CHARACTERISTIC OF INCARSERATED INGUINAL HERNIA PATIENTS AT DR

HASAN SADIKIN HOSPITAL PERIOD JANUARY 2013- FEBRUARY 2015

Fonda RP Silalahi, Haryono Yarman

Sub Division of Digestive Surgery, Hospital. Hasan Sadikin
Faculty of Medicine, University of Padjadjaran Bandung

Background.. An inguinal hernia or hernia inguinalis is a protrusion of the contents

of the abdominal cavity or preperitoneal fat through a hernia defect in the inguinal
area, irrespective of whether this is preformed (congenital). This situation can give
rise to complaints such as discomfort and pain. Sometimes, it is not possible to
reduce the contents of the hernia sac (non-reducible hernia). In the case of a
narrow hernia defect, there is a risk of the hernia sac contents becoming
incarcerated, resulting in an obstruction of the intestine (ileus) and/or a circulatory
disorder of the incarcerated content (strangulation), which can lead to necrosis and
possible perforation of the intestine.
Objective : to describe characteristic Incarcerated Hernia inguinal who underwent
operation at Dr Hasan Sadikin Hospital.
Methods : This study was conducted at the Digestive Surgery Division of Dr Hasan
Sadikin Hospital from January 2013 through February 2015 using retrospective
descriptive study method by collecting data from medical record.
Result : There were 105 cases of incarcerated Inguinal Hernia with an average age
of 47 years ( ranged from 15-65 years ). Reported case occurred in 105 men (100%)
with no mortality rate. From 105 patient 89(84,7%) patients are came with lump,
11 (10.3%) patients came with painful lump, 3 (3%) patients complaining of lump
with abdominal pain, and 2 (2%) patients are came with difficult to defecate. Risk
factor from this 105 patients are weight bearing 96,1%, prolonged cough 3% and
difficulty to urinate 0,9%. From 105 patients that diagnosed with incarcerated
hernia, 58 (55,2%) of them are right inguinal hernia, 35(38,3%) are left inguinal
hernia, 1 (0.9%) is bilateral inguinal hernia and From 105 patient who came and

operated at emergency ward Hasan sadikin Hospital found that 88 hernia

sac of contain of ileum only 11 (5.6%) of them are need internal resection.
Conclusion. From 105 patients who diagnosed with incarcerated hernia all of them
are male with the average age was 47 years old. Most of patients come with
complain of lump. History of weight bearing become the most risk factor. from 105

patients that undergo operation most of them are right side incarcerated inguinal
hernia and most of the hernia sac contain of ileum.