[Prosthesis and emergency surgery of hernia].
Use of prostheses in emergency surgery is a controversial issue due to the risk of infection. We report our experience with a series of 31 strangled hernias treated in emergency situations with a polypropylene (n = 29) or a vinyl (n = 2) sheath placed in a pre-peritoneal or retro-muscular position. There were three small bowel resections and 13 resections of the omentum for necrosis. There were no cases of infectious complications during the post-operative period. There were no recurrent hernias during the follow-up. The absence of any supplementary morbidity after emergency prosthesis is in agreement with the data in the literature. These results suggest that a prosthesis can be proposed for strangled hernias when the weakness of the parietal wall would compromise a conventional procedure. Excluded are cases with severe infection, including peritonitis by gangrenous perforation of an incarcerated loop and associated colonic resections.
Gavioli
M
M
Divisione di Chirurgia, Ospedale Civile, Italie.
Rosi
A
A
Piccagli
I
I
Zenezini Chiozzi
A
A
Bernardelli
D
D
Lazzaretti
M G
MG
Castellani Tarabini
C
C
Serafini
P L
PL
Romani
M
M
D004635:Emergency Medicine; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006554:Hernia, Umbilical / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012008:Recurrence
Prothèse et chirurgie herniaire en urgence.