What are the treatment approaches for abdominal inguinal hernias?

Updated: Jul 01, 2021
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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In general, the presence of an inguinal hernia, in the absence of mitigating factors, constitutes an indication for repair to prevent the complications of prolonged exposure (eg, incarceration, obstruction, and strangulation). [31] Although pressure reduction of an incarcerated hernia is generally safe, failure to reduce is not infrequent and mandates prompt exploration.

Signs of inflammation or obstruction should rule out attempts at reduction. Difficult reduction should promptly be followed by repair. Unintentional reduction of the intestine with vascular compromise leads to perforation and peritonitis with high morbidity and mortality. En masse reduction after vigorous attempts at reducing a hernia with a small fibrous neck results in ongoing compromise of the entrapped bowel.

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