.
Gallegos NC, Dawson J, Jarvis M, et al. Risk of strangulation in groin hernias. Br J Surg. 1991;78:1171–3.
Rai S, Chandra SS, Smile SR. A study of the risk of strangulation and obstruction in groin hernias. Aust N Z J Surg. 1998;68:650–4.
McEntee G, Pender D, Mulvin D, et al. Current spectrum of intestinal obstruction. Br J Surg. 1987;74:976–80.
Kauffman HM, O'Brien DP. Selective reduction of incarcerated inguinal hernia. Am J Surg. 1970;119(6):660–73.
Parrish J. Practical observations on strangulated hernia: and some of the diseases of the urinary organs. Philadelphia: Key and Biddle; 1836. 261 p.
Corner EM, Howitt AB. The reduction en masse of strangulated and non-strangulated herniæ. Ann Surg. 1908;47(4):573–87.
Atila K, Guler S, Inal A, et al. Prosthetic repair of acutely incarcerated groin hernias: a prospective clinical observational cohort study. Langenbeck's Arch Surg. 2010;395(5):563–8.
Sawayama H, Kanemitsu K, Okuma T, et al. Safety of polypropylene mesh for incarcerated groin and obturator hernias: a retrospective study of 110 patients. Hernia. 2014;18(3):399–406.
Nyhus LM. The posterior (preperitoneal) approach and iliopubic tract repair of inguinal and femoral hernias—an update. Hernia. 2003;7(2):63–7.
Kurt N, Oncel M, Ozkan Z. Risk and outcome of bowel resection in patients with incarcerated groin hernias: retrospective study. World J Surg. 2003;27:741–3.
Beadles CA, Meagher AD, Charles AG. Trends in emergent hernia repair in the United States. JAMA Surg. 2015;150(3):194–200.
Dahlstrand U, Wollert S, Nordin P, et al. Emergency femoral hernia repair: a study based on a national register. Ann Surg. 2009;249(4):672–6.
Koch A, Edwards A, Haapaniemi S, et al. Prospective evaluation of 6895 groin hernia repairs in women. Br J Surg. 2005;92(12):1553–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Towfigh, S. (2019). Incarcerated Inguinal Hernias. In: Brown, C., Inaba, K., Martin, M., Salim, A. (eds) Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-96286-3_33
Download citation
DOI: https://doi.org/10.1007/978-3-319-96286-3_33
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-96285-6
Online ISBN: 978-3-319-96286-3
eBook Packages: MedicineMedicine (R0)