title: Prosthetic repair of incarcerated inguinal hernias: is it a reliable method?
abstract: OBJECTIVE
  It is generally accepted that most inguinal hernias should be operated on electively using synthetic grafts. However, limited information is available on the usage of these materials in patient with incarcerated and strangulated hernias. The objective of this study is to compare the outcomes of incarcerated inguinal hernia repair with or without graft.
  
  
  METHODS
  One hundred-thirteen patients with incarcerated inguinal hernia that underwent surgery were included in this study. Patients who underwent Lichtenstein repair were assigned to group I; those who underwent primary repair were assigned to group II. Demographics and characteristics of patients in each group were compared. Chi-square and Student's t-tests were used.
  
  
  RESULTS
  No statistical difference was found between patients who did and did not receive anastomosis in both groups in terms of surgery duration, length of hospital stay, postoperative morbidity, and mortality. Recurrence was found in 4.0% and 20.8% patients in group I and group II, respectively (P = 0.036).
  
  
  CONCLUSIONS
  Mesh repair can be preferred in incarcerated inguinal hernia patients because recurrence rate was significantly lower in patients who underwent Lichtenstein repair in this study.
authors.affiliation: 3rd General Surgery Clinic, Ataturk Training and Research Hospital, 156 sok. No: 5/13 Bornova, Izmir, Turkey. hayrullahderici@yahoo.com
authors.forename: Hayrullah
authors.initials: H
authors.lastname: Derici
authors.forename: Haluk R
authors.initials: HR
authors.lastname: Unalp
authors.forename: Okay
authors.initials: O
authors.lastname: Nazli
authors.forename: Erdinc
authors.initials: E
authors.lastname: Kamer
authors.forename: Murat
authors.initials: M
authors.lastname: Coskun
authors.forename: Tugrul
authors.initials: T
authors.lastname: Tansug
authors.forename: Ali D
authors.initials: AD
authors.lastname: Bozdag
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D016009:Chi-Square Distribution; D015897:Comorbidity; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome