Abstract：OBJECTIVE: To investigate the high-risk factors for neonatal incarcerated hernia with intestinal necrosis by logistic regression analysis. METHODS: Retrospective analysis was performed on the clinical data of 131 neonates with incarcerated oblique inguinal hernia containing the intestine. Of the 131 cases, 14 suffered from intestinal necrosis. The highrisk factors for neonatal incarcerated hernia with intestinal necrosis were determined by logistic regression analysis. RESULTS: Manual reduction after incarceration (>2 times) (χ2 = 69.289, P2 times) (χ2 = 84.731, P<0.01), and mesentery incarceration (χ2 = 80.233, P<0.01) were the high-risk factors for neonatal incarcerated hernia with intestinal necrosis. CONCLUSIONS: Intestinal necrosis tends to occur in neonates with incarcerated hernia who have incarceration or received manual reduction more than twice and suffer from mesentery incarceration. Manual reduction is prohibited for these cases, which should be surgically treated immediately.
［3］Evans C, Galustian C, Kumar D, Hagger R, Melville DM, Bodman-Sminth M, et al. Impact of surgery on immunologic function: comparison between minimally invasive techniques and conventional laparotomy for surgical resection of colorectal tumors［J］. Am J Surg, 2009, 197(2): 238-245.
［4］Montes IS, Deysine M. Spigelian and other uncommon hernia repairs［J］. Surg Clin North Am, 2003, 83(5): 1235-1253.
［5］Roth CG, Varma JD, Tello R. Gastrointestinal/genitourinary case of the day. Incarcerated inguinal hernia of the left fallopian tube and ovary［J］. AJR Am J Roentgenol, 1999, 173(3): 787, 791-792.
［6］Oruc MT, Akbulut Z, Ozozan O, Coskun F. Urological fidings in inguinal hernias: a case report and review of the literature［J］. Hernia, 2004, 8(1): 76-79.
［7］Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R.Uncommon content in groin hernia sac［J］. Hernia, 2006, 10(2): 152-155.
