Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P038: LAPAROSCOPIC INGUINAL HERNIA REPAIR IN THE EMERGENCY: A MATCHED CASE-CONTROL STUDY.
Emmanuel E Sadava, MD; Agustin C Valinoti, MD; Ayelen A Olivero, MD; Maria A Casas, MD; Nicolas H Dreifuss, MD; Hospital Aleman of Buenos Aires
Introduction: The incidence of complicated hernias has low frequency; however, incarceration and strangulation represent a challenge with high rates of morbidity and mortality. Laparoscopic inguinal hernia repair (LIHR) is wide accepted for non-complicated cases (No-C), but in emergency (Em) settings data is scarce. We aimed to compare postoperative outcomes after laparoscopic inguinal hernia repairs in non-complicated and emergency settings.
Methods: A prospective single center hernia registry was queried for patients undergoing emergent laparoscopic inguinal hernia repair (TAPP) between 2014 and 2018 with a minimum of 1-year follow up. A case control cohort was identified and matched regarding age, gender, BMI, defect area and surgeon. Postoperative outcomes with focus on wound complications and recurrence were analyzed.
Results: A total of 13 patients with LHR in emergency were matched with 13 control cases (non-complicated LHR). After matching results were as follows: age (Em: 71.6 +/- 13.5 yr vs 67.5 +/- 6.4 yr, p= 0.81), gender (Em: 7 females vs No-C: 7 females, p=1), BMI (Em: 26.8 +/- 5.4 vs No-C: 29 +/- 5.29, p= 0.67), defect area (Em: 26.9 +/- 17.7 cm2vs No-C: 23 +/- 10.8 cm2, p= 0.38), specialist (Em: 40% vs No-C: 60%, p= 0.43). Small bowel obstruction was observed in all emergency cases and no enterectomy was needed. Hospital stay was longer in the emergency cases (Em: 3.4 d vs 0.4 d, p< 0.05). Groups had similar rate of SSO, Em: 11% vs No-C: 5%, p=1. After 27 (12-37) months of follow up, 1 recurrence in No-C group and 1 trocar site hernia in Em group were observed.
Conclusion: In this matched case-control cohort laparoscopic inguinal hernia repair in emergency setting performed as good as for non-complicated cases. Morbidity and recurrence did no show differences, therefore laparoscopic TAPP repair seems to be an adequate tool for approaching complicated inguinal hernias and it should be encouraged in this scenario.
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