ORIGINAL ARTICLE   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2025 January-February;184(1-2):22-8

DOI: 10.23736/S0393-3660.24.05532-3

Copyright © 2024 EDIZIONI MINERVA MEDICA

language: English

Is any pathology in lung tomography related to incarceration of inguinal hernia?

Hüseyin F. MARTLI ¹, Ali R. ERDOĞAN ², Yasir KEÇELİOĞLU ³, Hanifi F. YILDIZ ⁴, Metin BOZKAYA ⁵ ✉

¹ Department of General Surgery, Ankara Atatürk Sanatoryum Training and Research Hospital, Ankara, Türkiye; ² School of Medicine, Department of General Surgery, Niğde Ömer Halisdemir University, Niğde, Türkiye; ³ Department of General Surgery, Yeşilyurt Hasan Çalik State Hospital, Malatya, Türkiye; ⁴ Department of General Surgery, Ankara City Hospital, Ankara, Türkiye; ⁵ Department of General Surgery, Soma State Hospital, Manisa, Türkiye

BACKGROUND: After the onset of the pandemic, lung computed tomography (CT) was routinely performed in emergency cases and suspected elective cases for COVID-19 pneumonia for screening purposes sometime before hospitalization in our center. One of the causes of inguinal hernia is lung-related diseases and symptoms. Preoperative routine CT of patients with inguinal hernia is unique to the pandemic period. The tomographic lung pathologies of these patients at their admission to the hospital were investigated. In this study, we investigated whether lung pathologies detected on computed tomography increased the risk of incarceration, and the suitability of these patients for the wait-and-see approach was discussed.
METHODS: This is a retrospective case-control study. This study was designed at our Hospital that a tertiary center. A total of 292 patients with inguinal hernia who underwent surgery under emergency-elective conditions at our center between March 2020 and March 2021 were retrospectively reviewed, and 138 patients with preoperative CT images were included in the study.
RESULTS: Of the 138 patients included in the study, 51 (36%) underwent emergency surgery and 87 (64%) elective surgery. The rate of a diagnosed lung disease was 35.3% and 12.6%, respectively (P=0.002), the rate of pathological findings in preoperative CT was 51% and 31%, respectively (P=0.02).
CONCLUSIONS: Pathological findings in preoperative LCT were found to pose a risk for incarceration, represent patient groups that are not suitable for the wait-and-see approach.

KEY WORDS: Lung; Tomography; Hernia, inguinal