Andrews N J
Br J Surg. 1981 May;68(5):329-32. doi: 10.1002/bjs.1800680513.
Two hundred consecutive emergency hernia operations are reviewed. Mortality from this condition has not significantly altered in the past 30 years. Half of the patients presented 48 h or more from the onset of symptoms. Mortality and bowel resection were clearly linked with the duration of symptoms prior to admission. There were no reliable clinical signs to predict the likelihood of bowel strangulation. Recurrent incisional and femoral hernias were associated with high resection rates and mortality. Right-sided hernias appeared to strangulate more frequently than left-sided hernias.
回顾了连续200例急诊疝手术。在过去30年中，这种疾病的死亡率没有显著变化。一半的患者在症状出现48小时或更长时间后就诊。死亡率和肠切除与入院前症状持续时间明显相关。没有可靠的临床体征来预测肠绞窄的可能性。复发性切口疝和股疝与高切除率和死亡率相关。右侧疝似乎比左侧疝更频繁地发生绞窄。
