European Journal of Cardiovascular Medicine

Background The diagnosis of strangulation is determined when there are signs of intestinal blockage, an irreducible hernia, no coughing impulse, and acute tension and tenderness. Early detection and repair of a hernia may prevent strangulation, the most dangerous situation that jeopardises both life and intestinal integrity. Therefore, the goal of the current study was to examine the clinical characteristics and results of surgically treated patients with strangulated inguinal hernias. Methods From June 2018 to May 2019, 373 patients, regardless of gender and older than 12 years, were scheduled for an emergency surgical procedure at Medical College Hospital in Trivandrum due to a preoperative diagnosis of an obstructed inguinal hernia. This was a prospective study. A comprehensive clinical examination and history were taken. The patients' postoperative status and operational results were documented. SPSS software was used to analyse the data after it was entered into an Excel spreadsheet. Results 25% (94) of the patients were under the age of 40, 21.4 % (80) were under the age of 40, and 30% (112) of the patients were under the age of 50–60. Just 3 patients were older than 70 years, while 11% (41 patients) were younger than 30. Of the 328 patients, or 87.9%, the majority were men. Of those who had hernias, 51.5% (192) had left-sided ones, while 48.5% (181) had right-sided ones. We did not encounter cases that were bilateral. Three hundred sixty-five patients, or 96.5%, arrived on the first day. On the second or third day, there were just 3 patients, or 3.5%. 362 patients, or 97.1%, had pain when they first had irreducible hernias. 22 patients (5.9%) reported vomiting. Conclusion To lower the related morbidity and death, it is crucial to repair inguinal hernias and identify strangulations as soon as possible. The primary prognostic factor determining morbidity and death is the amount of time that passes between the onset of symptoms and the time of surgery.