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Strangulated hernias and eventrations: prosthesis versus simple suture repair
Sahar Sallemi1, Zied Hadrich1,2, Hamadi Ben Chaabane1
1Mongi Slim LaMarsa University Hospital, Tunis, Tunisia.
ANZ Journal of Surgery
|March 25, 2025
Summary
Prosthetic repair for strangulated hernias and eventrations is safe and effective, showing similar surgical site infection rates compared to traditional methods. This approach also led to fewer recurrences, making it a viable option for complex cases.
Area of Science:
- Abdominal surgery
- Surgical repair techniques
- Hernia and eventration management
Background:
- Prosthetic repair is standard for planned abdominal hernia repair.
- Its use in strangulated hernias is limited due to infection concerns.
- This study addresses the safety and efficacy of prosthetic repair in strangulated cases.
Purpose of the Study:
- To compare prosthetic repair versus traditional suture repair (raphia) for strangulated hernias and eventrations.
- Primary endpoint: surgical site infection (SSI).
- Secondary endpoints: hospital stay, morbidity, recurrence, and mortality.
Main Methods:
- Retrospective comparative study of 194 patients (age >18, ASA score 1-2).
- Patients undergoing bowel resection were excluded.
- Comparison between prosthetic repair and raphia groups.
Main Results:
- No significant difference in SSI rates between prosthetic and raphia groups (P=0.26).
- Similar outcomes in hospital stay, non-specific surgical/medical complications, and mortality.
- Prosthetic repair showed a significantly lower recurrence rate (P=0.044).
Conclusions:
- Prosthetic repair is a safe and effective treatment for strangulated hernias and eventrations.
- It yields comparable SSI rates to raphia.
- Offers a significant advantage in reducing hernia recurrence.
