To explore the efficacy and influencing factors of emergency surgery for adult incarcerated inguinal hernia.

A total of 150 patients with incarcerated inguinal hernia treated at Yulin Traditional Chinese Medicine Hospital from January 2022 to June 2024 were selected as the study subjects, including 109 males and 41 females; the age ranged from 35 to 76 years, with an average of (49.37±6.04) years. According to the postoperative prognosis, patients were divided into a poor prognosis group (n=27) and a good prognosis group (n=123). Clinical data of the two groups were collected, and a multivariate logistic regression model was used to analyze the risk factors for poor prognosis after emergency surgery for adult incarcerated inguinal hernia.

There were statistically significant differences (P<0.05) in age, body mass index (BMI), smoking history, surgical procedure, duration of surgery, and postoperative hospital stay between the two groups of patients; There was no statistically significant difference in gender, medical history, inguinal hernia type, duration of entrapment, intraoperative complications, and postoperative complication levels between the two groups (P>0.05). The results of multivariate unconditional logistic analysis showed that age BMI, smoking history, intraoperative operation style, operation duration, postoperative hospital stay, intraoperative peritoneal damage, postoperative urinary retention, postoperative pelvic infection, and postoperative hematoma/seroma were all independent risk factors for poor prognosis of adult incarcerated inguinal hernia after emergency surgery (P<0.05).

The efficacy of emergency surgery for adult incarcerated inguinal hernia is still acceptable, but there are many factors that affect poor postoperative prognosis. Timely treatment should be targeted at risk factors to delay the progression of the disease.