Assessment of strangulated content of the spontaneously reduced inguinal hernia via hernia sac laparoscopy: preliminary results of a prospective randomized study.
Title | Assessment of strangulated content of the spontaneously reduced inguinal hernia via hernia sac laparoscopy: preliminary results of a prospective randomized study. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Sgourakis, G., Radtke A., Sotiropoulos G. C., Dedemadi G., Karaliotas C., Fouzas I., & Karaliotas C. |
Journal | Surg Laparosc Endosc Percutan Tech |
Volume | 19 |
Issue | 2 |
Pagination | 133-7 |
Date Published | 2009 Apr |
ISSN | 1534-4908 |
Keywords | Adolescent, Adult, Aged, Aged, 80 and over, Female, Hernia, Inguinal, Humans, Laparoscopy, Male, Middle Aged, Multivariate Analysis, Prospective Studies, Regression Analysis, Risk Factors, Time Factors, Young Adult |
Abstract | This prospective randomized study aimed to evaluate the impact of hernia sac laparoscopy on the morbidity and mortality in cases with a spontaneous reduction of the strangulated hernia content before the assessment of its viability. Ninety-five patients underwent operation owing to incarcerated hernia. Forty-one patients, whose strangulated indirect inguinal hernia spontaneously reduced before the viability of the content was assessed, were included in this study. They were randomly assigned to 2 groups: group A (21 patients managed using hernia sac laparoscopy) and group B (20 patients managed without laparoscopy). The median hospital stay was 28 hours for group A and 34 hours for group B. Four patients of group B had major complications whereas there was none observed in the group A. Two unnecessary laparotomies and 2 deaths occurred in group B. Hernia sac laparoscopy seems to be an accurate and safe method allowing to prevent unnecessary laparotomy and especially in high-risk patients it contributes to decrease major morbidity. |
DOI | 10.1097/SLE.0b013e31819d8b8b |
Alternate Journal | Surg Laparosc Endosc Percutan Tech |
PubMed ID | 19390280 |