Related Experiment Video
Updated: Jun 26, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Incarcerated hernia: to reduce or not to reduce?
H V Harissis1, E Douitsis, M Fatouros
1Department of Surgery, Medical School, University of Ioannina, Ioannina, Greece. harissis@otenet.gr
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 21, 2009
Summary
Taxis, a manual reduction of incarcerated hernias, is a safe and effective initial treatment. This approach, followed by elective repair, significantly reduces mortality and morbidity in hernia patients.
Area of Science:
- Abdominal surgery
- Hernia repair
- Geriatric medicine
Background:
- Historically, taxis was the primary treatment for incarcerated hernias before general anesthesia.
- Its use declined in favor of immediate surgical repair (herniorrhaphy).
- The role of taxis requires reevaluation, especially in the aging population.
Purpose of the Study:
- To reassess the safety and efficacy of taxis for incarcerated hernias.
- To evaluate taxis as a preliminary step before elective hernia repair.
Main Methods:
- A prospective study involving 101 adult patients with incarcerated anterior abdominal wall hernias.
- Patients underwent taxis; successful cases were observed for 24 hours before elective repair.
- Unsuccessful taxis led to immediate surgery; data on hernia type, duration, and occlusion signs were collected.
Main Results:
- Taxis was successful in 60.3% of the patients.
- No complications related to taxis were observed, despite a mean delay of 12 hours.
- The mortality and morbidity rates in the taxis group were zero.
Conclusions:
- Taxis is a safe and feasible procedure for incarcerated hernias, serving as a bridge to eventual surgical repair.
- This two-stage approach may lower overall mortality and morbidity by optimizing conditions for later surgery.
- Further research is needed to fully understand the benefits of this staged treatment.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD: