Management Of Strangulated Inguinal Hernia

Watchful waiting is a reasonable option in adults with minimally symptomatic or asymptomatic inguinal hernia. A strangulated hernia is a medical emergency. The surgeon s priority is to reduce the hernia which means to release the entrapped bowel and return it where it belongs inside the abdominal cavity.

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It has been estimated that more than one fourth of adult men in the united states have a.

Management of strangulated inguinal hernia. Any patients presenting with evidence of strangulation such as pain out of proportion to clinical features or deranged biochemical results nearly always require urgent. A bulge on either side of the. A strangulated hernia is not a type of hernia but rather a complication. The risk of strangulation is approximately 3 per year with an inguinal hernia.

97 5 or primarily repair with polypropylene sutures n 1. Strangulated inguinal hernias of the patients were repaired with polypropylene mesh n 39. Some of the more common types of hernias that can become strangulated are. Strangulated femoral hernias were detected in 6 66 7 female and 3 33 3 male patients and mean age of the study population was 52 4 26 2 26 92 years.

The incidence of incarcerated or strangulated hernias in paediatric patients is 12 16. 50 of these occur in infants aged younger than 6 months paediatric surgeons will repair soon after diagnosis regardless of age or weight in healthy full term infant boys with asymptomatic reducible inguinal hernias. Inguinal hernias have a 9 1 male predominance 3 with a higher incidence among men 40 to 59 years of age. Any patient with a symptomatic inguinal hernia significant mass or discomfort should be offered surgical repair.

What is done to treat a strangulated hernia. These patients can be managed conservatively however importance should be placed on likelihood of future surgical intervention and symptoms of potential strangulation. The treatment of inguinal hernia in adults remains largely surgical as this offers the potential for cure. Any patient with a symptomatic inguinal hernia significant mass or discomfort should be offered surgical intervention see below.

However a third of patients with an inguinal hernia will never experience any symptoms. 12 clinically evident femoral hernias even with minimal symptoms should be referred for surgery given the higher risk of strangulation. A burning or hot sensation around the hernia. It must be examined by a doctor immediately so that life saving surgery can be promptly administered.

That must be done before the tissue is. Surgery is also important for preventing strangulation of hernias and for treating hernias that are painful and difficult to reduce. A strangulated hernia repair is an emergency. Watchful waiting can be adopted for clinically evident minimally symptomatic inguinal hernias although 75 will require surgery within ten years.