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[Mechanical intestinal obstruction caused by abdominal wall hernias]
A Akçakaya1, O Alimoğlu, T Hevenk
1Vakif Gureba Hastanesi 1, Cerrahi Kliniği, Istanbul.
Summary
Strangulated hernias are a common cause of mechanical intestinal obstruction, particularly in developing nations. Early diagnosis and elective surgery for abdominal wall hernias can reduce high morbidity and mortality rates associated with emergency interventions.
Area of Science:
- Gastroenterology and Surgical Sciences
- Abdominal Surgery
- Emergency Medicine
Context:
- Mechanical intestinal obstruction is a significant surgical emergency.
- Etiologies vary globally, with strangulated hernias prevalent in developing countries.
- Postoperative adhesions are the leading cause in developed nations.
Purpose:
- To analyze the characteristics, surgical management, and outcomes of mechanical intestinal obstruction.
- To investigate the role of strangulated hernias as a cause of obstruction.
- To evaluate morbidity and mortality rates associated with surgical intervention.
Summary:
- A retrospective study of 147 patients with mechanical intestinal obstruction (1993-1999) found strangulated hernias in 80 cases.
- Inguinal hernias were most common (49 cases), frequently containing small intestine.
- Morbidity was 22.5% and mortality was 7.5%, with 17.5% requiring additional procedures.
Impact:
- Highlights the high incidence of mechanical intestinal obstruction due to abdominal wall hernias.
- Underscores the elevated morbidity and mortality associated with emergency surgical interventions for obstruction.
- Recommends elective surgery for diagnosed abdominal wall hernias to improve patient outcomes.