Indication of Mesh Repair for Incarcerated Groin Hernia

Abstract

[Background] To investigate the clinical outcomes of incarcerated groin hernias. [Methods] A retrospective, single center study performed in the period of 2008 to 2014. Seventy-nine patients who underwent an emergency operation for incarcerated groin hernia were analyzed by the presence (41 cases) or absence (38 cases) of intestinal resection. [Results] Intestinal resection was more likely to be performed in women, who had a femoral hernia, comorbidity, and poor performance status. In the intestinal resection group, all hernia repair was performed by conventional methods. In the non-resection group, mesh repair was performed in 28 patients and a conventional method was performed in 10 patients. Longer operation time (110min vs. 68min) and more blood loss (45g vs. 15g) were noted in the resection group. Postoperative complications were observed in 13 patients in the resection group and 3 patients in the non-resection group. Three surgical site infections were recorded in the intestinal resection group. Recurrence was noted in 1 out of 51 hernias in the conventional repair group. [Conclusion] Given the relatively low recurrence rate of conventional hernia repair and concern for mesh-related infection, conventional repair is rational for those who have undergone intestinal resection.