P-093 THE NEED FOR STANDARDIZATION IN EMERGENCY FEMORAL HERNIA TREATMENT

Abstract

Abstract Aim Evaluating the need for a standardized surgical technique in emergency femoral hernia cases Material & methods: There were 69 femoral hernia cases admitted in our surgical department during 01.01.2012–22.12.2022, of which 43 cases were admitted to the Emergency Department, and 26 were elective cases. We have retrospectively evaluated the medical files of all the patients who underwent surgery with a diagnosis of femoral hernia. Moreover, demographic data, surgical technique, sex, length of hospital stay, intraoperative and postoperative complications were retrospectively analyzed. Results The sex distribution among the cases was as follows: 56 of the patients were female while the other 13 were male. The patients age was between 26 and 92 years old, with most cases between 70–79 years old (n=18). Of all the patients admitted through emergency department only one was operated using laparoscopic technique while the rest were operated using multiple open surgical techniques, 16 cases were incarcerated, 10 cases were strangulated femoral hernia, out of which 3 required small bowel resections. Amid elective cases, only 4 of them were operated using laparoscopic technique (TAPP). Conclusions The standardization of emergency surgical techniques in cases of femoral hernia could lead to a lower number of post-operative complications, and therefore could lead to a safer strategy in the treatment of femoral hernia patients.