P-079 RISK FACTORS FOR BOWEL RESECTION IN PATIENTS WITH INCARCERATED INGUINAL HERNIA. RETROSPECTIVE CLINICAL STUDY

Abstract

Abstract Backgraund Early recognition of the risk of bowel resection of patients with incarcerated groin hernia(IGH) will facilitate the clinical decision making of surgeons and improve the outcomes of patients. This study aimed to reveal the risk factors of bowel resection in patients with incarcerated inguinal hernia. Materyal methods We retrospectively collected 312 patients who underwent emergency hernia repair surgery for IGH between January 2017 and October 2022. The patients were categorized into those who received bowel resection and those who did not require bowel resection Data analysis was approved by the local ethics committee. Patient characteristics, laboratory and radiological examinations, surgery data, and postoperative outcomes were compared between patients with and without bowel resection. Risk factors for bowel resection were assessed with univariate and multivariate analysis. Results Univariate analysis identified 7 variables that were significantly associated with bowel resection among patients with IGH. On multivariate analysis, Charlson comorbidity index (CCI) odds ratio [OR] = 0.751, 95% confidence interval [CI] 0.592 0.953, P = .018), Gender (OR = 4.071, 95% CI 1.749/9.475, P = 0.001) and C-reactive protein(CRP) (OR = 0.321, 95% CI 0.145–0.708, P = 0.005) were identified as independent risk factors for bowel resection among patients with IGH. Conclusion In this study, an elavated CRP, gender and high CCI in patients with bowel obstruction due to IGH are associated with an increased risk of bowel resection. Based on our findings, surgeons should prioritize prompt emergency surgical repair for patients who present with elevated CRP and high CCI concurrent with IGH.