Characterization of patients undergoing emergency surgery for complicated external abdominal hernias
Keywords:
abdominal hernia, abdominal wall, complicated hernia, herniaAbstract
Introduction: Complicated external abdominal hernias are a global health problem due to their high frequency, morbidity and mortality rates.
Objective: To characterize patients who underwent emergency surgery for complicated external abdominal hernias.
Methods: Prospective observational study carried out at the “Dr. Juan Bruno Zayas Alfonso” Hospital in Santiago de Cuba, during the period from December 2008 to April 2020. The series consisted of 382 patients who underwent emergency surgery for complicated external abdominal hernias. Variables: age, sex, anatomical type of hernia, complications, surgical techniques, associated operations, postoperative complications, status at discharge. Descriptive summary measures were used.
Results: Males predominated, over 60 years of age; the most frequent anatomical types of hernias were inguinal, femoral, and umbilical. Intravenous hernias accounted for 83.8% and strangulated hernias for 16.2%; bioprosthesis techniques were used in 61.0% of patients and tissue hernias in 39.0%, generally associated with bowel resection procedures. The complication rate was 36.5% and the mortality rate was 10.2%.
Conclusions: Patients with complicated external abdominal hernias require emergency surgical treatment; they are more frequent in males, in the elderly, in inguinal, femoral and umbilical locations in that order; surgical techniques with bioprosthesis are the most commonly used for repair, in relation to tissue hernias that are commonly associated with bowel resections.
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Copyright (c) 2025 Elvis Pardo Olivares, Ernesto Casamayor Callejas, Juan Bory Rodríguez, Zenén Rodríguez Fernández, Ana María Nazario Dolz
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