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Conference Paper: Bowel obstruction due to obturator hernia: A retrospective cohort study comparing the outcomes between two consecutive decades

TitleBowel obstruction due to obturator hernia: A retrospective cohort study comparing the outcomes between two consecutive decades
Authors
Issue Date2017
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
The Royal College of Surgeons of Edinburgh and College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Scientific Congress 2017: Controversies in Surgery, Hong Kong, 23-24 September 2017. In Surgical Practice, 2017, v. 21 n. Suppl. 1, p. 18-19, abstract no. P10 How to Cite?
AbstractAim: The prevalence of obturator hernia increaseswith the ageing population. This study aims to reviewthe surgical outcome of emergency repair for patients with obstructing obturator hernia. Methods: All cases presented with obturator herniasince 1998 were included. Patients’ characteristics,operative findings, and postoperative outcomes wereretrospectively reviewed and analyzed between twoconsecutive decades (1998-2007 vs 2008-2017) withSPSS version 20. Results: All were Chinese females with a median ageof 88 (range 77 - 100). Though the patients had moreadvanced median age (89.5 vs 87) in the second dec-ade, comorbidities were similar between these twoperiods. In total 41 patients underwent 45 operationsand 28/46 (62.2%) were performed in the second dec-ade. The most common postoperative complicationwas pneumonia (29.4% from 1998-2007 vs 39.3% from2008-2017 respectively). However, less intensive careunit admissions (17.6% vs 14.3%) and tracheal intuba-tion (17.6% vs 3.6%) were noted in the second dec-ade. Probably this may be associated with frequentbronchoscopic toileting (11.8% vs 21.4%) and morenon-invasive ventilatory support (5.9% vs 14.3%) inthis period. No significant differences were noted inoverall complication rate (64.7% vs 64.3%, p=1.00)and 30-day mortality (17.9% vs 17.6%, p=1.00). Conclusions: Advanced age was noticed in ourpatients presenting with obstructing obturator hernia.Despite high incidence of postoperative pneumoniain these elderly, with frequent bronchoscopic toiletand non-invasive ventilator support, the overall com-plication rate and mortality were com parable in thesetwo consecutive decades.
DescriptionE-Poster Presentation: no. P10
Persistent Identifierhttp://hdl.handle.net/10722/251506
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121

 

DC FieldValueLanguage
dc.contributor.authorCheung, BHH-
dc.contributor.authorYip, J-
dc.contributor.authorFoo, CC-
dc.contributor.authorLo, OSH-
dc.contributor.authorLaw, WL-
dc.date.accessioned2018-03-01T03:40:18Z-
dc.date.available2018-03-01T03:40:18Z-
dc.date.issued2017-
dc.identifier.citationThe Royal College of Surgeons of Edinburgh and College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Scientific Congress 2017: Controversies in Surgery, Hong Kong, 23-24 September 2017. In Surgical Practice, 2017, v. 21 n. Suppl. 1, p. 18-19, abstract no. P10-
dc.identifier.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/251506-
dc.descriptionE-Poster Presentation: no. P10-
dc.description.abstractAim: The prevalence of obturator hernia increaseswith the ageing population. This study aims to reviewthe surgical outcome of emergency repair for patients with obstructing obturator hernia. Methods: All cases presented with obturator herniasince 1998 were included. Patients’ characteristics,operative findings, and postoperative outcomes wereretrospectively reviewed and analyzed between twoconsecutive decades (1998-2007 vs 2008-2017) withSPSS version 20. Results: All were Chinese females with a median ageof 88 (range 77 - 100). Though the patients had moreadvanced median age (89.5 vs 87) in the second dec-ade, comorbidities were similar between these twoperiods. In total 41 patients underwent 45 operationsand 28/46 (62.2%) were performed in the second dec-ade. The most common postoperative complicationwas pneumonia (29.4% from 1998-2007 vs 39.3% from2008-2017 respectively). However, less intensive careunit admissions (17.6% vs 14.3%) and tracheal intuba-tion (17.6% vs 3.6%) were noted in the second dec-ade. Probably this may be associated with frequentbronchoscopic toileting (11.8% vs 21.4%) and morenon-invasive ventilatory support (5.9% vs 14.3%) inthis period. No significant differences were noted inoverall complication rate (64.7% vs 64.3%, p=1.00)and 30-day mortality (17.9% vs 17.6%, p=1.00). Conclusions: Advanced age was noticed in ourpatients presenting with obstructing obturator hernia.Despite high incidence of postoperative pneumoniain these elderly, with frequent bronchoscopic toiletand non-invasive ventilator support, the overall com-plication rate and mortality were com parable in thesetwo consecutive decades.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofSurgical Practice-
dc.relation.ispartofRCSEd/CSHK Conjoint Scientific Congress 2017-
dc.titleBowel obstruction due to obturator hernia: A retrospective cohort study comparing the outcomes between two consecutive decades-
dc.typeConference_Paper-
dc.identifier.emailYip, J: yipjeremy@hku.hk-
dc.identifier.emailFoo, CC: ccfoo@hku.hk-
dc.identifier.emailLo, OSH: oswens@hku.hk-
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hk-
dc.identifier.authorityYip, J=rp02304-
dc.identifier.authorityFoo, CC=rp01899-
dc.identifier.authorityLaw, WL=rp00436-
dc.identifier.hkuros284257-
dc.identifier.volume21-
dc.identifier.issueSuppl. 1-
dc.identifier.spage18-
dc.identifier.epage19-
dc.publisher.placeAustralia-

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