Mesh Hernioplasty Of Strangulated Hernias With Intestinal Resection

Mesh Hernioplasty Of Strangulated Hernias With Intestinal Resection

Primary suture repair increases the risk for recurrence, the fact of benefit of mesh repair in elective situations is documented, and many studies have reported beneficial outcomes of mesh hernioplasty in emergency situations. Still there is controversy of using such grafts in presence of intestinal resection.

Patients with acutely incarcerated hernias (with small intestine contents) who underwent polypropylene mesh hernioplasty were included in this prospective study from June 2005 through Jan. 2011, patients were categorized into 2 groups who required intestinal resection anastomosis (group I)or not (group II).

Inclusion Criteria:

• strangulated hernias

Exclusion Criteria:

• above 75, under 18
• recurrent hernia
• peritonitis
• pure omentum contents ASA above 3