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Textbook of Hernia pp 169–175Cite as

The Treatment of Incarcerated and Strangulated Inguinal Hernias

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Abstract

Inguinal hernias are repaired to relieve symptoms such as pain, and to reduce the risk of acute incarceration/strangulation and subsequent bowel ischemia. Recent studies have demonstrated the relatively low risk of developing complications from asymptomatic inguinal hernias. This risk varies with the age and gender of the patient, and the hernia type. An acutely incarcerated inguinal hernia can be recognized by a history of groin bulge, clinical symptoms of pain and/or bowel obstruction, and imaging studies such as CT scan. Open tissue repair is commonly utilized for acutely incarcerated inguinal hernias; however, other surgical treatment modalities are becoming more widely accepted including the use of prosthetic mesh and laparoscopy for assessment of hernia content viability and for repair. The difference in complications and recurrence following repair of acutely incarcerated inguinal hernias using these techniques is an area of ongoing research and debate in the general surgery community, with a wide variation in practice patterns.

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References

  1. Neutra R, Velez A, Ferrada R, Galan R. Risk of incarceration of inguinal hernia in Cali, Colombia. J Chronic Dis. 1981;34:561–4.

    Article  CAS  PubMed  Google Scholar 

  2. Fitzgibbons RJ, et al. Watchful waiting vs. repair of inguinal hernia in minimally symptomatic men. JAMA. 2006;295(3):285–92.

    Article  CAS  PubMed  Google Scholar 

  3. Fitzgibbons Jr RJ, Ramanan B, Arya S, Turner SA, Li X, Gibbs JO, Reda DJ, Investigators of the Original Trial. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013;258(3):508–15.

    Article  PubMed  Google Scholar 

  4. Hernandez-Irizarry R, Zendejas B, Ramirez T, et al. Trends in emergent inguinal hernia surgery in Olmsted County, MN: a population-based study. Hernia. 2012;16(4):397–403.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Abi-Haidar Y, Sanchez V, Itani KMF. Risk factors and outcomes of acute versus elective groin hernia surgery. J Am Coll Surg. 2011;213(3):363–9.

    Article  PubMed  Google Scholar 

  6. Romain B, Chemaly R, Meyer N, Brigand C, Steinmetz JP, Rohr S. Prognostic factors of postoperative morbidity and mortality in strangulated groin hernia. Hernia. 2012;16:405–10.

    Article  CAS  PubMed  Google Scholar 

  7. Koch A, Edwards A, Haapaniemi S, Nordin P, Kald A. Prospective evaluation of 6895 groin hernia repairs in women. Br J Surg. 2005;92:1553–8.

    Article  CAS  PubMed  Google Scholar 

  8. Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U. Emergency femoral hernia repair. Ann Surg. 2009;249(4):672–6.

    Article  PubMed  Google Scholar 

  9. Haapaniemi S, Sandblom G, Nilsson E. Mortality after elective and emergency surgery for inguinal and a femoral hernia. Hernia. 1999;4:205–8.

    Article  Google Scholar 

  10. Kulah B, Kulacoglu IH, Oruc MT, Duzgun AP, Moran M, Ozmen M, Coskun F. Presentation and outcome of incarcerated external hernias in adults. Am J Surg. 2001;181:101–4.

    Article  CAS  PubMed  Google Scholar 

  11. Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, et al., editors. Schwartz’s principles of surgery. 10th ed. New York: McGraw-Hill; 2015.

    Google Scholar 

  12. Ramanan B, Maloley BJ, Fitzgibbons RJ. Inguinal hernia: follow or repair? Adv Surg. 2014;48:1–11.

    Article  PubMed  Google Scholar 

  13. Fitzgibbons RJ, Greenburg AG, Nyhus LM, Condon RE. Nyhus and Condon’s hernia. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2002.

    Google Scholar 

  14. Atila K, Guler S, Inal A, Sokmen S, Karademir S, Bora S. Prosthetic repair of acutely incarcerated groin hernias: a prospective clinical observational cohort study. Langenbecks Arch Surg. 2010;395:563–8.

    Article  PubMed  Google Scholar 

  15. Papaziogas B, Lazaridis C, Makris J, Koutelidakis J, Patsas A, Grigoriou M, Chatzimavroudis G, Psaralexis K, Atmatzidis K. Tension-free repair versus modified Bassini technique (Andrews technique) for strangulated inguinal hernia: a comparative study. Hernia. 2005;9:156–9.

