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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