9. Outcomes of emergency open surgery due to strangulated inguinal hernia: A retrospective study of 39 cases at Bach Mai Hospital
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Abstract
A strangulated inguinal hernia is a medical emergency that requires immediate surgery to relieve the herniated viscera, manage strangling problems, and reconstruct the abdominal wall. The purpose of the study was to assess the efficacy of open surgery in the treatment of strangulated inguinal hernias. From January 2019 to December 2021, we conducted a retrospective analysis of 39 patients operated on at Bach Mai Hospital. The male/female ratio was 37.4. The average age was 55.2 years old (range 27 - 85); Nyhus classification 3A, 3B, and 4B were 7.7%, 74.3%, and 18%, respectively. The rate of small bowel resection was 2.8%. Complications of inguinal scrotal hematoma and wound infection were 5.1% and 7.7%, respectively. The good, fair, and average results were 82.1%, 10.2%, and 7.7%, respectively. The length of hospital stay was 5.2 ± 1.7 (range, 2 - 9) days. There was no relationship between age, ASA classification, waiting time for surgery, hernia location, and type of hernia with bowel resection rate (p > 0.05). Conclusion: open surgery is an effective, safe, and mildly complicated method of treating strangulated inguinal hernia, even in necrotizing intestinal strangulation.
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Keywords
Herniation, inguinal hernia, strangulated inguinal hernia, intestinal obstruction
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