Pavithira G J, Dutta Souradeep, Sundaramurthi Sudharsanan, Nelamangala Ramakrishnaiah Vishnu Prasad
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2022 Jun 25;14(6):e26324. doi: 10.7759/cureus.26324. eCollection 2022 Jun.
Background Abdominal wall hernias are a common surgical entity encountered by the general surgeon. Approximately 10% of abdominal wall hernia patients require emergency surgery. However, these surgeries are associated with a high rate of postoperative morbidity and mortality. This study aimed to analyze the morbidity and mortality in patients undergoing emergency abdominal wall hernia repair and to determine the factors associated with surgical site infection (SSI) and recurrence in these patients attending a tertiary care hospital in south India. Methodology Our study was a single-centered, 10-year retrospective and a one-year prospective study conducted in a tertiary care center in India. All patients who underwent emergency abdominal wall hernia repair between April 2009 and May 2020 were included. Patients' demographic details, comorbidities, intraoperative findings, 30-day surgical outcomes including SSI, and recurrence were studied. Results Out of 383 patients in our study, 63.9% had an inguinal hernia, and 54% of the patients underwent tissue repair. SSI was the most common morbidity (21.9%). Postoperative sepsis was the only independent factor associated with perioperative mortality according to the logistic regression analysis (odds ratio = 22.73, p = 0.022). Conclusions Tissue repair for emergency hernia surgery has better outcomes than mesh repair in clean-contaminated cases.
腹壁疝是普通外科医生常见的手术病种。约10%的腹壁疝患者需要急诊手术。然而，这些手术术后发病率和死亡率较高。本研究旨在分析急诊腹壁疝修补患者的发病率和死亡率，并确定印度南部一家三级护理医院中这些患者手术部位感染（SSI）和复发的相关因素。方法：我们的研究是在印度一家三级护理中心进行的单中心、为期10年的回顾性研究和为期1年的前瞻性研究。纳入2009年4月至2020年5月期间接受急诊腹壁疝修补的所有患者。研究患者的人口统计学细节、合并症、术中发现、包括SSI在内的30天手术结局以及复发情况。结果：在我们研究的383例患者中，63.9%患有腹股沟疝，54%的患者接受了组织修补。SSI是最常见的并发症（21.9%）。根据逻辑回归分析，术后脓毒症是围手术期死亡率的唯一独立相关因素（比值比=22.73，p=0.022）。结论：在清洁-污染病例中，急诊疝手术的组织修补比补片修补效果更好。