    Article  CAS  PubMed  Google Scholar 

  16. Besa SS, Abdel-fattah MR, Al-Sayes IA, Korayem IT. Results of prosthetic mesh repair in the emergency management of the acute incarcerated and/or strangulated groin hernias: a 10-year study. Hernia. 2015;19:909–14.

    Article  Google Scholar 

  17. Elsebae M, Nasr M, Said M. Tension-free repair versus Bassini technique for strangulated inguinal hernia: a controlled randomized study. Int J Surg. 2008;6:302–5.

    Article  PubMed  Google Scholar 

  18. Hentati H, Dougaz W, Dziri C. Mesh repair versus non-mesh repair for strangulated inguinal hernia: systematic review with meta-analysis. World J Surg. 2014;38(11):2784–90.

    Article  PubMed  Google Scholar 

  19. Bellows CF, Shadduck P, Helton S, Martindale R, Stouch BC, Fitzgibbons R. 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;18:221–30.

    Article  CAS  PubMed  Google Scholar 

  20. Watson SD, Saye W, Hollier PA. Combined laparoscopic incarcerated herniorrhaphy and small bowel resection. Surg Laparosc Endosc. 1993;3:106–8.

    CAS  PubMed  Google Scholar 

  21. Leibl BJ, Schmedt GC, Kraft K, Kraft B, Bittner R. Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Results of a prospective study. Surg Endosc. 2000;15:1179–83.

    Article  Google Scholar 

  22. Felix EL, Michas CA, Gonzales MH. Laparoscopic hernioplasty: TAPP vs TEP. Surg Endosc. 1995;9:984–9.

    CAS  PubMed  Google Scholar 

  23. Ferzli G, Shapiro K, Chaudry G, Patel S. Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc. 2004;18:228–31.

    Article  CAS  PubMed  Google Scholar 

  24. Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P, Navez B, Saad S, Neugebauer EAM. Laparoscopy for abdominal emergencies. Surg Endosc. 2006;20:14–29.

    Article  CAS  PubMed  Google Scholar 

  25. Deeba S, Purkayastha S, Paraskevas P, Athanasiou T, Darzi A, Zacharakis E. Laparoscopic approach to incarcerated and strangulated inguinal hernias. JSLS. 2009;13:327–31.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Yang GPC, Chan CTY, Lai ECH, Chan OCY, Tang CN, Li MKW. Laparoscopic versus open repair for strangulated groin hernias: 188 cases over 4 years. Asian J Endosc Surg. 2012;5:131–7.

    Article  CAS  PubMed  Google Scholar 

  27. Piccolo G, Cavallaro A, Lo Menzo E, Zanghi A, Di Vita M, Di Mattia P, Cappellani A. Hernioscopy: a simple application of single-port endoscopic surgery in acute inguinal hernias. Surg Laparosc Endosc Percutan Tech. 2014;24(1):5–9.

    Article  Google Scholar 

  28. Sajid M, Ladwa N, Colucci G, Miles W, Baig M, Sains P. Diagnostic laparoscopy through deep inguinal ring: a literature-based review on the forgotten approach to visualize the abdominal cavity during emergency and elective groin hernia repair. Surg Laparosc Endosc Percutan Tech. 2013;23(3):251–4.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Minnesota, 420 Delaware St. SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA

    Kendall R. McEachron M.D.

  2. Department of Surgery, University of Minnesota, Minneapolis VA Medical Center, 1 Veterans Dr., Minneapolis, MN, 55417, USA

    Archana Ramaswamy M.D.

Authors
  1. Kendall R. McEachron M.D.
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  2. Archana Ramaswamy M.D.
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Correspondence to Archana Ramaswamy M.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina, USA

    William W. Hope

  2. USC School of Medicine-Greenville, Greenville Health System, Greenville, North Carolina, USA

    William S. Cobb

  3. Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gina L. Adrales

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© 2017 Springer International Publishing Switzerland

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McEachron, K.R., Ramaswamy, A. (2017). The Treatment of Incarcerated and Strangulated Inguinal Hernias. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_22

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  • DOI: https://doi.org/10.1007/978-3-319-43045-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43043-0

  • Online ISBN: 978-3-319-43045-4

  • eBook Packages: MedicineMedicine (R0)

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