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Kliniğimizde İnkarserasyon Nedeniyle Başvuran Karın Duvarı Fıtık Hastalarında Tedavi Seçenekleri ve Sonuçlar

Year 2025, Volume: 8 Issue: 1, 62 - 66

Abstract

Giriş: Bu çalışmanın amacı, inkarserasyonlu herni ile başvuran hastaların demografik özelliklerini, tedavi yöntemlerini ve sonuçlarını değerlendirmektir. Çalışmada, farklı herni türlerine göre stoma ve bağırsak rezeksiyonu oranları ile yaş ve cinsiyet gibi demografik değişkenlerin tedavi seçenekleri üzerindeki etkileri araştırılmaktadır.
Gereç ve Yöntemler: Bu çalışmaya, 1 Ağustos 2022 ile 1 Ağustos 2024 tarihleri arasında kliniğimize inkarserasyonlu herni nedeniyle başvuran 109 hasta dâhil edilmiştir. Hastaların yaşı, cinsiyeti, herni türü, uygulanan tedavi yöntemi ve stoma veya rezeksiyon yapılıp yapılmadığı gibi veriler toplanmıştır. İstatistiksel analizler SPSS 22.0 yazılımı kullanılarak gerçekleştirilmiş, gruplar arasındaki ilişkiler Pearson Ki-Kare testi, Olasılık Oranı testi ve Lineer-By-Linear İlişki testi ile değerlendirilmiştir.
Sonuç: Acil cerrahi müdahale, inguinal ve femoral herni vakalarında daha sık tercih edilirken, insizyonel herni vakalarında takip tedavisi daha yaygın olarak uygulanmıştır. Stoma oluşum oranının en yüksek insizyonel hernilerde olduğu gözlenmiştir. Artan yaş ile rezeksiyon gerekliliği arasında lineer bir ilişki bulunmuştur (p=0.022). Herni türü ile tedavi yöntemi arasında belirli durumlarda istatistiksel olarak anlamlı bir ilişki olduğu saptanmıştır (p=0.025).
Tartışma: Tedavi yaklaşımları, herni türü ve hastanın yaşı gibi faktörlere göre değişiklik göstermektedir. Yaşlı hastalarda komplikasyon riskinin arttığı görülmüştür. Bu çalışma, inkarserasyonlu herni yönetiminde daha uygun tedavi stratejilerinin geliştirilmesine katkı sağlayabilir.

