Is laparoscopy needed for incarcerated hernias that became reducible during induction of general anesthesia?

The term acutely incarcerated abdominal wall hernia is used to define the acute onset of symptoms associated with local effects and mechanical bowel obstruction with or without strangulation.1 The major concern about incarceration as well as the major source of postoperative morbidity and mortality...

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Published inThe American surgeon Vol. 81; no. 2; pp. E52 - 53
Main Authors Bozkurt, Mehmet Abdussamet, Gönenç, Murat, Kocataş, Ali, Temizgönül, Kaplan Baha, Unsal, Mustafa Gökhan, Aliş, Halil
Format Journal Article
LanguageEnglish
Published United States SAGE PUBLICATIONS, INC 01.02.2015
Subjects
Abdomen
Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia, General
Female
Gangrene
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - methods
Hospitalization
Humans
Imprisonment
Ischemia
Laparoscopy
Male
Middle Aged
Mortality
Retrospective Studies
Surgery
Treatment Outcome
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Summary:The term acutely incarcerated abdominal wall hernia is used to define the acute onset of symptoms associated with local effects and mechanical bowel obstruction with or without strangulation.1 The major concern about incarceration as well as the major source of postoperative morbidity and mortality is the presence of strangulation. Because clinical and radiological evaluation is not reliable, direct visualization of the incarcerated organs by surgical exploration is mandatory. Patients with an inguinal hernia had a standard Lichtenstein procedure, whereas those with a femoral hernia had mesh plug repair in addition to the standard Lichtenstein procedure. Because our policy is to do a diagnostic laparoscopy in patients who undergo open hernia repair for an incarcerated groin hernia and in whom spontaneous reduction of an incarcerated hernia during the induction of general anesthesia without exception, only the patients who underwent laparoscopic hernia repair were excluded in the study.
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ISSN:0003-1348
1555-9823
DOI:10.1177/000313481508100205