Mauricio Gonzalez-Urquijo1,2, Valeria C Tellez-Giron3, Emmanuel Martinez-Ledesma3, Mario Rodarte-Shade3,4, Oscar J Estrada-Cortinas3,4, Gerardo Gil-Galindo3. 1. Tecnologico de Monterrey, Escuela de Medicina Y Ciencias de La Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico. mauriciogzzu@gmail.com. 2. Department of Surgery, Hospital Metropolitano "Dr. Bernando Sepúlveda", Adolfo López Mateos No. 4600, 66400, San Nicolás de los Garza, Nuevo León, Mexico. mauriciogzzu@gmail.com. 3. Tecnologico de Monterrey, Escuela de Medicina Y Ciencias de La Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico. 4. Department of Surgery, Hospital Metropolitano "Dr. Bernando Sepúlveda", Adolfo López Mateos No. 4600, 66400, San Nicolás de los Garza, Nuevo León, Mexico.
Abstract
PURPOSE: The implications of bowel obstruction occurring secondary to femoral hernia have not been discussed in the literature recently. Thus, we report our experience of treating patients with femoral hernias complicated by bowel obstruction versus patients with femoral hernias not complicated by bowel obstruction. METHODS: The subjects of this retrospective study were patients admitted to our hospital for the treatment of femoral hernias between 2016 and 2019. We used the Fisher and Student's T test to compare the preoperative characteristics, treatment, and outcomes of patients with bowel obstruction versus those without bowel obstruction. RESULTS: A total of 53 patients (mean age, 66.9 ± 15.1 years) were treated, 18 (33.9%) of whom underwent elective surgery and 35 (66%) of whom required emergency surgery (p = 0.001). The mean time between the development of symptoms and hospitalization was 4.5 ± 3.1 days for the patients with bowel obstruction and 1.6 ± 3.2 days for those without bowel obstruction (p = 0.001). The length of hospital stay was 11.1 ± 21.1 days for the patients with bowel obstruction and 1 ± 1.8 days for those without bowel obstruction (p = 0.028). Overall morbidity and mortality rates were 13.2% and 5.6%, respectively. CONCLUSION: Femoral hernias causing bowel obstruction are associated with greater time between the development of symptoms, hospitalization, and with a longer hospital stay.
PURPOSE: The implications of bowel obstruction occurring secondary to femoral hernia have not been discussed in the literature recently. Thus, we report our experience of treating patients with femoral hernias complicated by bowel obstruction versuspatients with femoral hernias not complicated by bowel obstruction. METHODS: The subjects of this retrospective study were patients admitted to our hospital for the treatment of femoral hernias between 2016 and 2019. We used the Fisher and Student's T test to compare the preoperative characteristics, treatment, and outcomes of patients with bowel obstruction versus those without bowel obstruction. RESULTS: A total of 53 patients (mean age, 66.9 ± 15.1 years) were treated, 18 (33.9%) of whom underwent elective surgery and 35 (66%) of whom required emergency surgery (p = 0.001). The mean time between the development of symptoms and hospitalization was 4.5 ± 3.1 days for the patients with bowel obstruction and 1.6 ± 3.2 days for those without bowel obstruction (p = 0.001). The length of hospital stay was 11.1 ± 21.1 days for the patients with bowel obstruction and 1 ± 1.8 days for those without bowel obstruction (p = 0.028). Overall morbidity and mortality rates were 13.2% and 5.6%, respectively. CONCLUSION:Femoral hernias causing bowel obstruction are associated with greater time between the development of symptoms, hospitalization, and with a longer hospital stay.