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Abstract：
Background Abdominal wall hernias are a common surgical entity encountered by the general surgeon. Approximately 10% of abdominal wall hernia patients require emergency surgery. However, these surgeries are associated with a high rate of postoperative morbidity and mortality. This study aimed to analyze the morbidity and mortality in patients undergoing emergency abdominal wall hernia repair and to determine the factors associated with surgical site infection (SSI) and recurrence in these patients attending a tertiary care hospital in south India. Methodology Our study was a single-centered, 10-year retrospective and a one-year prospective study conducted in a tertiary care center in India. All patients who underwent emergency abdominal wall hernia repair between April 2009 and May 2020 were included. Patients\' demographic details, comorbidities, intraoperative findings, 30-day surgical outcomes including SSI, and recurrence were studied. Results Out of 383 patients in our study, 63.9% had an inguinal hernia, and 54% of the patients underwent tissue repair. SSI was the most common morbidity (21.9%). Postoperative sepsis was the only independent factor associated with perioperative mortality according to the logistic regression analysis (odds ratio = 22.73, p = 0.022). Conclusions Tissue repair for emergency hernia surgery has better outcomes than mesh repair in clean-contaminated cases.
摘要：
背景技术腹壁疝是普通外科医生遇到的常见外科手术实体。大约10％的腹壁疝患者需要紧急手术。然而,这些手术与高的术后发病率和死亡率相关。本研究旨在分析接受紧急腹壁疝修补术的患者的发病率和死亡率，并确定在印度南部三级医院就诊的这些患者中与手术部位感染（SSI）和复发相关的因素。方法论我们的研究是以单一为中心的，在印度的三级护理中心进行了10年的回顾性研究和1年的前瞻性研究。纳入2009年4月至2020年5月期间接受紧急腹壁疝修补术的所有患者。患者的人口统计细节，合并症,术中发现,30天手术结果，包括SSI，并对复发进行了研究。结果在我们研究的383例患者中，63.9%有腹股沟疝,54%的患者接受了组织修复。SSI是最常见的发病率(21.9%)。logistic回归分析显示术后脓毒症是影响围手术期死亡率的独立因素(比值比=22.73,p=0.022)。结论在清洁污染的情况下，急诊疝手术的组织修复比网片修复具有更好的效果。
