EMERGENCY TREATMENT OF INCISIONAL HERNIA – A RETROSPECTIVE SINGLE-CENTER STUDY
Postoperative incisional hernia remains an important complication of open surgery, with an incidence of about 20% . Emergency treatment of this pathology can be a challenge for the surgeon. Knowing the high relapse rate of the simple suture of the parietal defect, the use of a prosthesis is often necessary. Emergency treatment often involves the presence of an intraoperative septic time, given both by the need for an intestinal resection for a strangulated incisional hernia, as well as by the presence of other septic processes that require emergency interventions, the eventration being an associated pathology, its treatment completing the main intervention. We present a retrospective study carried out in the Surgery Clinic 1 of the Targu Mures Emergency Clinical County Hospital between January 2020 and October 2022, which included all patients with postoperative eventration operated under emergency conditions. Out of the 203 patients operated for postoperative eventration during the period, 64 were in the emergency regime and introduced in the study. The surgical indication was caused by a complication of the post-incisional hernia or by another associated pathology that required surgery. Group 1 (L1= 43)- patients with complicated incisional hernia. Group 2 (L2= 21)- patients with an uncomplicated incisional hernia but with emergency intervention for associated pathology. Mesh was used significantly statistic more frequent at L1(24) . septic intraoperative time were significantly statistic more frequent at L2 (16). Mortality was high in both groups L1(9), L2(4). Cutaneous necrosis was the most frequent local complication (L1-2, L2-1)
 F. Köckerling, H. Hofmann,,D. Adolf, et al. ” Potential infuencing factors on the outcome in incisional hernia repair: a registry‑based multivariable analysis of 22,895 patients” Hernia vol25, pp33–49,2021
. F. E. Muysoms ,M. Miserez , F. Berrevoet et al.” Classification of primary and incisional abdominal wall hernias”, Hernia, vol 13, pp. 407–414, 2009
 W. Dai1 , Z. Chen, J. Zuo, et al. ” Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study” , Hernia, vol. 23, pp. 267–276, 2019
 Sofie Walming, Eva Angenete, M Block, et al,” Retrospective review of risk factors for surgical wound dehiscence and incisional hernia”, BMC Surgery 17:19,2017
. S G Parker, S. Mallett, L Quinn, et al. ” Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis” BJS Open, zraa071,2021
 A.Danish, “A retrospective case series study for acute abdomen in general surgery ward of Aliabad Teaching Hospital”, Annals of Medicine and Surgery 73,2022 doi. org/10.1016/j.amsu.2021.103199.
 H. Scheuerlein , A. Thiessen , Christine Schug-Pass ,et al.” What Do We Know About Component Separation Techniques for Abdominal Wall Hernia Repair?” Frontiers in Surgery, vol 5, art 24, 2018
 T Nakamura, T Sato, M Naito, et al.,” Laparoscopic Surgery is Useful for Preventing Recurrence of Small Bowel Obstruction After Surgery for Postoperative Small Bowel Obstruction” Surg Laparosc Endosc Percutan Tech. Vol 26, Number 1, 2016
 D. Ion,R.V. Stoian, A. Bolocanet al.” Is Prosthetic Repair of the Abdominal Wall in Clean-Contaminated Surgical Interventions Possible?” Chirurgia 108,pp 855-858, 2013
 Lauren V Huckaby, E R Dadashzadeh, R Handzel, et al. “Improved Understanding of Acute Incisional Hernia Incarceration: Implications for Addressing the Excess Mortality of Emergent Repair”, J Am Coll Surg, 31(5), pp 536–545,2020
Copyright (c) 2022 Romanian Journal of Emergency Surgery
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.