References

  • 1.Eminoğlu L. Is TAPP the right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia? Ulus Travma Acil Cerrahi Derg. 2024;30(2):97-100. https://doi.org/10.14744/tjtes.2024.63367
  • 2.Yang XF, Liu JL. Acute incarcerated external abdominal hernia. Ann Transl Med. 2014;2(11):110. https://doi.org/10.3978/j.issn.2305-5839.2014.11.05
  • 3.Zhou J, Yuan X. Establishment of a risk prediction model for bowel necrosis in patients with incarcerated inguinal hernia. BMC Med Inform Decis Mak. 2024;24(1):39. https://doi.org/10.1186/s12911-024-02440-3
  • 4.Hernández-Granados P. Editorial: Inguinal hernia emergency. J Abdom Wall Surg. 2023;2:12013. https://doi.org/10.3389/jaws.2023.12013
  • 5.Sbacco V, Petrucciani N, Lauteri G, et al. Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience. Langenbecks Arch Surg. 2024;409(1):48. https://doi.org/10.1007/s00423-024-03238-7
  • 6.Liu X, Zheng G, Ye B, et al. Risk factors for surgical opportunity in patients with femoral hernia: a retrospective cohort study. Medicine (Baltimore). 2018;97(34):e11826. https://doi.org/10.1097/MD.0000000000011826
  • 7.HerniaSurge Group (2018). International guidelines for groin hernia management. Hernia : the journal of hernias and abdominal wall surgery, 22(1), 1-165. https://doi.org/10.1007/s10029-017-1668-x
  • 8.Zafar H, Zaidi M, Qadir I, Memon AA. Emergency incisional hernia repair: a difficult problem waiting for a solution. Ann Surg Innov Res. 2012;6(1):1. https://doi.org/10.1186/1750-1164-6-1
  • 9.Pavithira GJ, Dutta S, Sundaramurthi S, Nelamangala Ramakrishnaiah VP. Outcomes of emergency abdominal wall hernia repair: experience over a decade. Cureus. 2022;14(6):e26324. https://doi.org/10.7759/cureus.26324
  • 10.Greenwood Francis, A. K., Merchant, N. N., Aguirre, K., & Andrade, A. (2024). Advancing geriatric surgical outcomes in elective ventral and incisional hernia repair surgeries: An American college of surgeons national surgical quality improvement program study. American journal of surgery, 233, 108-113. https://doi.org/10.1016/j.amjsurg.2024.02.030
  • 11.Walshaw J, Kuligowska A, Smart NJ, Blencowe NS, Lee MJ. Emergency umbilical hernia management: scoping review. BJS Open. 2024;8(3):zrae068. https://doi.org/10.1093/bjsopen/zrae068
  • 12.Henriksen NA, Montgomery A, Kaufmann R, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg. 2020;107(3):171-190. https://doi.org/10.1002/bjs.11489
  • 13.Coste AH, Bamarni S, Leslie SW. Umbilical hernia. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2024. PMID:29083594
  • 14.Ceresoli M, Carissimi F, Nigro A, et al. Emergency hernia repair in the elderly: multivariate analysis of morbidity and mortality from an Italian registry. Hernia. 2022;26(1):165-175. https://doi.org/10.1007/s10029-020-02269-5
  • 15.Piltcher-da-Silva R, Sasaki VL, Bettini LFC, et al. Outcomes of emergency groin hernia repair in the elderly: a systematic review. J Abdom Wall Surg. 2023;2:11246. https://doi.org/10.3389/jaws.2023.11246
  • 16.Mehdizadeh-Shrifi A, Soll C, Vuille-Dit-Bille RN, et al. Outcome of incisional hernia repair in patients 80 years and older: results from the Herniamed-Registry. Hernia. 2023;27(5):1273-1281. doi:10.1007/s10029-023-02866-0 https://doi.org/10.1007/s10029-023-02866-0
  • 17.Dadashzadeh ER, Huckaby LV, Handzel R, et al. The Risk of Incarceration During Nonoperative Management of Incisional Hernias: A Population-based Analysis of 30,998 Patients. Annals of surgery. 2022:275(2):e488-e495. https://doi.org/10.1097/SLA.0000000000003916
  • 18.Olanrewaju, O. A., Saleem, A., Ansah Owusu, F., Pavani, P., Ram, R., & Varrassi, G. (2023). Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery. Cureus, 15(12), e51421. https://doi.org/10.7759/cureus.51421
  • 19.Pawlak M, East B, de Beaux AC. Algorithm for management of an incarcerated inguinal hernia in the emergency settings with manual reduction: Taxis, the technique and its safety. Hernia. 2021;25(5):1253-1258. https://doi.org/10.1007/s10029-021-02429-1
  • 20.Davies M, Davies C, Morris-Stiff G, Shute K. Emergency presentation of abdominal hernias: outcome and reasons for delay in treatment-a prospective study. Ann R Coll Surg Engl. 2007;89(1):47-50. https://doi.org/10.1308/003588407X160855

Treatment Options and Outcomes in Patients Presenting with Incarcerated Hernia at Our Clinic

Year 2025, Volume: 8 Issue: 1, 62 - 66

Abstract

Aim: The aim of this study is to evaluate the demographic characteristics, treatment methods, and outcomes of patients presenting with incarcerated hernia. This study investigates the rates of stoma and bowel resection application according to different types of hernia, as well as the effects of demographic variables such as age and gender on treatment options.
Methods: This study included 109 patients who were admitted to our clinic with incarcerated hernia between August 1, 2022, and August 1, 2024. Data such as age, gender, type of hernia, treatment method applied, and whether stoma or resection was performed were collected. Statistical analyses were conducted using SPSS 22.0 software, and the relationships between groups were evaluated using Pearson Chi-Square test, Likelihood Ratio test, and Linear-by-Linear Association test.
Results: Emergency surgical intervention was more frequently preferred in inguinal and femoral hernia cases, whereas follow-up treatment was more commonly applied in incisional hernias. The highest rate of stoma formation was observed in incisional hernias. A linear relationship was found between increasing age and the necessity for resection (p=0.022). A statistically significant relationship was observed between the type of hernia and the treatment method in certain cases (p=0.025).
Conclusions: Treatment approaches vary depending on hernia type and patient’s age, with increased risk of complications in elderly patients. This study may contribute to the development of more appropriate treatment strategies.

