Retrospective analysis of inguinofemoral hernias

We aim to present the operative findings of inguinal and femoral hernias that were operated.The records of 732 patients who underwent surgery for inguinal and femoral hernia between March 2000 and January 2013 were evaluated retrospectively. The number, sex, and age of patients, type and side of hernias, the existence of strangulation, structure, and content of hernia sac were recorded.684 (93.4 %) of patient is male, 48 (6.5 %) of patient is female. The average age was 46.2. The rate of inguinal hernia was 96.7 %. However, the rate of femoral hernia was 3.2 %. Inguinal hernia 97.9 % and femoral hernia 2 % was found among males. Inguinal hernia 79.1 % and femoral hernia 20 % was found among females. Indirect hernia rates were 70.4 % among males and 75 % among females. Direct hernia rates were 20.7 % among males and 4.1 % among females. Hernias were located in 59 % on right-side, in 37 % on left-side, in 3.1 % on bilateral. The strangulated hernia was seen at 3.1 % in all cases. Strangulation rate was higher among women (6.2 % - 2.9 %). The strangulation rate was 16.6 % in femoral hernia, but this ratio was 2.6 % in inguinal hernia. Hernia sac consisted of peritoneum frequently (99.4 %). The structure that was found mostly in hernia sac was omentum majus (40.4 %).Inguinal hernias are encountered more than femoral hernias. The strangulation rate in femoral hernias is higher than in inguinal hernias. Since the strangulation rate is higher in femoral hernias, the surgical urgency of this type of hernias is higher than inguinal hernias. At the same time, because the internal organs can form the hernia sac or the organ inside the sac, the surgeon should pay maximum attention during the operation. [Med-Science 2020; 9(1.000): 86-9

A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus.

Objectives: Although many surgical methods have been described for sacrococcygeal pilonidal sinus treatment, the best option is still controversial. We aimed to compare postoperative outcomes of these different methods in terms of advantages and disadvantages. Methods: The records of 320 patients undergone surgery for primary or recurrent pilonidal sinus between May 2013 and May 2017 were retrospectively analyzed. Demographical data, pre operative stories, wound site infection, seroma development, wound dehiscence, time of healing, duration of return to work, and if there is any recurrence of 303 patients included in the study were recorded. Upon wide local excision, the first surgeon performed marsupialisation and the lay open technique, second surgeon performed vertical excision and primary closure, third surgeon performed Limberg flap transposition and fourth surgeon performed Karydakis' flap transposition. Results: There was no significant difference between the patients in terms of demographical characteristics. The duration of surgery was statistically significantly higher in primary closure method (p = 0.001). The mean duration of return-to-work was statistically significantly lower in primary closure method (p = 0.002). In primary closure method, the recurrence rate was found to be statistically significantly higher than the other methods (p = 0.009). Conclusion: We do not suggest the use of primary closure method in treatment of pilonidal sinus. Because of lower rates of recurrence and shorter durations of return to work, the Karydakis and Limberg methods are seen as safer methods when compared to lay-open and marsupialization method