AI Article Synopsis
- The study compares the outcomes of prosthetic mesh repair versus tissue repair for incarcerated inguinal hernias, as the use of mesh in acute situations is often feared due to potential complications like infection.
- A retrospective analysis of 62 patients reveals no significant differences in postoperative complications or hospitalization duration between the mesh repair and non-mesh repair groups.
- Findings suggest that using prosthetic mesh in emergency repairs is safe and acceptable, except when there's intestinal perforation, where mesh repair increases infection risk.
Article Abstract
Background/aims: Prosthetic repair has become the gold standard for elective management of inguinal hernias; however, its use in the setting of acute incarceration is still limited for fear of prosthetic-related complications, mainly infection. Thus, in this study. we conducted a comparative investigation of the outcomes of prosthetic repair vs. tissue repair in the management of incarcerated inguinal hernias.
Methodology: We retrospectively analyzed 62 patients who underwent emergency operations for incarceration of an inguinal hernia. These patients were divided into 2 groups based on the surgical procedure used: a mesh repair group (M group) and a non-mesh repair group (N group).
Results: There were no significant differences between the 2 groups with respect to postoperative complications and the mean period of post-operative hospitalization.
Conclusions: Contrary to traditional belief, the use of a prosthetic mesh in the emergency setting is not contra-indicated. Its usage for the repair of incarcerated inguinal hernias appears to be safe and acceptable. However, when perforation of the intestine occurs due to incarceration of an inguinal hernia, prosthetic repair using hernioplasty should not be performed because of the high risk of infection.
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