Application of laparoscopic surgery in incarcerated abdominal hernias

doi:10.3877/cma.j.issn.1674-392X.2024.02.012

Abstract

Abstract:

Objective

To analyze the effectiveness and feasibility of laparoscopic techniques in the repair of incarcerated abdominal wall hernias.

Methods

Clinical data from 21 patients with incarcerated abdominal wall hernias treated at Pingyuan County First People's Hospital from January 2019 to January 2022 was collected. A retrospective analysis was conducted on the general condition of the patients, surgical details, and length of hospital stay. Follow-up observations recorded the occurrence of postoperative complications such as hernia recurrence, intestinal fistula and obstruction, wound infection, mesh infection, hematoma, and seroma. Follow-up periods were set at 7 days, 1, 3, 6 months, and 1 year post-surgery.

Results

All 21 patients underwent laparoscopic abdominal wall hernia repair. The maximum diameter of the hernia defect measured intraoperatively was 2.4 (range 2.0 to 4.1) cm, with the operation time being 75 (range 60 to 95) minutes. Intraoperative exploration revealed omental incarceration in 5 cases and small bowel incarceration in 16 cases, with no necrosis or perforation observed. The average hospital stay was 9.5 (range 7 to 11) days. All patients were followed up as scheduled, with no loss of follow-up. During the follow-up period, there were no occurrences of hernia recurrence, intestinal fistula and obstruction, wound infection, mesh infection, hematoma, or seroma.

Conclusion

The laparoscopic approach for the repair of incarcerated abdominal wall hernias demonstrates considerable feasibility and desirable outcomes.

Key words: Abdominal wall hernia, Incarcerated hernia, Laparoscopes, Abdominal wall hernia repair

Yanbing Song. Application of laparoscopic surgery in incarcerated abdominal hernias[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(02): 189-191.

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