Diagnosis and treatment in elderly male patients with incarcerated groin hernias caused acute abdomen: a retrospective study of 35 cases

Abstract

Objective To investigate the treatment and clinical result of the elderly patients with incarcerated groin hernias caused acute abdomen. Methods We collected 35 cases of the elderly incarcerated groin hernias which can′t be reducted and be treated by emergency operation from January 2011 to January 2016 in the PKUCare Luzhong Hospital. All patients′ were analyzed by general condition, surgical procedures, surgical time, complications, length of hospital stay and follow-up. Results All 35 cases of the elderly incarcerated groin hernias were accepted surgical treatment, onset time were from 2 hour to 48 hour, 18 cases of all were treated by high ligation of hernia sac; 10 cases were treated by traditional hernioplasty; 7 cases were tension-free hernioplasty. The surgical time was from 60 minutes to 140 minutes, The average time was 85 minutes. There were 5 patients had postoperative complications. Among them, 1 case of patients with incarcerated groin hernias was reducted and happened the rupture of sigmoid colon and septic shock, resulting in multiple organ failure, 3 days after the rescue invalid death; 1 cases of postoperative intestinal obstruction, 2 cases of incision infection, 1 cases of hematoma of scrotum, All patients recovered well after treatment. The length of hospital stay was 3 ~13 d, average 7 d; patients were followed up for more than 6 months, there were 2 patients with inguinal hernia recurrence, and the other patients did not have symptoms. Conclusion Elderly patients with inguinal hernias caused acute abdomen should be preferred treatment of acute abdomen and be taken timely surgical treatment, to minimize bowel necrosis, abdominal infection, recurrence of hernia and other complications and promote the rehabilitation of patients. Key words: Hernia, inguinal; Hernia repair; Abdomen, acute; Aged