ArticleHernia : the journal of hernias and abdominal wall surgery2015
Bacteria in hernia sac: an important risk fact for surgical site infection after incarcerated hernia repair.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Surgical management of incarcerated and strangulated inguinal hernias requiring urgent surgical intervention: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma.The journal of trauma and acute care surgery · 2025Pooled it
- Mortality after emergency versus elective groin hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2022Pooled it
- A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia.Scientific reports · 2020Trial
- Comparison of inguinal hernia repair outcomes between open and laparoscopic approaches in a pediatric population: a retrospective cohort study.Annals of surgical treatment and research · 2026Article
- Causation between the gut microbiota and inguinal hernia: a two-sample double-sided Mendelian randomization study.Scientific reports · 2024Article
- Effect of Comorbidities on the Incidence of Surgical Site Infection in Patients Undergoing Emergency Surgery: A Systematic Review and Meta-Analysis.Journal of clinical medicine research · 2024Article
- Article
- Synthetic Mesh in Contaminated Abdominal Wall Surgery: Friend or Foe? A Literature Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
- Emergency surgery of the abdominal wall hernias: risk factors that increase morbidity and mortality-a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Article
- What's New in the Management of Incarcerated Hernia.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Biological Performance of Electrospun Polymer Fibres.Materials (Basel, Switzerland) · 2019Article
- Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results.Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
- A fascia lata free flap in pelvic exenteration for Fournier gangrene due to advanced rectal cancer: a case report.Surgical case reports · 2017Article
- Computed tomography evidence of fluid in the hernia sac predicts surgical site infection following mesh repair of acutely incarcerated ventral and groin hernias.The journal of trauma and acute care surgery · 2017Article
- LateCase reports in surgery · 2017Article
- Late-onset Deep Mesh Infection: A Study of Eight Cases Detected from 2666 Consecutive Patients with Abdominal Wall Hernia Repairs.Chinese medical journal · 2016Article
- Emergency inguinal hernia repair under local anesthesia: a 5-year experience in a teaching hospital.BMC anesthesiology · 2016Article
- De Garengeot's Hernia: Two Case Reports with Correct Preoperative Identification of the Vermiform Appendix in the Hernia.Case reports in surgery · 2016Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough some recent reports have proven that incarcerated and/or strangulated hernia is not contraindication to mesh repair, there is still a common concern owing to increased rate of postoperative surgical site infection (SSI). The aim of this clinical study was to evaluate factors that increase the risk of SSI after incarcerated hernia repair, and to identify the pathogens related to SSI.
methodsA retrospective analysis was performed on data collected prospectively over a 4-year interval from January 2007 to December 2011. A total of 121 patients who underwent emergency surgery for incarcerated hernias were analyzed.
results107 hernias were repaired using mesh versus 14 primary suture repairs. SSIs were observed in 9 of the 121 patients. Of 15 preoperative and intraoperative variables studied, duration of symptoms, diabetes mellitus, present of ileus, bowel resection or mesh repair performed, bacteria present in hernia sac and cloudy fluid in hernia sac were found to be significant factors predicting SSI. On multivariate analysis only bowel resection, duration of symptoms and bacteria present in hernia sac were independent variables. The most common pathogen found in hernia sac and cultured from wound drainage or swab was Escherichia coli. The strains of bacteria cultured from wound drainage or swab were same as those cultured from fluid in hernia sac in six of nine patients.
conclusionGut-sourced E. coli is an important common organisms associated with SSI after incarcerated hernia repair. Prosthetic mesh could be used when no bowel resection is performed, duration of symptoms less than 24 h and fluid hernia sac is clear.
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