A clinical study on obstructed inguinal hernia: a descriptive study on 53 cases


  • Gaddam Padmasree Department of Surgery, NTR University of Health Sciences, ACSR Govt. Medical College, Nellore, Andhra Pradesh, India




Obstructed inguinal hernia, Strangulated inguinal hernia, Hernioplasty, Bassini’s repair, Mesh repair


Background: Inguinal hernias are the common causes of surgical admissions and referral of patients from primary physicians. Although we have made a great progress in treating hernia the management of its complications has progressed only a little. The aim of study was to determine the various modes of presentation, clinical features, diagnostic and therapeutic strategies and to evaluate the post-operative outcome in obstructed hernia surgeries.

Methods: After obtaining written and informed consent from the patients, cases for the study were randomly selected from patients admitted to this tertiary care hospital for surgical intervention of inguinal hernias during the period between 2015 and 2017. Cases with inguinal hernias which had signs of obstruction and inability to reduce the hernia are taken up for emergency surgical intervention within 6-8 hours.

Results: 53 obstructed inguinal hernia patients were evaluated and found that, incarceration was the commonest complication seen in 92.45% of cases followed by strangulation (7.54%). Viable bowel was seen 88.67% of cases. Bowel resection and end-to-end anastomosis was done in all cases of non-viable bowel. The commonest post-operative complication encountered in the study was wound infection (9.43%) and scrotal seroma (9.43%).

Conclusions: The most common content was small bowel followed by omentum (52.8% and 35.8% respectively). Wound infection and seroma were the most common complications (9.43%) and mortality was observed in two patients (3.7%) and the causes of death were sepsis and acute respiratory distress syndrome.

Author Biography

Gaddam Padmasree, Department of Surgery, NTR University of Health Sciences, ACSR Govt. Medical College, Nellore, Andhra Pradesh, India

Department of Anaesthesiology,

Associate Professor Anaesthesia .


Nicholson S. Inguinal hernia repair. Br J Surg. 1999;86(5):577–8.

Mokete M, Earnshaw JJ. Evolution of inguinal hernia surgery Practice. Postgrad Med J. 2001;77:188-90.

Gray SW, Skandalakis JE. Embryology for Surgeons. Philadelphia: W.B. Saunders; 1972: 417–422.

Oxford Textbook of Surgery, 2nd Edn. Vol. II. 1867–1876.

Kingsnorth AN, Leblanc KA. Management of Abdominal Hernias; 3rd edn. 1998.

Gilbert Al. An anatomic and Functional classification for the diagnosis and treatment of inguinal hernia. Amer J Surg. 1989;157:331–3.

Williams N. Bailey and Love's Short practice of surgery 24th Edn; 2004: 1272–1282.

Maclean CD. The repair of inguinal hernias (Editorial) Ann Surg. 1995;221:1.

Hari PS, Srinivas T. Clinical study on complicated presentations of groin hernias. Int J Res Med Sci. 2017;5:3303-8.

Hernández-Irizarry R, Zendejas B, Ramirez T, et al. Trends in emergent inguinal hernia surgery in Olmsted County, MN: a population-based study. Hernia. 2012;16(4):397-403.

Pollock R, Nyhus LM. Complications of groin hernia repair. Surg Clin North Am. 1983;63:1363-1.

Andrew NJ. Presentation and outcome of strangulated external hernias in a District General Hospital. Br Jr Surg. 1981;68:329-2.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin N Am. 2003;83:1045–51.

Shakya VC, Agrawal CS, Adhikary S. A prospective study on clinical outcome of complicated external hernias. Health Renaissance. 2012;10(1):20-6.

Kulah B, Kulacoglu IH, Oruc MT, Duzgun AP, Moran M, Ozmen MM, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg. 2001;181(2):101-4.

Alvarez JA, Baldonedo RF, Bear IG, Soli’s JA, Alvarez P, Jorge JI. Incarcerated groin hernias in adults: presentation and outcome. Hernia. 2004;8(2):121–6.

Eze JC. MD Enugu, Nigeria. Obstructed Inguinal Hernia: Role of Technical Aid Program. J National Med Assoc. 2004;96:6.

Goyal S, Shrivastava M, Verma RK, Goyal S. Uncommon Contents of Inguinal Hernial Sac: A Surgical Dilemma. The Indian J Surg. 2015;77(2):305-9.

Bekoe S. Prospective analysis of management of incarcerated and strangulated inguinal hernia. Am J Surg. 1973;126:665-8.

Gul M, Aliosmanoglu I, Kapan M, Onder A, Taskesen F, Arikanoglu Z, et al. Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia. Int Surg. 2012;97(4):305-9.

Dunne JR, Malone DL, Tracy JK, Napolitano LM. Abdominal wall hernias: risk factors for infection and resource utilization. J Surg Res. 2003;111(1):78–84.

Azari Y, Perry Z, Kirstein B. Strangulated groin hernia in octogenarians. Hernia. 2015;19:443–7

Atila K, Guler S, Inal A, Sokmen S, Karademir S, Bora S. Prosthetic repair of acutely incarcerated groin hernias: a prospective clinical observation cohort study. Langenbecks Arch Suer. 2010;395:563-8.

Derici H, Unalp HR, Nazli O, Kamer E, Coskun M, Tansug Tet al. Prosthetic repair of incarcerated inguinal hernias: is it a reliable method? Langenbecks Arch Surg. 2010;395(5):575–9.

Sawayama H, Kanemitsu K, Okuma T, Inoue K, Yamamoto K, Baba H. Safety of polypropylene mesh for incarcerated groin and obturator hernias: a retrospective study of 110 patients. Hernia. 2013;13:1058–65.






Original Research Articles