References

  • 1.Eminoğlu L. Is TAPP the right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia? Ulus Travma Acil Cerrahi Derg. 2024;30(2):97-100. https://doi.org/10.14744/tjtes.2024.63367
  • 2.Yang XF, Liu JL. Acute incarcerated external abdominal hernia. Ann Transl Med. 2014;2(11):110. https://doi.org/10.3978/j.issn.2305-5839.2014.11.05
  • 3.Zhou J, Yuan X. Establishment of a risk prediction model for bowel necrosis in patients with incarcerated inguinal hernia. BMC Med Inform Decis Mak. 2024;24(1):39. https://doi.org/10.1186/s12911-024-02440-3
  • 4.Hernández-Granados P. Editorial: Inguinal hernia emergency. J Abdom Wall Surg. 2023;2:12013. https://doi.org/10.3389/jaws.2023.12013
  • 5.Sbacco V, Petrucciani N, Lauteri G, et al. Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience. Langenbecks Arch Surg. 2024;409(1):48. https://doi.org/10.1007/s00423-024-03238-7
  • 6.Liu X, Zheng G, Ye B, et al. Risk factors for surgical opportunity in patients with femoral hernia: a retrospective cohort study. Medicine (Baltimore). 2018;97(34):e11826. https://doi.org/10.1097/MD.0000000000011826
  • 7.HerniaSurge Group (2018). International guidelines for groin hernia management. Hernia : the journal of hernias and abdominal wall surgery, 22(1), 1-165. https://doi.org/10.1007/s10029-017-1668-x
  • 8.Zafar H, Zaidi M, Qadir I, Memon AA. Emergency incisional hernia repair: a difficult problem waiting for a solution. Ann Surg Innov Res. 2012;6(1):1. https://doi.org/10.1186/1750-1164-6-1
  • 9.Pavithira GJ, Dutta S, Sundaramurthi S, Nelamangala Ramakrishnaiah VP. Outcomes of emergency abdominal wall hernia repair: experience over a decade. Cureus. 2022;14(6):e26324. https://doi.org/10.7759/cureus.26324
  • 10.Greenwood Francis, A. K., Merchant, N. N., Aguirre, K., & Andrade, A. (2024). Advancing geriatric surgical outcomes in elective ventral and incisional hernia repair surgeries: An American college of surgeons national surgical quality improvement program study. American journal of surgery, 233, 108-113. https://doi.org/10.1016/j.amjsurg.2024.02.030
  • 11.Walshaw J, Kuligowska A, Smart NJ, Blencowe NS, Lee MJ. Emergency umbilical hernia management: scoping review. BJS Open. 2024;8(3):zrae068. https://doi.org/10.1093/bjsopen/zrae068
  • 12.Henriksen NA, Montgomery A, Kaufmann R, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg. 2020;107(3):171-190. https://doi.org/10.1002/bjs.11489
  • 13.Coste AH, Bamarni S, Leslie SW. Umbilical hernia. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2024. PMID:29083594
  • 14.Ceresoli M, Carissimi F, Nigro A, et al. Emergency hernia repair in the elderly: multivariate analysis of morbidity and mortality from an Italian registry. Hernia. 2022;26(1):165-175. https://doi.org/10.1007/s10029-020-02269-5
  • 15.Piltcher-da-Silva R, Sasaki VL, Bettini LFC, et al. Outcomes of emergency groin hernia repair in the elderly: a systematic review. J Abdom Wall Surg. 2023;2:11246. https://doi.org/10.3389/jaws.2023.11246
  • 16.Mehdizadeh-Shrifi A, Soll C, Vuille-Dit-Bille RN, et al. Outcome of incisional hernia repair in patients 80 years and older: results from the Herniamed-Registry. Hernia. 2023;27(5):1273-1281. doi:10.1007/s10029-023-02866-0 https://doi.org/10.1007/s10029-023-02866-0
  • 17.Dadashzadeh ER, Huckaby LV, Handzel R, et al. The Risk of Incarceration During Nonoperative Management of Incisional Hernias: A Population-based Analysis of 30,998 Patients. Annals of surgery. 2022:275(2):e488-e495. https://doi.org/10.1097/SLA.0000000000003916
  • 18.Olanrewaju, O. A., Saleem, A., Ansah Owusu, F., Pavani, P., Ram, R., & Varrassi, G. (2023). Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery. Cureus, 15(12), e51421. https://doi.org/10.7759/cureus.51421
  • 19.Pawlak M, East B, de Beaux AC. Algorithm for management of an incarcerated inguinal hernia in the emergency settings with manual reduction: Taxis, the technique and its safety. Hernia. 2021;25(5):1253-1258. https://doi.org/10.1007/s10029-021-02429-1
  • 20.Davies M, Davies C, Morris-Stiff G, Shute K. Emergency presentation of abdominal hernias: outcome and reasons for delay in treatment-a prospective study. Ann R Coll Surg Engl. 2007;89(1):47-50. https://doi.org/10.1308/003588407X160855
There are 20 citations in total.

Details

Primary Language English
Subjects General Surgery
Journal Section Articles
Authors

Sedat Çarkıt 0000-0001-7360-5121

Mustafa Karaağaç 0000-0002-3423-7941

Publication Date
Submission Date December 19, 2024
Acceptance Date March 14, 2025
Published in Issue Year 2025 Volume: 8 Issue: 1

Cite

APA Çarkıt, S., & Karaağaç, M. (n.d.). Treatment Options and Outcomes in Patients Presenting with Incarcerated Hernia at Our Clinic. Journal of Cukurova Anesthesia and Surgical Sciences, 8(1), 62-66.

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