title: Incarcerated abdominal wall hernia surgery: relationship between risk factors and morbidity and mortality rates (a single center emergency surgery experience).
abstract: BACKGROUND
  The aim of the present study was to investigate morbidity and mortality-related risk factors in patients undergoing surgery due to incarcerated abdominal wall hernia.
  
  
  METHODS
  The patients were grouped according to the type of hernia (inguinal, umbilical, incisional, femoral), and these groups were evaluated in terms of risk factors affecting morbidity and mortality such as age, gender, American Society of Anesthesiologists (ASA) score, type of anesthesia, concomitant diseases, and the presence of intestinal strangulation and necrosis.
  
  
  RESULTS
  Inguinal hernia was frequent in males, whereas femoral hernia was frequent in females (p<0.001). The rate of intestinal resection due to strangulation and necrosis was found significantly higher among femoral hernias as compared to the other types of hernia (p<0.005 and p<0.001, respectively). Advanced age (≥ 65 years), concomitant disease, strangulation, necrosis, high ASA score (III-IV), time from the onset of symptoms, and time to hospital admission were found to have significant influences on morbidity and mortality. General anesthesia was found to be a risk factor for morbidity as well (p<0.05).
  
  
  CONCLUSIONS
  Incarcerated abdominal wall hernias are surgical problems with high morbidity and mortality rates. Therefore, surgery should be planned under elective conditions when hernia is detected.
authors.affiliation: 5th Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey. dr.erkan@mynet.com
authors.forename: Erkan
authors.initials: E
authors.lastname: Ozkan
authors.forename: Mehmet Kamil
authors.initials: MK
authors.lastname: Yıldız
authors.forename: Tuğrul
authors.initials: T
authors.lastname: Cakır
authors.forename: Ender
authors.initials: E
authors.lastname: Dulundu
authors.forename: Cengiz
authors.initials: C
authors.lastname: Eriş
authors.forename: Mehmet Mahir
authors.initials: MM
authors.lastname: Fersahoğlu
authors.forename: Umit
authors.initials: U
authors.lastname: Topaloğlu
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000009:adverse effects / Q000706:statistics & numerical data; D004630:Emergencies; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D005260:Female; D046449:Hernia, Abdominal / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009336:Necrosis; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors