title: [Prosthesis and emergency surgery of hernia].
abstract: 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.
authors.affiliation: Divisione di Chirurgia, Ospedale Civile, Italie.
authors.forename: M
authors.initials: M
authors.lastname: Gavioli
authors.forename: A
authors.initials: A
authors.lastname: Rosi
authors.forename: I
authors.initials: I
authors.lastname: Piccagli
authors.forename: A
authors.initials: A
authors.lastname: Zenezini Chiozzi
authors.forename: D
authors.initials: D
authors.lastname: Bernardelli
authors.forename: M G
authors.initials: MG
authors.lastname: Lazzaretti
authors.forename: C
authors.initials: C
authors.lastname: Castellani Tarabini
authors.forename: P L
authors.initials: PL
authors.lastname: Serafini
authors.forename: M
authors.initials: M
authors.lastname: Romani
mesh_terms: 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
vernacular_title: Prothèse et chirurgie herniaire en urgence.