Results of Prosthetic Mesh Repair of Incarcerated and/or Strangulated Groin and Obturator Hernias

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  • Honda Yoshiko
    Department of General Medicine and Emergency Care, Toho University, Faculty of Medicine
  • Shimada Nagato
    Department of General Medicine and Emergency Care, Toho University, Faculty of Medicine
  • Sawaguchi Yuko
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Kimura Kazutaka
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Yoshida Kimihiko
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Matsumoto Yu
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Takeyama Teruaki
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Minagawa Teruhiko
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Shimada Hideaki
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Kaneko Hironori
    Division of general and gastroenterological surgery, Department of Surgery, Toho University, Faculty of Medicine
  • Urita Yoshihisa
    Department of General Medicine and Emergency Care, Toho University, Faculty of Medicine

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Other Title
  • 嵌頓ヘルニアにおけるメッシュの適応
  • ―嵌頓ヘルニア修復におけるメッシュ使用の現状―

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<p>Prosthetic mesh repair has become a standard operative procedure in normal surgery for groin, obturator hernias. However, in the case of surgery for incarcerated and/or strangulated cases where mesh infection is a potential problem, consensus has not been obtained on the indication of the mesh to be used. We report herein on results of emergency operations involving prosthetic mesh repair for incarcerated and/or strangulated groin and obturator hernias. Seventy-three of the patients received emergency repair of groin hernias in 10 years. No resection of viable intestine was performed in 61 patients, and we used mesh in 58 patients. There was no infection perioperative period in any patient. Resection of non-viable intestine was performed in 12 patients. We used mesh in 4 patients, 3 patients of them in whom resection of small intestine took place had a good clinical course, and in 1 patient from this group who required an ileostomy septic shock and wound infection occurred, without mesh infection. Eighteen of the patients received emergency repair for obturator hernias in 10 years. No resection of viable intestine was performed in 12 patients, and we used mesh in 10 patients. There was no infection perioperative period in any patient. Resection of non-viable intestine was performed in 6 patients. We used mesh in 1 patient in whom was no infection perioperative period. No resection of viable intestine in prosthetic mesh repair of incarcerated and/or strangulated groin and obturator hernias is safe. The resection cases of non-viable intestine prosthetic mesh repair do not necessarily lead to mesh infections in these cases.</p>

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