Comparison of surgical techniques and results for emergency or elective femoral hernia repair

BACKGROUND: Inguinal hernia affects 3–8% of the population. Femoral hernias are only a small number of groin hernias; however, femoral hernias are very important because these operations are generally emergency procedures, and bowel resections are frequently necessary. This study aims to compare surgical outcomes of patients with femoral hernias using different techniques under emergency or elective conditions.
METHODS: Between April 2013 and November 2017, 52 patients with femoral hernias were admitted to the emergency department of the General Surgery Clinics at two university hospitals in Istanbul. The medical files of all the patients who underwent surgery with a diagnosis of a femoral hernia were retrospectively evaluated. The demographic data, hernia side information, sac contents, surgical technique, length of hospital stay, recurrence according to the last outpatient clinic and complications were retrospectively analyzed.
RESULTS: The sex distribution of the cases was as follows: 88.5% (n=46) of the patients were female, and 11.5% (n=6) were male. The mean age was 62.9±16.49 years (31–91 years). There were no significant differences between the two groups, according to the hernia side (p=0.282). Thirteen of the elective cases (52%) were operated using open techniques, and 12 cases (48%) were operated using laparoscopic techniques.
CONCLUSION: For the comparison of surgical techniques and outcomes, prospective randomized studies should be designed to standardize broad-based surgical techniques.

Acil veya elektif uygulanmýþ femoral herni tamirinin cerrahi tekniði ve sonuçlarýnýn karþýlaþtýrýlmasý

AMAÇ: Kasýk fýtýðý popülasyonun %3–8’ini etkiler. Femoral herniler nadiren görülmekle birlikte genellikle acil cerrahi müdehale gerektirir ve sýklýkla baðýrsak rezeksiyonu gerekebilmektedir. Bu çalýþmanýn amacý, acil veya efektif koþullar altýnda farklý teknikler kullanarak femoral herni olgularýnýn cerrahi sonuçlarýný karþýlaþtýrmaktýr.
GEREÇ VE YÖNTEM: Nisan 2013 ile Kasým 2017 arasýnda, Ýstanbul’daki iki üniversite hastanesinin genel cerrahi kliniklerinin acil servisine 52 femoral herni olgusu baþvurdu. Femoral herni tanýsý ile ameliyat edilen tüm hastalarýn týbbi dosyalarý geriye dönük olarak incelendi. Demografik veriler, taraf bilgisi, kesenin içeriði, cerrahi teknik, hastanede kalýþ süresi, son polikliniðe göre rekürrens ve komplikasyonlar geriye dönük olarak incelendi.
BULGULAR: Olgularýn cinsiyet daðýlýmý %88.5 (n=46) idi, kadýn %11.5 (n=6) idi. Ortalama yaþ 62.9±16.49 yýl (31–91 yýl) idi. Ýki grup arasýnda fýtýk tarafýna göre anlamlý fark yoktu (p=0.282). Elektif olgularýn 13’ü (%52) açýk teknikle, 12’si (%48) laparoskopik teknikle ameliyat edildi.
TARTIÞMA: Cerrahi tekniklerin ve sonuçlarýn karþýlaþtýrýlmasý için, geniþ tabanlý cerrahi teknikleri standart hale getirmek için ileriye yönelik randomize çalýþmalar tasarlanmalýdýr.