Surgical outcomes of Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia.
OBJECTIVE
The purpose of our study was to evaluate the short-term and long-term outcomes of emergency Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia.


METHODS
We conducted a retrospective study of patients who underwent emergency Lichtenstein hernioplasty for acutely incarcerated inguinal hernia between September 2002 and January 2006 in a major city hospital in Thailand. We analyzed the early postoperative complications and surgical outcomes.


RESULTS
All 24 patients were men, with a mean age of 53.8 +/- 19.2 years (range 19-77). There was no perioperative mortality and only two postoperative complications (8.3%): a subcutaneous fluid collection, which resolved spontaneously within 2 weeks; and a superficial surgical site infection, which was treated successfully by intravenous antibiotics. The hospital stay was 3.8 +/- 2.1 days (range 2-12). All patients attended regular follow-up visits (mean 20.2 +/- 10.7 months, range 3-43). Clinical recurrence was found in one patient (4.2%), 7 months postoperatively.


CONCLUSIONS
Lichtenstein hernioplasty can be used effectively as an emergency operation for incarcerated inguinal hernia with a good outcome and an acceptably low rate of postoperative complications.
Lohsiriwat
Varut
V
Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Sridermma
Wasupong
W
Akaraviputh
Thawatchai
T
Boonnuch
Wiroon
W
Chinsawangwatthanakol
Vitoon
V
Methasate
Asada
A
Lert-akyamanee
Narong
N
Lohsiriwat
Darin
D
D000208:Acute Disease; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
D011126:Polypropylenes