Abstract
We often choose conventional hernia repair (non-mesh) or delayed mesh repair for inguinal and obturator incarcerated hernias which require bowel resection. But these days, we have sometimes encounter mesh repair cases where bowel resection was performed. We analyzed our cases of inguinal and obturator incarcerated hernia treated by mesh repair with bowel resection retrospectively to elucidate the advantage and disadvantage of the use of mesh. In a recent 11-year period (2014/1/1 to 2014/12/31), a total of 55 patients were operated on for inguinal and obturator incarcerated hernia. In 20 out of the 55 cases, bowel resection was performed. Even though bowel resection was needed, we applied mesh to seven cases in which the surgical site was protected without having bowel perforation and the surgical area was not contaminated with intestinal fluids. In all seven cases performed mesh repair with bowel resection, no complications related to mesh occurred. Mesh repair can be selected for inguinal and obturator incarcerated hernias if a risk of infection is low.
