Analysis of emergency and elective femoral hernia surgery results; Single center experience

Abstract

Groin hernia surgery is one of the most frequently performed surgical procedures today. Femoral her-nias are rare and difficult to diagnose compared to inguinal hernias. In addition, incarceration and strangulation accompanies more frequently than inguinal hernias. Although emergency groin hernia treatment is rare, this frequency increases with advanced age. In this study, we evaluated the results of emergency and elective femo-ral hernia surgery. In our study, it was determined that 3252 groin hernia surgeries were performed in our center between January 2010 and December 2019. 100 (3.07%) of these patients were operated for femoral hernia and all were included in the study. Patients were primarily classified as emergency and elective. Patients who underwent emergency femoral hernia surgery were classified as under 65 years old, 65-80 years old and over 80 years old, and the data were analyzed. Of the 100 patients included in the study who underwent femoral hernia surgery, 41 (41%) underwent emergency surgery and 59 (59%) underwent elective surgery. Of the patients who underwent emergency femoral hernia surgery, 28 (68.3%) were female and the median age was 71 (54-79)/year. In the analysis of the data of patients who underwent emergency femoral hernia surgery and patients who underwent elective femoral sur-gery; it was statistically more significant that the patient group who underwent emergency surgery was older, taller, had lower body mass indexes and had higher comorbidities. Age in emergency femoral hernia surgery; in our series, it was determined as a parameter that increases the anesthesia risks, strangulation-incarceration rate and mortality of the patients. In our study, it was determined that the frequency of emergency femoral hernia surgery and mortality increased with age.