Abstract
[Introduction] We reviewed the results of operative procedures in patients with incarcerated groin hernia and those who underwent intestinal resection for hernial content necrosis. [Methods] We analyzed the results of operative procedures in the 18 patients who underwent intestinal resection for hernial content necrosis in our department in the period from January 2004 to October 2013. We chose to use the tension-free method using mesh insertion in cases other than abcesses, perforation and colectomy in patients with incarcerated groin hernia among those who underwent intestinal resection. [Results] Of 18 patients who underwent intestinal resection, 11 underwent repair surgery with the tension-free method (Kugel method: 7 cases, Mesh plug method: 4 cases) and 7 with the conventional method. In those who received tension-free repair surgery, no infections associated with mesh insertion were observed. Five patients underwent intestinal resection from different skin incisions, except for the groin area. [Conclusions] We concluded that the mesh insertion approach can be performed safely in patients with incarcerated groin hernia for which intestinal resection is performed due to necrosis of the hernial contents, provided that there is no abcess or intestinal perforation, and colon resection is not required.
