Lichtenstein tension-free hernioplasty repair in adult patients with inguinal incarcerated hernia

Objective To investigate the preoperative management and the clinical effeciency of Lichtenstein tension-free hernioplasty in adult patients with inguinal incarcerated hernia. Methods Clinical data of 86 patients with inguinal incarcerated hernia were analyzed retrospectively. Hernia was repaired with Lichtenstein tension free after reposition. Results There were 59 male patients and 27 female patients with median age of (63±18) years. There were 8 patients with liver cirrhosis. The operation was performed successfully in all patients. Segmental bowel resection with end-to-end anastomosis was performed in 38 emergency cases. Operative time was 20-120 min, with an average time of 54 min. The postoperative hospitalization was 5-17 d, with an average of 8 d. There were 7 cases of skin ecchymosis at the scrotum, there were no intestinal perforation, hepatic encephalopathy and upper gastrointestinal hemorrhage after operation. In early series of 24 cases without drainage tube left in place, there were 10 cases of fat liquefaction, 10 cases of hydrops of hernial sac, 6 cases of seroma and 3 cases of wound infection after operation. After 12 to 48 months of follow-up, there was no mortality after 2 years, no hernia recurrence. Conclusions Tension free repair in the treatment of incarcerated inguinal hernia is safe and feasible. Key words: Hernia, inguinal; Herniorrhaphy; Inguinal incarcerated hernia