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Table 2 Outcomes of the emergency and elective surgical treatment (n = 73)

From: Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution

Parameter

Emergency (n, %)

Elective (n, %)

P

ASA grade

   

 II

22 (37.3)

5 (35.7)

 > 0.999

 III

36 (61.0)

9 (64.3)

 

 IV

1 (1.7)

0 (0.0)

 

Duration from appearing symptoms to surgery (days,media, range)

3 (1.0–9.0)

7.5 (3.0–365.0)

0.038c

Surgery approach

   

lower midline incision

59 (100)

0 (0.0)

 

Inguinal incision

0 (0.0)

14 (100)

 

Operative time (minutes, mean ± SD, range)

101.4 ± 28.9 (60–180)

68.6 ± 17.0 (60–120)

 < 0.001b

Incarcerated n (%)

44 (74.6)

0 (0.0)

-

Contents in hernia sac

  

 < 0.001

 Nothing

0 (0.0)

2 (14.3)

 

 Small intestine

51 (86.4)

2 (14.3)

 

 Omentum

2 (3.4)

2 (14.3)

 

 Mesentery of intestine

3 (5.1)

0 (0.0)

 

 Fat

3 (5.1)

8 (57.1)

 

Contralateral concealed obturator hernia

  

 < 0.001

 Yes

10 (16.9)

1 (7.1)

 

 No

46 (78.0)

6 (42.9)

 

 Bilateral at initial diagnosis

3 (5.1)

7 (50.0)

 

Hernia in other sites (Groin, Femoral, Lumbar)

5 (8.5)

1 (7.1)

0.676

n (%)

   

Intestinal resection n (%)

24 (40.7)

0 (0.0)

–

Primary repair n (%)

59 (100.0)

14 (100.0)

–

Blood loss (ml, mean ± SD, range)

21.3 ± 22.7 (5–100)

9.6 ± 5.4 (5–20)

0.013

Days of antibiotics administration (mean ± SD, range)

5.3 ± 4.0 (0–24)

4.4 ± 7.8 (0–30)

0.565

Intraoperative complications

0 (0.0)

0 (0.0)

–

Postoperative complications

4 (6.8)

0 (0.0)

–

 Pneumonia

2

–

 

 AECOPD

1

–

 

 MODS

1

–

 

Clavien-Dindo Grade

  

–

 I–II

1 (1.7)

–

 

 III–IV

1 (1.7)

–

 

 V

2 (3.4)

–

 

Postoperative hospital stay (days, mean, range)

8.3 ± 5.3 (1–31)

7.3 ± 6.8 (1–30)

0.534

Total Length of hopstital Stay

9.3 ± 5.3 (2–32)

8.4 ± 6.8 (2–31)

0.576b

Mortality in 30 days

4 (6.8)

0 (0.0)

–

Recurrence

3 (5.5)

1 (7.1)

0.093a

Length from discharge to recurrence (months, media, range)

12 (6–20)

5 (6–24)

–

  1. ICU intense care unit
  2. aFisher exact test, b student t test, c Mann–Whitney U test