Research progress in the diagnosis and treatment of incarcerated inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2025.05.018

Abstract

Abstract:

Incarcerated inguinal hernia, as a common surgical acute abdominal condition, is increasingly valued by clinical physicians due to its fast progression, long hospital stay, high mortality rate and high incidence of postoperative complications. For diagnosed patients with incarcerated hernia, surgical treatment should be arranged as soon as possible, but there is still controversy over the choice of surgical method, whether to place meshes after surgery, and whether to indwelling drainage tubes after the operation. This article reviews the current treatment of incarcerated inguinal hernia by consulting relevant literature, in order to provide guidance for clinical practice.

Key words: Incarcerated inguinal hernia, Laparoscopes, Simple suture, Mesh, Drainage

Shuaitong Yang, Yong Dai, Xiaofeng Li, Lina Shi, Yuan Lu, Chao Jiang. Research progress in the diagnosis and treatment of incarcerated inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(05): 577-581.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2025.05.018

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2025/V19/I05/577

References 46

[1]	成人腹股沟疝诊断和治疗指南(2018年版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(4): 244-246.
[2]	HerniaSurge Group. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1): 1-165.
[3]	陈燕，陆喆，李玉. 彩色多普勒超声结合血清C反应蛋白在腹股沟嵌顿疝诊断中的临床意义[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(4): 417-420.
[4]	姜笑明，黄文海. 腹股沟嵌顿疝患者肠坏死的预测和危险因素分析[J]. 复旦学报(医学版), 2023, 50(5): 710-716
[5]	Rettenbacher T, Hollerweger A, Macheiner P, et al. Abdominal wall hernias: cross-sectional imaging signs of incarceration determined with sonography[J]. AJR Am J Roentgenol, 2001, 177(5): 1061-1066.
[6]	占海生，曹俊杰. 多层螺旋CT结合血清C反应蛋白对腹股沟嵌顿疝患者的诊断价值[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(1): 70-73.
[7]	Pawlak M, East B, de Beaux AC. Algorithm for management of an incarcerated inguinal hernia in the emergency settings with manual reduction. Taxis, the technique and its safety[J]. Hernia, 2021, 25(5): 1253-1258.
[8]	刘启友，赵庆林. 嵌顿性腹外疝18例手法复位体会[J]. 人民军医, 1991, 34(8): 48-49
[9]	Harissis HV, Douitsis E, Fatouros M. Incarcerated hernia: to reduce or not to reduce?[J]. Hernia, 2009, 13(3): 263-266.
[10]	李绍杰，李绍春，苏远涛，等. 嵌顿性腹股沟疝急诊手术术式选择及疗效分析(附单中心10年497例报告)[J]. 中国实用外科杂志, 2023, 43(6): 688-691, 696.
[11]	Rodrigues-Gonçalves V, Verdaguer M, Moratal M, et al. Open Emergent Groin Hernia Repair: Anterior or Posterior Approach?[J]. J Abdom Wall Surg, 2022, 1: 10586.
[12]	吴芳芳，俞永江. 成人嵌顿/绞窄性腹股沟疝的诊疗进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(5): 502-504
[13]	屈坤鹏，张琪，成晓舟，等. 成人腹股沟嵌顿疝的临床治疗策略[J]. 中华消化外科杂志, 2021, 20(7): 779-784
[14]	Yane Y, Kawamura J, Ushijima H, et al. Hybrid method using laparoscopy and Lichtenstein's technique for incarcerated inguinal hernia in a patient with liver cirrhosis and severe varicose veins: a case report[J]. Int J Surg Case Rep, 2021, 85: 106207.
[15]	Eminoğlu L. Is TAPP the right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?[J]. Ulus Travma Acil Cerrahi Derg, 2024, 30(2): 97-100.
[16]	杨良根，朱俊强，胡星辰. 腹腔镜经腹腹膜前疝修补术治疗嵌顿性腹股沟疝[J]. 外科理论与实践, 2022, 27(6): 551-554
[17]	Sartori A, Balla A, Botteri E, et al. Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis[J]. Hernia, 2023, 27(3): 485-501.
[18]	Zanoni AAG, Delcarro A, Ciccarese F, et al. Laparoscopic transperitoneal hernia repair(TAPP) in emergency: long-term follow-up in a high volume centre[J]. Hernia, 2022, 26(4): 1063-1068.
[19]	Jacob R, Guy SB, Kamila L, et al. Comparison of emergent laparoscopic and open repair of acutely incarcerated and strangulated hernias-short- and long-term results[J]. Surg Endosc, 2023, 37(3): 2154-2162.
