Retrospective analysis of inguinofemoral hernias

We aim to present the operative findings of inguinal and femoral hernias that were operated.The records of 732 patients who underwent surgery for inguinal and femoral hernia between March 2000 and January 2013 were evaluated retrospectively. The number, sex, and age of patients, type and side of hernias, the existence of strangula-tion, structure, and content of hernia sac were recorded.684 (93.4 %) of patient is male, 48 (6.5 %) of patient is female. The average age was 46.2. The rate of inguinal hernia was 96.7 %. However, the rate of femoral hernia was 3.2 %. Inguinal hernia 97.9 % and femoral hernia 2 % was found among males. Inguinal hernia 79.1 % and femoral hernia 20 % was found among females. Indirect hernia rates were 70.4 % among males and 75 % among females. Direct hernia rates were 20.7 % among males and 4.1 % among females. Hernias were located in 59 % on right-side, in 37 % on left-side, in 3.1 % on bilateral. The strangulated hernia was seen at 3.1 % in all cases. Strangulation rate was higher among women (6.2 % - 2.9 %). The strangulation rate was 16.6 % in femoral hernia, but this ratio was 2.6 % in inguinal hernia. Hernia sac consisted of peritoneum frequently (99.4 %). The structure that was found mostly in hernia sac was omentum majus (40.4 %).Inguinal hernias are encountered more than femoral hernias. The strangulation rate in femoral hernias is higher than in inguinal hernias. Since the strangulation rate is higher in femoral hernias, the surgical urgency of this type of hernias is higher than inguinal hernias. At the same time, because the internal organs can form the hernia sac or the organ inside the sac, the surgeon should pay maximum attention during the operation.

___

1. Jenkins J T, O’Dwyer P J. Inguinal hernias. BMJ. 2008; 336:269-72.

2. Rutkow IM. A selective history of groin hernia surgery in the early 19. century:The anatomic atlases of Astley Cooper, Franz Hesselbach, Antonio Scarpa, and Jules-Germain Cloquet. Surg Clin North Am. 1998;78:921-40.

3. Gallegos NC, Dawson J, Jarvis M, et al. Risk of strangulation in groin hernias. Br J Surg. 1991;78:1171-3.

4. Hachisuka T. Femoral hernia repair. Surg Clin North Am. 2003;83:1189-205.

5. van Wessem KJ, Simons MP, Plaisier PW, et al. The etiology of indirect inguinal hernias: congenital and/or acquired?. Hernia. 2003;7:76-9.

6. Ertaş E, Polat KY, Bulut T, et al. Hydroxyproline levels in rectus sheat in inguinal hernias. Türkiye Klinikleri J Med Res. 1991;9:395-7.

7. Simons MP, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13:343-403.

8. Fruchaud H. Anatomie chirurgicale des Hernies de I’ Aline. Paris: C. Doin. 1956

9. Towsend CM, Evers BM, Beauchamp RD, et al. Sabiston Textbook of Surgery-Modern Cerrahi Pratiğin Biyolojik Temeli. Çeviri Ed: Ali Naki Ulusoy. In:Herniler. Nobel Tıp Kitabevleri Ltd. Şti, İstanbul, 2010;1199-218

10. Ponka JL (ed): Hernias of the abdominal wall. W.B. Saunders, Philadelphia, 1980:2-90.

11. Coley WB. I. Result of One Thousand Operations for the Radical Cure of Inguinal and Femoral Hernia. Ann Surg. 1903;37:801-24.

12. Erdman S. Inguinal hernia in the male: late results in 978 traced cases. Ann Surg. 1923;77:171-89.

13. Fallis LS. Inguinal Hernia: a report of 1600 operations. Ann Surg. 1936; 104:403-18.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

The effects of anaesthesia induction with propofol or ketofol on cerebral oxygenation in patients above 60 years of age

Harun Tolga DURAN, Ersin KOKSAL, Yasemin Burcu USTUN, Sezgin BİLGİN, Fatih OZKAN

Investigation of colorectal cancer distribution in Mardin province

Aydin AYTEKİN

Respiratory muscle strength: Effects on functional capacity, quality of life and fatigue in women with multiple sclerosis

Ayla Fil BALKAN, Yeliz SALCİ

The role of ductus venosus doppler, fetal liver length and placental thickness in gestational diabetes

Murat CEVİK, Ruya DEVEER

The clinicopathologic features of multiple primary malignancies in hematology: A cross sectional descriptive study

Pelin AYTAN, Mahmut YERAL, Mutlu KASAR, Nurhilal BUYUKKURT, Ilknur KOZANOGLU, Hakan OZDOGU, Can BOGA, Cigdem GEREKLİOGLU, Asli KORUR, Suheyl ASMA

Management of infective endocarditis and long-term outcomes of patients who underwent surgery: The fifteen-year experience of a tertiary care center

Baris AKCA, Nevzat ERDİL, Mehmet Cengiz COLAK, Olcay Murat DİSLİ, Bektas BATTALOGLU

Anesthesia management for emergency cesarean section in a patient with takotsubo cardiomyopathy

Sedat HAKİMOGLU, Onur KOYUNCU, Cagla AKKURT, Sumeyra YESİL, Senem URFALİ

Comparison of the caregiver burden of the mothers of children with cerebral palsy and healthy children

Ercan KAYDOK, Sezin SOLUM, Nesibe Sultan CİNAROGLU

The value of blood parameters as a diagnostic biomarker for congenital sensorineural hearing loss

Mustafa CELİK

Evaluation of the applications of traditional and complementary medicine in the perspective of family medicine in a tertiary referral center

Mehmet Kayhan MUTLU, Erdal DİLEKCİ