Abstract
This study investigated the diagnosis and treatment of patients with incarcerated groin hernias who underwent surgery in our hospital. Of the 182 cases of groin hernias in our hospital from January 2008 to February 2013, we operated on 22 (12.1%) hernias that were incarcerated. These incarcerated hernias included 7 indirect inguinal hernias, 9 femoral hernias, and 6 obturator hernias. Eighteen of these cases were diagnosed as hernia incarceration at the time of the first visit. Seven cases underwent manipulative or spontaneous reduction and chose elective surgery, and 11 cases required immediate operations. Four other cases were not initially diagnosed as incarcerated hernias due to the lack of attention to the inguinal region. Instead, they were diagnosed as ileus of unknown origin, which we reinforced with hyperbaric oxygen (HBO). The technique used in the 11 elective surgeries and 7 immediate operations was the Kugel method. When a patient having an acute abdominal hernia was examined, we kept hernia incarceration in mind and considered it important to check the neighborhood of the inguinal region with a physical view or CT imaging.
