title: Visceral organ resection during femoral hernia surgery is a predictor of morbidity.
abstract: Reports on the outcomes of emergency and elective femoral hernia surgery are scarce. Most studies do not distinguish femoral hernia from other types of groin hernia; studies of femoral hernia alone are few in number. The main objective of the present study was to identify factors affecting morbidity of femoral hernia patients. We retrospectively analyzed data on 80 patients who underwent femoral hernia surgery between June 2009 and June 2013. Patients who did and did not experience morbidity were compared in terms of age, sex, hernia location, the presence of any comorbid disease, the type of anesthesia employed, the operative technique used, the type of surgical intervention, and performance of small bowel resection. Forty-three patients (53.8%) underwent emergency surgery because of incarceration. Of these, 18 (41.9%) experienced strangulation and underwent resection. Postoperative complications developed in 11 patients (13.8%). Upon multiple logistic regression analysis, visceral organ resection (of the small bowel and/or omentum) was the only independent predictor of significant morbidity (P < 0.05; odds ratio [OR]: 14.010, 95% confidence interval [CI]: 1.001-196.143). When diagnosed, femoral hernias should be electively repaired as soon as possible. The cumulative probability of strangulation rises over time. A requirement for bowel resection seems to significantly increase morbidity.
authors.affiliation: 1 Izmir Tepecik Education and Research Hospital, Department of General Surgery, Izmir, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Calik
authors.forename: Kerem
authors.initials: K
authors.lastname: Karaman
authors.forename: Recep
authors.initials: R
authors.lastname: Atci
authors.forename: Ozhan
authors.initials: O
authors.lastname: Cetindag
authors.forename: Levent
authors.initials: L
authors.lastname: Ugurlu
authors.forename: Cengiz
authors.initials: C
authors.lastname: Aydin
authors.forename: Gokhan
authors.initials: G
authors.lastname: Akbulut
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Elective surgery; Emergency surgery; Femoral hernia; Morbidity; Mortality