Abstract
Prostheses have been commonly used for repair of groin hernia. However, placement of prosthetic material is presumed to increase the risk of infection. The procedure has been contraindicated until recently in the case of the diseas accompanied by intestinal necrosis requiring bowel resection. We therefore examined the Kugel repair in patients with incarcerated groin hernia. Subjects : From January 2006 to December 2008, we performed 67 emergency operations for incarcerated groin hernia, employing the Kugel repair in 45 cases and the conventional repair in the remaining 22 cases. Results : Bowel resection was required in 9 cases (20.0%) of the Kugel repair and 16 cases (72.7%) of the conventional repair. The patients undergone the Kugel repair were free from complications such as wound infection and suture failure, and did not experience recurrence. Conclusion : The Kugel repair seems applicable to selected cases of incarcerated groin hernia.
