Observational studyHernia : the journal of hernias and abdominal wall surgery2023
Predictive factors of bowel necrosis in patients with incarcerated femoral hernia.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- Clinical predictors of bowel resection in incarcerated femoral hernias: A single-center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Prediction of bowel resection in acute irreducible inguinal hernia: a retrospective analysis of preoperative computed tomography and clinical risk factors.BMC surgery · 2026Observational
- Machine learning-based radiomic nomogram from unenhanced computed tomography and clinical data predicts bowel resection in incarcerated inguinal hernia.World journal of gastrointestinal surgery · 2025Article
- Comprehensive Analysis of the Correlation Between Immune-Inflammatory Biomarkers and Intestinal Necrosis in Patients With Acute Intestinal Ischemia.Mediators of inflammation · 2025Article
- Construction and validation of a predictive model for the risk of bowel resection in adults with incarcerated groin hernia.BMC surgery · 2023Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
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Abstract
purposeIntestinal necrosis is a frequent complication in patients with incarcerated femoral hernias (IFH). Knowing the low incidence of IFH, few series with large samples studied predictive factors of intestinal necrosis. The main objectives of our study were to determine the predictive preoperative factors of intestinal necrosis in patients with IFH and to compare its morbidity with that related to incarcerate inguinal hernias (IIH).
methodsWe conducted a retrospective observational cohort study in which we included patients with incarcerated groin hernias (IGH). This is a single-center study between January 2004 and December 2021. Patients were divided into two groups: group A (admitted for IFH) and group B (admitted for IIH). Intestinal necrosis was confirmed intraoperatively.
results383 patients with IGH were included in the study: 91 patients had IFH (23.76%) and 282 patients had IIH (76.24%). In patients with IFH, the median age was 67 years. We had 60 females (66%) and 31 males (34%). Bowel ischemia was present in 29 patients (32%). Bowel necrosis was present in 14 patients (16%). We identified three independent variables predicting bowel necrosis in patients with IFH: Duration from symptoms to surgery, NLR (Neutrophil to Lymphocyte ratio), and urea. Bowel ischemia and bowel necrosis were significantly higher in patients with IFH compared to those with IIH.
conclusionsIn summary, we found that duration from symptoms to surgery, NLR, and urea were significantly predictive of intestinal necrosis in patients with IFH.
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