caa a22 4500 475781287 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004640000018 doi (NATIONALLICENCE)springer-10.1007/s004640000018 Laparoscopy in the evaluation of the incarcerated mass in groin hernia [Elektronische Daten] [M. I. Lavonius, J. Ovaska] Background: In hernia patients, the preoperative diagnosis of strangulation is difficult. In this prospective study, we investigated the usefulness of an exploratory laparoscopy to evaluate the viability of a viscus incarcerated in a groin hernia. Methods: Twenty-seven patients with an acute irreducible inguinal mass underwent exploratory laparoscopy. The hernia was reduced, and the viability of the incarcerated viscus was judged laparoscopically on the basis of color, congestion, and contractility. Results: Twenty-four hernias were found. In sixteen patients, the contents of the hernia were viable. In five patients, a necrotic bowel segment was found, and a laparotomy and resection were done. In three patients, no hernias were found. The cause of inguinal pain was spermatic cord hematoma in one patient and inguinal abscess in another; however, the cause of pain in the third patient remained unclear. After laparotomy, one patient developed a fascial rupture that required reoperation. There were no other complications. Conclusion: At laparoscopy, the judgment of the viability of the contents of the hernia is similar to that at laparotomy. The early use of laparoscopy can prevent many unnecessary laparotomies. Springer-Verlag New York Inc., 2000 Key words: Hernia — Incarceration — Laparoscopy — Spermatic cord hematoma — Strangulation nationallicence Lavonius M. I. Department of Surgery, University of Turku, PL 52, 00520 Turku, Finland, FI aut Ovaska J. Department of Surgery, University of Turku, PL 52, 00520 Turku, Finland, FI aut Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 488-489 0930-2794 14:5<488 2000 14 464 https://doi.org/10.1007/s004640000018 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000018 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lavonius M. I. Department of Surgery, University of Turku, PL 52, 00520 Turku, Finland, FI aut NATIONALLICENCE 700 1- Ovaska J. Department of Surgery, University of Turku, PL 52, 00520 Turku, Finland, FI aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 488-489 0930-2794 14:5<488 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer