Comparison Study of Herniorrhaphy at Emergency and Elective Situations

Abstract

Inguinal hernia is one of the most common urgent problems encountered by surgeons. There were 145 patients treated due to inguinal hernia diagnosis. Out of 44 patients who were operated under emergency conditions. About 131 cases (106 male and 25 female) were treated with unilateral open preperitoneal mesh repair. Patients were examined in terms of postoperative complications. Data collected included as age, gender, medical history, surgery conditions, incarceration, and strangulation. There were total of 145 patients included in the study; in which 44 of them (29 male and 15 female, range of age: 30 - 72) (group I) were operated under emergency conditions and 101 of them (51 male and 50 female, range of age: 25 - 78) (group II) were operated under elective conditions. There was comorbidity in 31 patients of group I and 77 patients of group II. About 47.7% (n = 21) of cases who underwent emergent surgery due to incarceration, while 43.6% (n = 44) of cases who were operated under elective conditions. There were 12 femoral hernias in group I and 19 femoral hernia in group II. There is no difference between postoperative complication and recurrence rates in inguinal hernia cases operated under elective conditions and under emergency conditions. It is cheaper than laparoscopic repair, lead pain control and lack of neuropathic pain, has less testicular complications, and it is more advantageous than other open approaches.