[20]	张晓贝，俞永江. 嵌顿疝的外科处理原则[J]. 国际外科学杂志, 2023, 50(12): 802-806
[21]	李胜，杨文光，樊林. 腹腔镜下钩针法疝环闭合术在腹股沟嵌顿疝中的应用[J]. 中国微创外科杂志, 2020, 20(1): 23-25
[22]	李嵩，林晖. 腹腔镜腹股沟斜疝修补术中关闭疝环的临床意义[J]. 中国微创外科杂志, 2023, 23(11): 824-829
[23]	宋斌，王晖，杨培新，等. 腹腔镜下疝囊高位结扎术治疗腹股沟嵌顿疝18例[J]. 中国微创外科杂志, 2013, 13(1): 84-86
[24]	冯峰. 腹腔镜与开放手术治疗小儿嵌顿疝对比分析[J]. 西南国防医药, 2020, 30(3): 203-206.
[25]	张志，刘威，王刚，等. 急诊腹腔镜技术在成年人腹股沟嵌顿疝治疗中的应用策略[J]. 腹腔镜外科杂志, 2020, 25(7): 505-508.
[26]	张晨波，李健文. 应用腹腔镜技术治疗腹股沟嵌顿疝争议与挑战[J]. 中国实用外科杂志, 2015, 35(5): 502-505.
[27]	Sartori A, Balla A, Botteri E, et al. Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis[J]. Hernia, 2023, 27(3): 485-501.
[28]	Wakasugi M, Nakahara Y, Hirota M, et al. Efficacy of single-incision laparoscopic totally extraperitoneal repair for irreducible or incarcerated inguinal hernia[J]. Asian J Endosc Surg, 2019, 12(1): 95-100.
[29]	de Almeida Medeiros KA, Carvalho BJ, Pipek LZ, et al. Treating incarcerated inguinal hernias with TEP is a viable option for experienced surgeons[J]. Sci Rep, 2020, 10(1): 20858.
[30]	胡安然，王永忠，郑福榕，等. 腹腔镜全腹膜外疝修补术治疗腹股沟嵌顿疝的临床分析[J]. 腹腔镜外科杂志, 2018, 23(2): 105-108
[31]	罗文勇，冯霭琴，秦德军，等. 杂交技术在成人腹股沟嵌顿疝治疗中的应用研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(3): 248-250.
[32]	Poelman MM, van den Heuvel B, Deelder JD, et al. EAES consensus development conference on endoscopic repair of groin hernias[J]. Surg Endosc, 2013, 27(10): 3505-3519.
[33]	Chen F, Liu M, Jin C, et al. Tension-free mesh repair for incarcerated groin hernia: a comparative study[J]. Surg Innov, 2020, 27(4): 352-357.
[34]	Li J, Qin C, Hu Y. Comparison of mesh repair and suture repair for the treatment of incarcerated femoral hernia: a retrospective, single-center study[J]. Surg Endosc, 2023, 37(1): 466-470.
[35]	Kumar D, Wu D, Tan B, et al. Emergency groin hernia: outcome after mesh and non-mesh repair[J]. ANZ J Surg, 2023, 93(1-2): 120-124.
[36]	Sakamoto T, Fujiogi M, Ishimaru M, et al. Comparison of postoperative infection after emergency inguinal hernia surgery with enterectomy between mesh repair and non-mesh repair: a national database analysis[J]. Hernia, 2022, 26(1): 217-223.
[37]	Marcolin P, Mazzola Poli de Figueiredo S, Moura Fé de Melo V, et al. Mesh repair versus non-mesh repair for incarcerated and strangulated groin hernia: an updated systematic review and meta-analysis[J]. Hernia, 2023, 27(6): 1397-1413.
[38]	Xu X, Zhan M, Li X, et al. In vivo analysis of the resistance of the meshes to escherichia coli infection[J]. Front Surg, 2021, 8: 644227.
[39]	Pastorino A, Alshuqayfi AA. Strangulated Hernia[M]. In: StatPearls. Treasure Island(FL): StatPearls Publishing; 2022.
[40]	Weitzner ZN, Chen DC. The role of releasing incisions in emergency inguinal hernia repair[J]. J Abdom Wall Surg, 2023, 2: 11378.
[41]	Moreno-Suero F, Tallon-Aguilar L, Tinoco-González J, et al. Laparoscopic vs. open approach in emergent inguinal hernia: our experience and review of Literature[J]. J Abdom Wall Surg, 2023, 2: 11242.
[42]	程玉刚，李波，张光永. 腹腔镜腹股沟疝修补术后血肿的预防和处理对策[J]. 中华消化外科杂志, 2023, 22(9): 1054-1058
[43]	Binyu L, Qin Z, Xiao Z, et al. Clinical efficacy of laparoscopic closed hernia ring combined with a patch repair for Gilbert type III indirect inguinal hernia[J]. Front Surg, 2023, 10: 1190788.
[44]	Liu J, Shen Y, Nie Y, et al. If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia?[J]. World J Emerg Surg, 2021, 16(1): 5.
[45]	杨宗保，娄玉华. 不同途径预防性应用抗生素对腹股沟嵌顿疝无张力修补术患者的临床效果[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(2): 173-176
[46]	Wang F, Ma Q, Liu X, et al. Managing ischemic and necrotic incarcerated femoral hernia contents and their risk factors[J]. Hernia, 2024, 28(4): 1373-1379.

Please choose a citation manager

Content to export